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Aim To assess growth and nutritional status of children with inflammatory bowel disease (IBD) at diagnosis 66.1% adolescent onset) (61.5% CD, 38.5% UC), 55% were male. At study time, CM was observed in 13.8% (12% of UC, 15% of CD); AM was observed in 18.4% (8% of UC, 25% of CD) of patients. Based on disease activity; 41% had severe attacks at diagnosis, 78% were in remission and none had severe activity at the final visit (table 1). None of the children with acute severe attack had malnutrition (table 1). Among the children in remission, 13.7%. had AM while 13.7% had CM. Patients with AM/CM, who are in remission had a longer disease duration, except for chronically malnourished children with active disease (table 2). For all adolescent onset IBD patients, remission of the disease reduced the rate of both CM and AM (table 3). In patients under 10 years of age, it is noteworthy that CM persists even if the disease is in remission (table 3). Nutritional status according to disease activity at the time of diagnosis and at the time of study/according to clinical activity and the duration of the disease/according to clinical activity and age at diagnosis Conclusions The disease severity at diagnosis does not correlate with the severity of malnutrition. Factors other than achieving clinical remission seems to be associated with risk of malnutrition especially in patients with disease onset before the age of 10.
Yılmaz et al. (Mon,) studied this question.