Older age is a risk factor for inadequate energy intake during acute, severe IBD and is associated with shorter time to relapse

Effects of nutritional intake on inflammatory bowel disease (IBD) flare resolution are unknown. We hypothesised that nutritional factors during hospitalisation for acute severe IBD are associated with risk of subsequent relapse. We also studied risk factors for inadequate energy intake. Patients adm...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2020-10, Vol.55 (10), p.1185-1192
Main Authors: Kulmala, Katja A., Björk, Jan, Andersson, Sara, Backman, Ann-Sofie, Eberhardson, Michael, Bresso, Francesca, Hedin, Charlotte R. H.
Format: Article
Language:English
Subjects:
Gastroenterologi
IBD in elderly population
Klinisk medicin
Medicin och hälsovetenskap
Nutrition
real world data
severe flare of IBD
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Summary:Effects of nutritional intake on inflammatory bowel disease (IBD) flare resolution are unknown. We hypothesised that nutritional factors during hospitalisation for acute severe IBD are associated with risk of subsequent relapse. We also studied risk factors for inadequate energy intake. Patients admitted to the Karolinska Hospital Gastroenterology ward with IBD flare during 2015-2016 were retrospectively identified. In total, 91 patients were included. Data on nutrition, disease factors, inflammatory markers, and daily energy requirement were extracted. Requirement of new systemic steroid prescription, intensification of biological therapy, readmission, surgery, and calprotectin level were individually used as proxies for disease relapse. Follow-up was one year after discharge. Adjustments for age and sex were made where appropriate. Overall, 19%, 31%, and 45% of patients had days with energy intake
ISSN:0036-5521
1502-7708
1502-7708
DOI:10.1080/00365521.2020.1818119