IBD患者的营养风险：一项全国调查的结果
Nutritional Risk in Patients with IBD: Results from a National Survey.
摘要(中文译文)
背景：营养不良是炎症性肠病（IBD）一种具有临床意义但常被低估的并发症。来自非住院患者的证据仍然有限。本研究对意大利IBD患者协会成员中营养风险指标进行了描述性分析，并探讨其与症状、临床特征及获得营养照护之间的关联。方法：对705例IBD患者进行了横断面调查。问卷纳入了营养不良通用筛查工具（MUST）中评估营养风险所需的全部条目，以及其与其他临床参数的关联。结果：总体而言，根据MUST，43.0%的受访者存在中度或高度营养不良风险。在克罗恩病（CD）患者中，25.6%观察到低BMI，溃疡性结肠炎（UC）患者中为22.1%。此外，非自愿性体重减轻（UWL）在CD和UC患者中分别发生于24.5%和23.7%。共有30%的患者报告因担心某些食物会加重症状而限制饮食。胃肠道症状与MUST≥2显著相关。仅21.7%的参与者报告接受过营养咨询。在已处于高营养风险（MUST≥2）的受试者中，共有67.3%从未接受过任何饮食建议。结论：在这一IBD患者社区样本中，相当比例的患者报告了与营养风险相符的指标。由于调查通过患者协会传播，这些发现不能推广至一般IBD人群，但凸显了门诊营养评估和患者教育方面的不足。结构化、可及的营养支持可能有助于解决这些未被满足的需求。
Abstract
: Malnutrition is a clinically relevant yet often under-recognized complication of inflammatory bowel diseases (IBD). Evidence from non-hospitalized patients remains limited. This study provides a descriptive analysis of indicators of nutritional risk among members of the Italian IBD patients' association and explores the association with symptoms, clinical characteristics, and access to nutritional care. : A cross-sectional survey was conducted on 705 IBD patients. The questionnaire incorporated all the items required to assess nutritional risk included in the Malnutrition Universal Screening Tool (MUST) and its association with other clinical parameters. : Overall, 43.0% of respondents were found to be at moderate or high risk of malnutrition based on the MUST. A low BMI was observed in 25.6% of patients with CD and 22.1% of those with UC. Additionally, unintentional weight loss (UWL) occurred in 24.5% and 23.7% of CD and UC patients, respectively. In total, 30% of patients reported restricting their diet because they were afraid certain foods would worsen their symptoms. Gastrointestinal symptoms were significantly associated with MUST ≥ 2. Only 21.7% of participants reported receiving nutritional counselling. A total of 67.3% of subjects already at high nutritional risk (MUST ≥ 2) have never received any dietary recommendations. : In this community sample of IBD patients, a considerable proportion reported indicators compatible with nutritional risk. These findings are not generalized to the general IBD population due to the dissemination through a patient association, but highlight gaps in outpatient nutritional assessment and patient education. Structured, accessible nutritional support may help address these unmet needs.
如何引用
AMA
Camilla Fiorindi, Giulia Cei, Salvatore Leone, Enrica Previtali, Giorgia Burbui, Chiara Celli, et al. Nutritional Risk in Patients with IBD: Results from a National Survey.. Nutrients. 2026; doi:10.3390/nu18081261.
APA
Camilla Fiorindi, Giulia Cei, Salvatore Leone, Enrica Previtali, Giorgia Burbui, Chiara Celli, et al (2026). Nutritional Risk in Patients with IBD: Results from a National Survey.. Nutrients. https://doi.org/10.3390/nu18081261
GB/T 7714
Camilla Fiorindi, Giulia Cei, Salvatore Leone, Enrica Previtali, Giorgia Burbui, Chiara Celli, et al. Nutritional Risk in Patients with IBD: Results from a National Survey.[J]. Nutrients, 2026 doi:10.3390/nu18081261.
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