20 / 20
Page 59
Journal of Clinical Nutrition & Dietetics
ISSN:2472-1921
3
r d
W o r l d C o n g r e s s o n
Nutrition, Dietetics
and Nutraceuticals
F e b r u a r y 2 5 - 2 6 , 2 0 1 9
P r a g u e , C z e c h R e p u b l i c
World Nutrition 2019
M
alnutrition in Crohn’s disease is a dreadful complication occurring in active phase but underestimated in remission.
Furthermore, the absence of gold standard definition in assessment of nutritional status represents a major problem in
treating this population. The aim of our study is to assess the nutritional status in a group of Crohn’s disease patients in remission
and to determine the prevalence of sarcopenia as nutritional indicator. We included 40 outpatient aged ≥18 years. The nutritional
assessment was based on: subjective global assessment (SGA) and dietary survey; anthropometric evaluation (measurement of
height, weight, body mass index (BMI), triceps skinfold (TSF), mid-arm circumference (MAC) and mid-arm muscle circumference
(MAMC)). We have also evaluated also the handgrip strength (dynamometer) and used bio-impedance analysis to determine
body-composition. The analysis of the dietary survey shows that most patients (83%) had an appropriate calories intake within
55% with hyper caloric diet. Respectively 15%, 35% and 44% ingested less than recommended amount of protein, carbohydrates
and fat. Regarding micronutrients, calcium, iron, vitamin C, vitamin B9, zinc and magnesium intake were below the recommended
amounts in 85%, 83%, 80%, 90%, 93% and 90% of patients, respectively, according to the RDA. The prevalence of malnutrition varied
between 5% and 60% according to the diagnostic criterion used: 5% were undernourished following the TSF; 7.5% according to
SGA; 12.5% using the MAMC; 15% according to BMI; 25% in reference to HGS and 60% estimated by appendicular skeletal muscle
mass index (ASMI). Fifteen percent were considered sarcopenic taking into consideration the European consensus. Despite the
period of remission and the normal either excessive daily calorie intake, the prevalence of malnutrition and sarcopenia were not
negligible in our group. The evaluation of nutritional status should be systematic and repeated regularly and should take into
account functional methods (HGS and impedancemetry).
takwa0606@yahoo.comMalnutrition in Crohn’s disease in remission: fact
or misestimation and which indicator is more
reliable?
Takoua Harrabi¹, I Sebai¹, L Mouelhi², H Jamoussi¹, A Gamoudi¹,
I Lahmer¹, R Debbeche² and C Amrouche¹
¹National Institute of Nutrition and food technology, Tunisia
²Charles Nicolle Hospital, Tunisia
J Clin Nutr Diet 2019, Volume: 5
DOI: 10.4172/2472-1921-C1-006