Więch Paweł, Binkowska-Bury Monika, Korczowski Bartosz
Institute of Nursing and Health Sciences, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland; Centre for Medical and Natural Sciences Research and Innovation, University of Rzeszow, Rzeszow, Poland.
Paediatric Department, State Hospital, Medical College, University of Rzeszow, Rzeszow, Poland.
Prz Gastroenterol. 2017;12(1):55-59. doi: 10.5114/pg.2016.64601. Epub 2016 Dec 16.
The prevalence of nutritional status disorders in children with ulcerative colitis (UC) is much lower than in the case of Crohn's disease (CD). The largest variability in the components of body composition occurs at the time of a new diagnosis and in periods of disease exacerbation.
Assessment of body composition in children with UC and CD.
The preliminary study included 59 children with inflammatory bowel disease (IBD) (34 children with UC vs. 25 children with CD) aged 4-18 years. The final analysis included 26 newly diagnosed children (16 children with UC vs. 10 children with CD). The evaluation of body composition was conducted by means of BIA-101 bioimpedance analyser.
Decreased values of lean mass were found in children with newly diagnosed IBD (UC: 41.13 kg vs. control group: 42.06 kg; CD: 35.50 kg vs. control group: 45.50 kg). After a year interval, an increase in fat (UC 1: 7.67 kg vs. UC 2: 10.33 kg; CD 1: 7.36 kg vs. CD 2: 9.47 kg) as well as lean body mass (UC 1: 35.22 kg vs. UC 2: 39.00 kg; CD 1: 35.99 kg vs. CD 2: 42.41 kg) was found in children.
Children with newly diagnosed IBD were highly vulnerable to nutritional status disturbances. The increase in fat and lean body mass in an annual interval may be due to the treatment regime and control of the children.
溃疡性结肠炎（UC）患儿营养状况紊乱的发生率远低于克罗恩病（CD）患儿。身体成分各组成部分的最大变异性出现在新诊断时以及疾病加重期。
评估UC和CD患儿的身体成分。
初步研究纳入了59名4 - 18岁的炎症性肠病（IBD）患儿（34名UC患儿与25名CD患儿）。最终分析纳入了26名新诊断的患儿（16名UC患儿与10名CD患儿）。采用BIA - 101生物电阻抗分析仪进行身体成分评估。
新诊断的IBD患儿瘦体重值降低（UC：41.13千克 vs. 对照组：42.06千克；CD：35.50千克 vs. 对照组：45.50千克）。一年后，患儿的脂肪（UC 1：7.67千克 vs. UC 2：10.33千克；CD 1：7.36千克 vs. CD 2：9.47千克）以及瘦体重（UC 1：35.22千克 vs. UC 2：39.00千克；CD 1：35.99千克 vs. CD 2：42.41千克）均有所增加。
新诊断的IBD患儿极易出现营养状况紊乱。一年内脂肪和瘦体重的增加可能归因于治疗方案以及对患儿的控制。
