Nutritional characteristic of children with inflammatory bowel disease in the nationwide inflammatory bowel disease registry from the Mediterranean region

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dc.contributor.authorKuloǧlu, Zarife
dc.contributor.authorÇetin, Funda
dc.contributor.authorUrgancı, Nafiye
dc.contributor.authorÖnal, Zerrin
dc.contributor.authorSarı, Sinan
dc.contributor.authorYüksekkaya, Hasan
dc.contributor.authorÇaltepe, Gönül
dc.contributor.authorBaysoy, Gökhan
dc.contributor.orcid0000-0001-9442-7790
dc.contributor.orcid0000-0002-7394-1392
dc.contributor.orcid0000-0002-7627-7423
dc.contributor.orcid0000-0002-6316-4593
dc.contributor.orcid0000-0001-7659-6929
dc.contributor.orcid0000-0001-8525-6352
dc.date.accessioned2024-04-24T17:56:13Z
dc.date.available2024-04-24T17:56:13Z
dc.date.issued2022
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractBackground/objectives: We analyzed the nationwide pediatric inflammatory bowel disease (PIBD) registry (1998–2016), to evaluate the nutritional status at the time of diagnosis. Subjects/methods: Nine types of nutritional status by the combination of weight-for-length (<2 years)/body mass index (>2 years) and length/height-for-age with three categories (<?2, ?2 to 2, and >2 SD) were described. Malnutrition was defined by WHO criteria. Univariate and multivariate regression analysis was used to identify risk factors for malnutrition. Results: In total, 824 IBD patients (498 Ulcerative colitis (UC); 289 Crohn’s Disease (CD); 37 Indeterminate Colitis (IC); 412 male; the median age 12.5 years) were eligible. The prevalence of eutrophy, wasting/thinness, stunting, overweight, tall stature, concurrent wasting/thinness and stunting, tall stature with overweight, tall stature with wasting/thinness, and short stature with overweight were 67.4%, 14.9%, 6.6%, 3.1%, 3.2%, 3.3%, 1.1%, 0.4%, and 0.1%, respectively. The prevalence of malnutrition was 32.7%, indicating a higher prevalence in CD (p < 0.001). Incidence of overweight was less common in the CD than UC and IC (p < 0.001). Multivariate analysis revealed that age of onset (>10 years), prepubertal stage, severe disease activity, perianal involvement, and high C reactive protein level were independently associated with malnutrition in pediatric IBD. Conclusion: We showed the frequency of nutritional impairment in PIBD. The percentage of overweight subjects was lower than the other studies. The age of onset, disease activity, CRP level, perianal involvement, and pubertal stage were associated with a higher risk for developing malnutrition. Our results also confirmed that CD patients are particularly vulnerable to nutritional impairment. Clinical trial number: ClinicalTrials.gov Identifier: NCT04457518.en_US
dc.description.sponsorshipThis research was funded by The Society of Turkish Pediatric Gastroenterology, Hepatology, and Nutrition.en_US
dc.identifier.citationKuloǧlu, Z., Çetin, F., Urgancı, N., Önal, Z., Sarı, S., Yüksekkaya, H. ve diğerleri. (2022). Nutritional characteristic of children with inflammatory bowel disease in the nationwide inflammatory bowel disease registry from the Mediterranean region. European Journal of Clinical Nutrition, 76(9), 1289-1296.
dc.identifier.doi10.1038/s41430-022-01094-6
dc.identifier.endpage1296en_US
dc.identifier.issn0954-3007
dc.identifier.issue9en_US
dc.identifier.pmid35173290
dc.identifier.scopus2-s2.0-85127080460
dc.identifier.scopusqualityQ1
dc.identifier.startpage1289en_US
dc.identifier.urihttps://doi.org/10.1038/s41430-022-01094-6
dc.identifier.urihttps://hdl.handle.net/11468/23380
dc.identifier.urihttps://www.nature.com/articles/s41430-022-01094-6
dc.identifier.volume76en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBaysoy, Gökhan
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofEuropean Journal of Clinical Nutrition
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleNutritional characteristic of children with inflammatory bowel disease in the nationwide inflammatory bowel disease registry from the Mediterranean regionen_US
dc.titleNutritional characteristic of children with inflammatory bowel disease in the nationwide inflammatory bowel disease registry from the Mediterranean region
dc.typeArticleen_US

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