AI Article Synopsis
- Study Overview
- : This research examined the nutritional status and malnutrition effects among older adults (65+) diagnosed with ulcerative colitis (UC), utilizing specific definitions and tools to assess malnutrition and risk factors.
- Findings
- : Among 290 patients studied, only 18% were malnourished, but a significant 76% had at least one micronutrient deficiency, with common deficiencies noted in vitamin D (38%), iron (43%), and B12 (11%).
- Conclusions
- : While malnutrition was less common, high rates of micronutrient deficiencies and bone health issues were identified, highlighting the necessity for routine evaluations regarding nutrition and bone density in older UC patients.
Article Abstract
Background And Aims: The nutritional status and consequences of malnutrition among older adults with ulcerative colitis (UC) are not known.
Methods: We conducted a retrospective study of patients 65 years ≥ with Ulcerative colitis (UC). Malnutrition was defined using the European Society for Clinical Nutrition and Metabolism (ESPEN) definition. Eight micronutrients and nutrition-related outcomes were measured. The Saskatchewan Inflammatory Bowel Disease-Nutrition Risk Tool was utilized to identify patients at risk for malnutrition. Data were summarized using descriptive statistics. Characteristics of patients with and without malnutrition were compared using Chi-Square test or Fisher's exact tests (analysis of variance for age).
Results: Two-hundred and ninety patients with a mean age of 73.4 years were included. 54% of patients had moderate-to-severe UC, with 52% receiving advanced therapy. Fifty-one patients (18%) met criteria for malnutrition, 17% were moderate-high risk for malnutrition, and 87% were low risk. Two-hundred and twenty patients (76%) had at least one micronutrient deficiency: 38% vitamin D, 43% iron, and 11% B12. Half of patients had osteoporosis or osteopenia (49%), however, only 39% of high-risk patients had undergone a DEXA scan.
Conclusions: The majority of patients were not found to have malnutrition, however, the prevalence of micronutrient deficiencies among older adults with UC was high. This population is at particularly high risk for bone-related disease, yet a significant proportion of patients are not undergoing guideline-directed bone density testing. These findings illustrate the need for regular screening for malnutrition, micronutrient deficiency, and bone-related disease in older adults with UC.
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