揭示IBD中隐藏的营养不良:横截面多工具分析揭示了超越基于体重的评估的高患病率
Mahrez Fissah1, Salam Bennouar2, Adel Rechach1
1University Hospital of Douera, Faculty of Medicine, University of Blida 1, Algeria.
概括
在炎症性肠病 (IBD) 患者中,营养不良很常见,特别是在活跃的疾病爆发期间. 早期的营养查对于管理IBD和预防并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 临床医学 临床医学
背景情况:
- 炎症性肠病 (IBD) 与营养不良有关,影响患者的治疗结果.
- 非西方IBD人群的营养状况数据有限.
- 本研究涉及阿尔及利亚IBD队列的营养状况.
研究的目的:
- 评估阿尔及利亚IBD患者的营养状况.
- 在这个群体中确定与营养不良相关的因素.
- 探索疾病活动和营养参数之间的联系.
主要方法:
- 在高等推中心进行前性横截面研究.
- 使用人体测量,生物化学标记,CONUT,McClave,HALP和GLIM标准进行营养评估.
- 用哈维-布拉德肖指数和部分梅奥评分评估疾病活动.
主要成果:
- 在IBD队列中观察到高营养不良患病率 (CONUT高达46.7%).
- 活跃疾病与较差的营养状况显著相关 (p<0.01).
- 多变量分析没有确定营养不良的统计学显著预测因素.
结论:
- 营养不良在IBD患者中非常普遍,由活性炎症加剧.
- 炎症过程显著导致营养下降.
- 常规的营养查,特别是在爆发期间,建议用于IBD管理.
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