Nutritional status of children with inflammatory bowel disease in Saudi Arabia

Autor: Omar I. Saadah, Mohammad A Al Mofarreh, Mohammed Hadi Al Edreesi, Abdulrahman Al-Hussaini, Abdulaziz Abdullatif Al Qourain, Mohammad I. El Mouzan, Khalid Abdulrahman Al Saleem
Rok vydání: 2015
Předmět:
Male
Pediatrics
medicine.medical_specialty
Pediatric Obesity
Adolescent
education
Saudi Arabia
Nutritional Status
Anorexia
Overweight
Inflammatory bowel disease
Child Nutrition Disorders
03 medical and health sciences
0302 clinical medicine
Age Distribution
Crohn Disease
Thinness
Retrospective Study
parasitic diseases
medicine
Prevalence
Humans
030212 general & internal medicine
Child
Retrospective Studies
business.industry
Gastroenterology
Infant
Retrospective cohort study
General Medicine
medicine.disease
Ulcerative colitis
eye diseases
digestive system diseases
Nutrition Assessment
Child
Preschool
Age stratification
030211 gastroenterology & hepatology
Colitis
Ulcerative
Female
medicine.symptom
Underweight
business
Child Nutritional Physiological Phenomena
Body mass index
geographic locations
Zdroj: World journal of gastroenterology. 22(5)
ISSN: 2219-2840
Popis: AIM: To assess the prevalence of nutritional disorders in children with inflammatory bowel disease (IBD) in Saudi Arabia. METHODS: The data from a national cohort of children newly diagnosed with IBD between 2003 and 2012 were analyzed. The diagnosis of IBD and the differentiation between Crohn’s disease (CD) and ulcerative colitis (UC) were confirmed by gastroenterologists according to the standard criteria. The body mass index (BMI) of each child [weight (kg)/height2 (m)] was calculated at the time of diagnosis. The World Health Organization standards and references were used and the BMI for age > +1 and < -2 standard deviation score were used to define overweight and thinness, respectively. Age stratification analysis was performed to investigate any age-related variation in the prevalence of nutritional status between children < 10 years of age and older. RESULTS: There were 374 children from 0.33 to 17 years of age, including 119 (32%) children with UC and 255 (68%) with CD. All of the children were Saudi nationals, and 68 (57%) of the UC and 150 (59%) of the CD children were males. A positive history of anorexia at the time of diagnosis was found in 30 (25%) patients with UC and 99 (39%) patients with CD. The prevalence of thinness was 31%, 35% and 24% in children with IBD, CD and UC, respectively, with a significantly higher prevalence of thinness in children with CD than in children with UC (P = 0.037) only in the age group of 10-17 years (P = 0.030). The prevalence of overweight was 16 %, 15% and 20 % in the children with IBD, CD and UC, respectively, indicating a higher prevalence in UC that was statistically significant only in the age group of 10-17 years (P = 0.020). CONCLUSION: A high proportion of children with IBD presented with overweight instead of the classical underweight. Awareness of this finding is important for patient care.
Databáze: OpenAIRE
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