Nutrient Intake and Bone Mineral Density by Nutritional Status in Patients with Inflammatory Bowel Disease.
10.11005/jbm.2014.21.3.195
- Author:
Heesook LIM
1
;
Hwa Jong KIM
;
Su Jin HONG
;
Soonkyung KIM
Author Information
1. Department of Nutrition, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
- Publication Type:Original Article
- Keywords:
Bone density;
Inflammatory bowel diseases;
Nutritional status
- MeSH:
Animals;
Ascorbic Acid;
Bone Density*;
C-Reactive Protein;
Calcium;
Calcium, Dietary;
Colitis, Ulcerative;
Crohn Disease;
Education;
Folic Acid;
Food Habits;
Humans;
Inflammatory Bowel Diseases*;
Iron;
Malnutrition;
Nutritional Status*;
Potassium;
Prevalence;
Skin;
Sodium;
Vitamin B 6;
Vitamins;
Zinc
- From:Journal of Bone Metabolism
2014;21(3):195-203
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Malnutrition among inflammatory bowel disease (IBD) may arise from factors including inadequate dietary intake, malabsorption, and progression of disease. IBD has been reported an increased prevalence of low bone mass. The aims of the present study were to evaluate the nutritional status and to investigate the correlation between bone mineral density (BMD) and nutrient factors in patients with IBD. METHODS: A total of 41 subjects were classified into normal group (n=21) and malnourished group (n=20) by the subjective global assessment result. We surveyed the dietary habit, nutrient intake, and BMD. RESULTS: Subjects' average age was 36.7 years old, and included 26 ulcerative colitis and 15 Crohn's disease. The serum C-reactive protein (CRP) was significantly higher and serum calcium was significantly lower in the malnourished group. Lower bone density subjects were more in the malnourished group but no significant difference. Intake of energy, protein, carbohydrate, fiber, iron, sodium, potassium, zinc, vitamin B6, vitamin C and folate were significantly lower in the malnourished group. The BMD of malnourished group showed correlation with triceps skin fold thickness (TSF), CRP, dietary calcium, phosphorous, iron, animal iron, zinc and vitamin. CONCLUSIONS: The results suggested that adequate intake of nutrients is important to prevent bone loss and systemic education programs are need for IBD patients.
