Malnutrition risk questionnaire combined with body composition measurement in malnutrition screening in inflammatory bowel disease
2016
The purpose of malnutrition screening is to predict the probability
of a worse outcome due to nutritional factors. The Malnutrition
Universal Screening Tool (MUST) can be used for screening
in inflammatory bowel disease (IBD); however, it does not provide
details about body composition. Our aim was to assess the body
composition and combine this with the MUST method to screen
risk of malnutrition and sarcopenia. A total of 173 IBD outpatients
were enrolled in this cross-sectional study. The MUST scale indicated
21.4% of IBD patients to be at risk of malnutrition. A risk
of sarcopenia was detected in 27.7%. However, one third of these
patients were not considered to be at risk by their MUST score. Furthermore,
Crohn’s disease (CD) patients had a strongly unfavorable
fat-free mass index (FFMI) value compared to ulcerative colitis
(UC) patients, and these differences were significant among men
(FFMI: 18.62 ± 2.16 vs 19.85 ± 2.22, p = 0.02, in CD and UC
males, respectively). As sarcopenia is a relevant prognostic factor,
the MUST method should be expanded to include body composition
analysis to detect more IBD patients at risk of malnutrition and
sarcopenia in order to start their nutritional therapy immediately.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
27
References
16
Citations
NaN
KQI