Assessment of nutritional status and feeding methods in patients with inflammatory bowel disease

  • Ewelina Swora-Cwynar Chair and Department of Internal, Metabolic Diseases and Dietetics, Poznan University of Medical Sciences, Poland
  • Jacek Karczewski Chair of Biology and Environmental Protection, Laboratory of Transplantation Immunology, Poznan University of Medical Sciences, Poland
  • Anna Musiał
  • Marian Grzymisławski Chair and Department of Internal, Metabolic Diseases and Dietetics, Poznan University of Medical Sciences, Poland
  • Emilia Marcinkowska Chair and Department of Internal, Metabolic Diseases and Dietetics, Poznan University of Medical Sciences, Poland
  • Agnieszka Dobrowolska Chair and Department of Gastroenterology, Human Nourishment and Internal Diseases, Poznan University of Medical Sciences, Poland
  • Dorota Mańkowska-Wierzbicka Chair and Department of Gastroenterology, Human Nourishment and Internal Diseases, Poznan University of Medical Sciences, Poland
Keywords: inflammatory bowel disease, nutritional status, feeding methods

Abstract

Aim. The aim of this study was to evaluate diet of patients with IBD, their nutritional status and potential differences as compared to diet of healthy persons.Material and methods. The examination included the patients of Internal, Metabolic Diseases and Dietetics Ward and Gastroenterology, Internal Diseases and Human Nutrition Ward of Heliodor Święcicki Clinic in the Poznan University of Medical Sciences in Poznan. The criterion allowing participation into the study involved a diagnosed ulcerative or Crohn’s disease, basing on histopathology and radiological examination. The study was conducted on 50 patients, 25 women and 25 men. The control of group included 50 persons, 30 women and 20 men, potentially healthy and occupationally active. In the study the authors' own questionnaire was used, which contained questions related to diet and evaluating conditions of nutrition, based on the results of anthropometric measurements and selected biochemical parameters.Results. The study documented that IBD affected diet, which proved to be distinct from that of potentially healthy person. Course of the disease reduced some laboratory parameters in serum: decreased levels of total protein were detected in 40% patients, reduced levels of albumin in 28% patients and of haemoglobin in 72% patients with IBD. Most of patients introduced some modifications and dietary restrictions to reduce the symptoms and prolong remission. Presentation of such attitudes, indicates a need for an effective multidirectional education, which should affect a conscious decision making about the diet. The Body Mass Index and evaluation of nutrition demonstrated that IBD predisposed development of malnutrition: as compared to the control group, 28% of the patients manifested underweight.

References

Poniewierka E. Alimentation in diseases of alimentary tract and in metabolic disturbances [in Polish]. Cornetis, Wrocław; 2010.

Adamski Z, Linke K, Samborski W. Biological treatment in dermatology, gastroenterology and rheumatology [in Polish]. Termedia 2nd Edition, 2015; 311–327.

Muller-Nothmann SD. Alimentation in non-specific inflammatory diseases of intestines. Falk Foundation e.V., Freiburg; 2007.

Ryżko J, Olek A. Dietetic management of non-specific inflammatory diseases of intestines in children [in Polish]. Pediat Współcz. 2001;3:265–269.

Cohen AB, Lee D, Long MD, Kappelman MD, Martin CF, Sandler RS, Lewis JD. Dietary patterns and self-reported associations of diet with symptoms of inflammatory bowel disease. Dig Dis Sci. 2013 May;58(5):1322–8. doi: 10.1007/s10620–012–2373–3. Epub 2012 Aug 26.

CBOS, Alimentary behaviours and habits in Poles [in Polish]. BS/150/2010.

Krzesiek K. Progress in treatment of non-specific intestinitis [in Polish]. Nowa Pediatria. 2002;3:179–184.

Ciborowska H, Rudnicka A. Dietetics. Alimentation of healthy and sick humans [in Polish]. PZWL, Warszawa 2009.

Langhorst J, Varnhagen I, Schneider SB, Albrecht U, Rueffer A, Stange R, Michalsen A, Dobos GJ. Randomised clinical trial: a herbal preparation of myrrh, chamomile and coffee charcoal compared with mesalazine in maintaining remission in ulcerative colitis – a double-blind, double-dummy study. Aliment Pharmacol Ther. 2013 Sep;38(5):490–500. doi: 10.1111/apt.12397. Epub 2013 Jul 4.

TNS OBOP. Consumption of alcohol in Poland in 2012 [in Polish].

Zawadzka P, Grzymisławski M. Assessment of malnutrition in a group of patients with inflammatory bowel disease. Gastroenterologia Polska. 2006;13(6):449–453.

Poniewierka E, Poniewierka A, Jasiński R. Selected anthropometric indicators in patients with inflammatory bowel disease. Gastroenterologia Polska. 2008;15(6):385–389.

Ripoli J, Miszputen SJ, Ambrogini Jr O, Carvalho Ld. Nutritional follow-up of patients with ulcerative colitis during periods of intestinal inflammatory activity and remission.Arq Gastroenterol. 2010 Jan-Mar;47(1):49–55.

Vanis N, Mehmedovič A, Mesihovič R, Saray A. Anaemia and inflammatory bowel disease. Prilozi. 2013;34(2):35–42.

Radwan P, Radwan-Kwiatek K, Skrzydło-Radomańska B. Rydzewska G.: Anaemia in non-specific intestinitis- aetiopathogenesis, diagnosis and treatment [in Polish]. Prz Gastroenterol. 2010;5:315–320.

Koutroubakis IE, Ramos-Rivers C, Regueiro M, Koutroumpakis E, Click B, Schoen RE, Hashash JG, Schwartz M, Swoger J, Baidoo L, Barrie A, Dunn MA, Binion DG. Persistent or recurrent anemia is associated with severe and disabling Inflammatory Bowel Disease. Clin Gastroenterol Hepatol. 2015 Apr 8. pii: S1542–3565(15)00374–2. doi: 10.1016/j.cgh.2015.03.029. [Epub ahead of print].

Published
2016-02-17
How to Cite
Swora-Cwynar, E., Karczewski, J., Musiał, A., Grzymisławski, M., Marcinkowska, E., Dobrowolska, A., & Mańkowska-Wierzbicka, D. (2016). Assessment of nutritional status and feeding methods in patients with inflammatory bowel disease. Journal of Medical Science, 84(3), 167-182. Retrieved from http://jms.ump.edu.pl/index.php/JMS/article/view/14
Section
Original Papers