ESPEN 2022 Late Breaking Abstracts
Topic: Nutritional assessment
Abstract Submission Identifier: ESPEN22-LB-2244
THE RISK OF EXCESS BODY WEIGHT IN HOSPITALIZED IBD PATIENTS
R. Dudkowiak*, 1, A. Poniewierka 2
1Dietetics Division, Department of Gastroenterology and Hepatology, , Wroclawc Medical University, Wrocław, 2University Rehabilitation Center, University Clinical Hospital, Wroclaw, Poland
Rationale: The obesity epidemic is one of the biggest problems in the world today. The incidence of IBD has also increased significantly in last decads. Increased incidence of ulcerative colitis (UC) and Crohn's disease (CD) is observed in many countries but especially in USA, Canada and countries of the so-called old European Union. Development of society is conected with lifestyle changes and diet habits. Both of them are important epidemiological factors which can cause the IBD. Junk/fastfood, high content of animal proteins, saturated fat and simple sugars have an impact on the development of dysbiosis.
Methods: 51 patients with CD (24 F, 27 M) and 46 with UC (23 F, 23 M) hospitalized in the gastroenterology clinic were involved. The average age was 35 years (± 16.8) in female (F) and 37.5 years (± 14.4) in male (M). Anthropometric measurements were taken: waist and arm circumference as well as body height and weight.
Results: Based on BMI, 61% of people showed normal nutritional status, including 34 (15 F, 19 M) with CD and 35 (14 F, 11 M) with UC. Malnutrition was found in 18% of the analyzed population (9 CD, 8 UC). Overweight was found in 14 people (1 F, 13 M) and obesity in 7 (3 F, 4 M). The average BMI value was 22.3 kg / m2 (± 14.4).
BMI [kg/m2] |
CD (n=51) |
UC (n=46) | ||
|
F |
M |
F |
M | |
|
Min |
15.62 |
17.76 |
16.11 |
14.93 |
|
Max |
32.47 |
36.78 |
36.49 |
32.30 |
|
Average ± SD |
20.23 ± 3.63 |
23.38 ± 4.07 |
21.53 ± 4.93 |
23.96 ± 4.08 |
|
Average ± SD (F + M) |
21.9 ± 4.15 |
22.75 ± 4.64 | ||
|
p |
0.006 |
0.07 | ||
75% patients had the correct waist circumference. The average waist circumference values were 89.19 cm in female and 89.64 cm for male. For patients with abnormal waist circumference, the number of people with increased risk of metabolic complications of obesity was 6/14 in CD (3 F, 3M) and 5/13 in UC (3 F, 2M).
Conclusion: Overweight and obesity were more common than malnutrition (22% vs. 18%). In the time of the obesity epidemic, the problem of excessive weight cannot be underestimated among IBD patients.
References: Role of Obesity, Mesenteric Adipose Tissue, and Adipokines in Inflammatory Bowel Diseases; Biomolecules.2019
Disclosure of Interest: None Declared
Keywords: IBD, nutrition assessment, obesity