Evidence map›Paper›PMID 39438412›Full record

ArticleDigestive diseases and sciences2024

Prevalence of Malnutrition and Micronutrient Deficiencies in Older Adults with Ulcerative Colitis.

Zoe Memel, Anna Thiemann, Cooper Dort, Uma Mahadevan, Kendall R Beck

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Article in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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5 authors.

Zoe MemelDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, USA.
Anna ThiemannDepartment of Medicine, California Pacific Medical Center, San Francisco, USA.
Cooper DortDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, USA.
Uma MahadevanDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, USA.
Kendall R BeckDivision of Gastroenterology, Department of Medicine, University of California San Francisco, San Francisco, USA. kendall.beck@ucsf.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe nutritional status and consequences of malnutrition among older adults with ulcerative colitis (UC) are not known.

methodsWe 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).

resultsTwo-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.

conclusionsThe 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.

Indexed as

Colitis, UlcerativeMalnutritionMicronutrientsAgedAged, 80 and overFemaleHumansMaleNutritional StatusNutrition AssessmentOsteoporosisPrevalenceRetrospective StudiesRisk FactorsVitamin D DeficiencyMicronutrientsMalnutritionMicronutrientOlder adult

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.