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Nutritional support in patients with systemic sclerosis.

Vera Ortiz-Santamaria1, Celia Puig2, Cristina Soldevillla2

  • 1Unidad de Reumatología, Servicio de Medicina Interna, Hospital Universitario de Granollers, Granollers, Barcelona, España; Departamento de Medicina, Universidad Internacional de Cataluña, Barcelona, España.

Reumatologia Clinica
|March 13, 2014
PubMed
Summary

Nutritional support in systemic sclerosis (SSc) patients maintained body weight and food intake, improving iron and vitamin D deficiencies. Quality of life and psychological status showed no deterioration, warranting further research.

Keywords:
AnsiedadAnxietyCalidad de vidaDepresiónDepressionDietic interventionDéficit de vitamina DEsclerosis sistémicaIntervención dietéticaMalnutriciónMalnutritionMalnutrition Universal Screening ToolNutriciónNutritionNutritional supportPsychological assessmentQuality of lifeSoporte nutricionalSystemic sclerosisValoración psicológicaVitamin D deficiency

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Area of Science:

  • Autoimmune diseases
  • Gastroenterology
  • Nutritional science

Background:

  • Systemic sclerosis (SSc) is a chronic autoimmune disease affecting multiple systems.
  • Gastrointestinal involvement occurs in ~90% of SSc cases, potentially leading to nutritional decline.

Purpose of the Study:

  • To evaluate if a nutritional support protocol can enhance nutritional status and quality of life in SSc patients.
  • To assess the impact of nutritional intervention on key health parameters in systemic sclerosis.

Main Methods:

  • A prospective, single-center study involving outpatient SSc patients.
  • Utilized the Malnutrition Universal Screening Tool (MUST), SF-36, and Hospital Anxiety and Depression Scale.
  • Monitored weight, intake, biochemical parameters, and implemented nutritional interventions for at-risk individuals.

Main Results:

  • 12.5% of patients were at risk for malnutrition; common deficits included iron (18.35%) and vitamin D (54%) deficiencies.
  • High prevalence of anxiety, depression, and reduced quality of life was noted.
  • No significant improvements in weight, food intake, biochemical markers, or psychological/quality of life scores were observed post-intervention.

Conclusions:

  • Dietary intervention successfully maintained body weight and food intake.
  • Supplementation improved iron and vitamin D deficiencies.
  • No negative impact on psychological assessment or quality of life was observed; larger studies are recommended.