Excessive weight – muscle depletion paradox and cardiovascular risk factors in outpatients with inflammatory bowel disease



Título del documento: Excessive weight – muscle depletion paradox and cardiovascular risk factors in outpatients with inflammatory bowel disease
Revista: Arquivos de gastroenterologia = Archives of gastroenterology
Base de datos: PERIÓDICA
Número de sistema: 000380716
ISSN: 0004-2803
Autores: 1
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Instituciones: 1Universidade Federal de Pernambuco, Hospital das Clinicas, Recife, Pernambuco. Brasil
Año:
Periodo: Ene-Mar
Volumen: 52
Número: 1
Paginación: 37-45
País: Brasil
Idioma: Inglés
Tipo de documento: Estadística o encuesta
Enfoque: Analítico
Resumen en inglés Evidence suggests a nutritional transition process in patients with inflammatory bowel disease. Obesity, which was once an uncommon occurrence in such patients, has grown in this population at the same prevalence rate as that found in the general population, bringing with it an increased risk of cardiovascular disease. Objective The aim of the present study was to determine the nutritional status and occurrence of cardiovascular risk factors in patients with inflammatory bowel disease. Methods A case-series cross-sectional study was conducted involving male and female adult outpatients with inflammatory bowel disease. Data were collected on demographic, socioeconomic, clinical and anthropometric variables as well as the following cardiovascular risk factors: sedentary lifestyle, excess weight, abdominal obesity, medications in use, comorbidities, alcohol intake and smoking habits. The significance level for all statistical tests was set to 5% (P< 0.05). Results The sample comprised 80 patients with inflammatory bowel disease, 56 of whom (70.0%) had ulcerative colitis and 24 of whom (30.0%) had Crohn's disease. Mean age was 40.3±11 years and the female genre accounted for 66.2% of the sample. High frequencies of excess weight (48.8%) and abdominal obesity (52.5%) were identified based on the body mass index and waist circumference, respectively, in both groups, especially among those with ulcerative colitis. Muscle depletion was found in 52.5% of the sample based on arm muscle circumference, with greater depletion among patients with Crohn’s disease (P=0.008). The most frequent risk factors for cardiovascular disease were a sedentary lifestyle (83.8%), abdominal obesity (52.5%) and excess weight (48.8%). Conclusion The results of the complete anthropometric evaluation draw one’s attention to a nutritional paradox, with high frequencies of both - muscle depletion, as well as excess weight and abdominal obesity
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Salud pública,
Sistema cardiovascular,
Sobrepeso,
Malnutrición,
Enfermedad inflamatoria intestinal,
Factores de riesgo,
Enfermedades cardiovasculares,
Antropometría,
Estilo de vida
Keyword: Medicine,
Cardiovascular system,
Gastroenterology,
Public health,
Overweight,
Malnutrition,
Inflammatory bowel disease,
Risk factors,
Cardiovascular diseases,
Anthropometry,
Life style
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