ArticleFrontiers in nutrition2025
Nutritional risk stratification management is associated with reduced disease relapse and improved quality of life in IBD patients: a retrospective study.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To investigate the effects of nutritional risk stratification management on relapse control and quality of life (QoL) in patients with Inflammatory Bowel Disease (IBD), and to evaluate the clinical value of systematic nutritional intervention in the comprehensive management of IBD. Methods: This single-center retrospective cohort study analyzed 752 IBD patients (408 with ulcerative colitis and 344 with Crohn's disease) who were managed in the Department of Gastroenterology at the Affiliated Hospital of Nantong University between January 2024 and December 2024. Patients were classified into an intervention group if they were managed under an institutional nutritional risk stratification pathway, which included dietitian-led screening with NRS-2002 or MUST and individualized nutrition plans with scheduled reassessment. Patients who received conventional care without entering this structured pathway served as the comparison group. All data, including nutritional status, inflammatory markers, disease activity, relapse events, hospitalization outcomes, and quality of life (IBDQ), were obtained retrospectively from electronic medical records and follow-up databases. Time-to-relapse was analyzed with Cox regression, and changes in continuous outcomes were evaluated using linear mixed-effects models. Propensity score matching and inverse probability of treatment weighting were used to mitigate measured confounding. Results: In this observational analysis, significant improvements from baseline were observed in the intervention group for body weight, BMI, and laboratory nutritional indicators (all Conclusion: In this single-center retrospective cohort, exposure to nutritional risk stratification management was associated with better nutritional status, lower inflammatory markers and disease activity, reduced relapse and hospitalization rates, and improved quality of life in IBD patients. These findings support the hypothesis that integrating structured nutritional risk screening and individualized nutrition management into routine IBD care may be beneficial. However, given the observational design and potential residual confounding, the observed associations should not be interpreted as definitive causal effects, and prospective multicenter randomized studies are needed to confirm these results and guide clinical practice.
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