Tags

Type your tag names separated by a space and hit enter

Nutritional status of children with inflammatory bowel disease in Saudi Arabia.
World J Gastroenterol 2016; 22(5):1854-8WJ

Abstract

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)/height(2) (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.

Authors+Show Affiliations

Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.Mohammad Issa El Mouzan, Department of Pediatrics, Head, Pediatric IBD Research Group, Member of Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Riyadh 11461, Saudi Arabia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26855544

Citation

El Mouzan, Mohammad Issa, et al. "Nutritional Status of Children With Inflammatory Bowel Disease in Saudi Arabia." World Journal of Gastroenterology, vol. 22, no. 5, 2016, pp. 1854-8.
El Mouzan MI, Al Edreesi MH, Al-Hussaini AA, et al. Nutritional status of children with inflammatory bowel disease in Saudi Arabia. World J Gastroenterol. 2016;22(5):1854-8.
El Mouzan, M. I., Al Edreesi, M. H., Al-Hussaini, A. A., Saadah, O. I., Al Qourain, A. A., Al Mofarreh, M. A., & Al Saleem, K. A. (2016). Nutritional status of children with inflammatory bowel disease in Saudi Arabia. World Journal of Gastroenterology, 22(5), pp. 1854-8. doi:10.3748/wjg.v22.i5.1854.
El Mouzan MI, et al. Nutritional Status of Children With Inflammatory Bowel Disease in Saudi Arabia. World J Gastroenterol. 2016 Feb 7;22(5):1854-8. PubMed PMID: 26855544.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status of children with inflammatory bowel disease in Saudi Arabia. AU - El Mouzan,Mohammad Issa, AU - Al Edreesi,Mohammed Hadi, AU - Al-Hussaini,Abdulrahman Abdullah, AU - Saadah,Omar Ibrahim, AU - Al Qourain,Abdulaziz Abdullatif, AU - Al Mofarreh,Mohammad Abdullah, AU - Al Saleem,Khalid Abdulrahman, PY - 2015/06/25/received PY - 2015/09/13/revised PY - 2015/11/13/accepted PY - 2016/2/9/entrez PY - 2016/2/9/pubmed PY - 2017/1/18/medline KW - Children KW - Crohn disease KW - Overweight KW - Saudi Arabia KW - Thinness KW - Ulcerative colitis SP - 1854 EP - 8 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 22 IS - 5 N2 - 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)/height(2) (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. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/26855544/Nutritional_status_of_children_with_inflammatory_bowel_disease_in_Saudi_Arabia_ L2 - http://www.wjgnet.com/1007-9327/full/v22/i5/1854.htm DB - PRIME DP - Unbound Medicine ER -