title: Malnutrition risk questionnaire combined with body composition measurement in malnutrition screening in inflammatory bowel disease.
abstract: The purpose of malnutrition screening is to predict the probability of a worse outcome due to nutritional factors. The Malnutrition Universal Screening Tool (MUST) can be used for screening in inflammatory bowel disease (IBD); however, it does not provide details about body composition. Our aim was to assess the body composition and combine this with the MUST method to screen risk of malnutrition and sarcopenia. A total of 173 IBD outpatients were enrolled in this cross-sectional study. The MUST scale indicated 21.4% of IBD patients to be at risk of malnutrition. A risk of sarcopenia was detected in 27.7%. However, one third of these patients were not considered to be at risk by their MUST score. Furthermore, Crohn's disease (CD) patients had a strongly unfavorable fat-free mass index (FFMI) value compared to ulcerative colitis (UC) patients, and these differences were significant among men (FFMI: 18.62 ± 2.16 vs 19.85 ± 2.22, p = 0.02, in CD and UC males, respectively). As sarcopenia is a relevant prognostic factor, the MUST method should be expanded to include body composition analysis to detect more IBD patients at risk of malnutrition and sarcopenia in order to start their nutritional therapy immediately.
authors.affiliation: 2nd Department of Medicine , Semmelweis University. Budapest, Hungary, Hungary.
authors.forename: Ágnes Anna
authors.initials: ÁA
authors.lastname: Csontos
authors.affiliation: School of PhD Studies, Semmelweis University. Budapest, Hungary.
authors.forename: Andrea
authors.initials: A
authors.lastname: Molnár
authors.affiliation: 2nd Department of Medicine , Semmelweis University. Budapest, Hungary.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Piri
authors.affiliation: Faculty of Health Sciences Department of Dieteti, Semmelweis University. Budapest, Hungary.
authors.forename: Erzsébet
authors.initials: E
authors.lastname: Pálfi
authors.affiliation: 2nd Department of Medicine , Semmelweis University. Budapest, Hungary.
authors.forename: Pál
authors.initials: P
authors.lastname: Miheller
mesh_terms: D000328:Adult; D001823:Body Composition; D003430:Cross-Sectional Studies; D017097:Electric Impedance; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications*; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000209:etiology*; D008875:Middle Aged; D009752:Nutritional Status; D018570:Risk Assessment; D055948:Sarcopenia / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult