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September 8, 2026NutrientsOpen Access

Nutritional Status and Linear Growth at Diagnosis and Their Association with Clinical Outcomes in Paediatric Inflammatory Bowel Disease: A Multicentre Cohort Study

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Authors

CCChiara CesariCGCarla Maria GrimaldiMMMatteo Motta

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Overview

Cohort study observes frequent baseline malnutrition without increased relapse risk in paediatric inflammatory bowel disease, suggesting nutritional recovery with treatment.

Key Points

  • To assess nutritional status and linear growth at diagnosis and during follow-up, and evaluate their association with clinical outcomes in paediatric inflammatory bowel disease.
  • Retrospective multicentre cohort study at two paediatric inflammatory bowel disease referral centres in N=128 children (69 Crohn’s disease, 59 ulcerative colitis; mean age 157.2 ± 29.5 months).
  • Nutritional status was defined as underweight (BMI z-score ≤ −2) and growth failure/stunting (height-for-age z-score ≤ −2), with outcomes evaluated over a mean follow-up of 29.4 months.
  • At diagnosis, 23% (29/128) of patients were underweight, occurring significantly more often in Crohn’s disease than ulcerative colitis (30% vs. 15%, p = 0.022), while stunting affected 7.0% at diagnosis and 5.3% at 36 months.
  • Biologic therapy was initiated in 41% of underweight patients versus 17% of non-underweight patients (p = 0.06), and 86% (25/29) of underweight patients achieved normal or elevated BMI during follow-up.
  • Baseline underweight status was not associated with an increased risk of disease relapse (adjusted OR 0.52, 95% CI 0.19–1.30; adjusted HR 0.60, 95% CI 0.28–1.29).

Cite This Study

Cesari et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7c658e84d0ff5b46c5ahttps://doi.org/10.3390/nu18172928
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1OP-050 Assessing growth and nutritional status of children with inflammatory bowel disease: a single center experience2024
  2. 2Evaluation of Growth in Children with Inflammatory Bowel Disease2024 · 1 citations
  3. 3Analysis and prediction of nutritional outcome of patients with pediatric inflammatory bowel disease from Bahrain2024
  4. 4Nutritional Status, Body Composition and Growth in Paediatric-Onset Ulcerative Colitis: A Systematic Review2026
  5. 5Growth in Paediatric Inflammatory Bowel Disease2026