A multicentre study of nutrition risk assessment in adult patients with inflammatory bowel disease attending outpatient clinics.

Miranda Lomer; Orla Cahill; Aristea Baschali; Prasanna Partha Sarathy; Magdalini Sarantidou; Gerassimos Mantzaris; Daniel Gaya; Konstantinos Katsanos; Christodoulou Dimitrios; Konstantinos Gerasimidis

doi:10.1159/000495214

A multicentre study of nutrition risk assessment in adult patients with inflammatory bowel disease attending outpatient clinics.

Miranda Lomer, Orla Cahill, Aristea Baschali, Prasanna Partha Sarathy, Magdalini Sarantidou, Gerassimos Mantzaris, Daniel Gaya, Konstantinos Katsanos, Christodoulou Dimitrios, Konstantinos Gerasimidis

Nutritional Sciences

University of Glasgow

Research output: Contribution to journal › Article › peer-review

18 Citations (Scopus)

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Abstract

Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m2 and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m2 and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.

Original language	English
Pages (from-to)	18-23
Number of pages	6
Journal	Annals of Nutrition and Metabolism
Volume	74
Issue number	1
Early online date	28 Nov 2018
DOIs	https://doi.org/10.1159/000495214
Publication status	Published - Feb 2019

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10.1159/000495214

A multicentre Study of Nutrition_LOMER_Accepted4November2018_GREEN AAMAccepted author manuscript, 266 KB

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title = "A multicentre study of nutrition risk assessment in adult patients with inflammatory bowel disease attending outpatient clinics.",

abstract = "Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m2 and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m2 and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.",

author = "Miranda Lomer and Orla Cahill and Aristea Baschali and {Partha Sarathy}, Prasanna and Magdalini Sarantidou and Gerassimos Mantzaris and Daniel Gaya and Konstantinos Katsanos and Christodoulou Dimitrios and Konstantinos Gerasimidis",

year = "2019",

month = feb,

doi = "10.1159/000495214",

language = "English",

volume = "74",

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T1 - A multicentre study of nutrition risk assessment in adult patients with inflammatory bowel disease attending outpatient clinics.

AU - Lomer, Miranda

AU - Cahill, Orla

AU - Baschali, Aristea

AU - Partha Sarathy, Prasanna

AU - Sarantidou, Magdalini

AU - Mantzaris, Gerassimos

AU - Gaya, Daniel

AU - Katsanos, Konstantinos

AU - Dimitrios, Christodoulou

AU - Gerasimidis, Konstantinos

PY - 2019/2

Y1 - 2019/2

N2 - Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m2 and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m2 and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.

AB - Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m2 and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m2 and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.

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U2 - 10.1159/000495214

DO - 10.1159/000495214

M3 - Article

SN - 0250-6807

VL - 74

SP - 18

EP - 23

JO - Annals of Nutrition and Metabolism

JF - Annals of Nutrition and Metabolism

IS - 1

ER -

A multicentre study of nutrition risk assessment in adult patients with inflammatory bowel disease attending outpatient clinics.

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