TY - ABST
AU - Urbano, A. P. S.
AU - Sassaki, L. Y.
AU - Dorna, M. S.
AU - Barros Leite Carvalhaes, M. A.
AU - Martini, L. A.
AU - Ferreira, A. L. A.
TI - Nutritional intake according to injury extent in ulcerative colitis patients
JO - Journal of Human Nutrition & Dietetics
PY - 2013-10-01T00:00:00///
VL - 26
IS - 5
SP - 445
EP - 451
N2 - Abstract Background
Ulcerative colitis (UC) is often associated with nutritional deficiency, which appears to contribute to the progression of UC severity. The
present study aimed to evaluate nutritional status and dietary intake in UC remission patients. Methods
The present study comprised a cross‐sectional study in which variables such
as extent of disease (distal colitis, left‐sided colitis, pancolitis), remission period, sex and age were recorded. Extent of disease was assessed by the results of a colonoscopy and dietary intake was evaluated by using 3‐day, 24‐h recalls. A Kruskall–Wallis test
was used to compare the intake of macro‐ and micronutrients among the three study groups. The analysis was complemented by the Mann–Whitney test. A logistic regression analysis was performed to identify predictive factors of extent of disease (pancolitis versus left‐sided
colitis versus distal colitis). Results
The median (range) age of the 59 patients was 49.0 (37.0–63.0) years and 53.3% were female. Twenty‐six (44.1%) patients had distal
colitis, 11 (18.6%) patients had left‐sided colitis and 22 (37.3%) patients had pancolitis. A high probability of an inadequate intake of fibre (100%), fat soluble vitamins (>40% for vitamin A and >95% for vitamin E), vitamin C (>34%), calcium (>90%) and magnesium (>50%)
was identified in the study group. Vitamin D intake (odds ratio = 0.60; 95% confidence interval = 0.39–0.94; P < 0.05) was significantly associated with increased intestinal damage.
A large number of individuals showed an inadequate intake of nutrients. In addition, the consumption of vitamin D was significantly associated with extent of disease.
UR - http://www.ingentaconnect.com/content/bsc/jhnd/2013/00000026/00000005/art00006
M3 - doi:10.1111/jhn.12064
UR - http://dx.doi.org/10.1111/jhn.12064