BODY FAT COMPOSITION IN PATIENTS WITH INFLAMMATORY BOWEL DISEASES: A COMPARATIVE STUDY BETWEEN SKINFOLDS AND ULTRASONOGRAPHY.

Q2 Medicine
Arquivos de Gastroenterologia Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI:10.1590/S0004-2803.246102023-88
Isadora Sayuri Macedo Tuma, Maria Paula Carlin Cambi, Thyago Proença de Moraes, Daniéla Oliveira Magro, Paulo Gustavo Kotze
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引用次数: 0

Abstract

Background: Inflammatory bowel diseases (IBD) are associated with important changes in nutritional status.

Objective: The aim of the study was to compare body fat composition between two anthropometric methods: skinfolds and ultrasonography, in patients with IBD.

Methods: Single-center cross-sectional study with IBD patients in remission or active disease. For the agreement analysis between the body fat assessment methods, the Bland Altman method was used.

Results: A total of 101 patients with IBD were included, 75 with Crohn's disease and 26 with ulcerative colitis. Approximately 56% of the patients with Crohn's disease and 65.4% of those with ulcerative colitis had a body fat composition above normal levels, with no significant difference between the diseases (P=0.63). The Bland-Altman concordance analysis showed that the methods for assessing the percentage of fat by the adipometer and ultrasound were not in full agreement (P=0.001), despite both presented good correlation (CC 0.961; P=0.000).

Conclusion: The analysis of body fat percentage in patients with IBD was different between the skinfolds and ultrasound. Both methods can be used to assess the of body fat percentage of patients with IBD. However, monitoring of body fat sequentially and longitudinally should always be performed using the same method throughout the disease course. Prospective longitudinal studies are warranted to precisely define the role of these two methods of measuring body composition in patients with IBD.

Background: • Inflammatory bowel diseases are associated with changes in nutritional status.

Background: • Skinfolds measurements and ultrasound are valid methods for assessing body composition and body fat.

Background: • These methods despite comparable are not identical and are useful in clinical nutritional practices in IBD.

炎症性肠病患者的体脂组成:皮褶和超声波检查的比较研究。
背景:炎症性肠病(IBD)与营养状况的重要变化有关:炎症性肠病(IBD)与营养状况的重要变化有关:本研究旨在比较两种人体测量方法(皮褶和超声波)在 IBD 患者体内的脂肪组成:方法:对处于缓解期或活动期的 IBD 患者进行单中心横断面研究。采用布兰德-阿尔特曼(Bland Altman)方法对两种体脂评估方法的一致性进行分析:共纳入 101 名 IBD 患者,其中 75 人为克罗恩病患者,26 人为溃疡性结肠炎患者。约 56% 的克罗恩病患者和 65.4% 的溃疡性结肠炎患者体内脂肪成分高于正常水平,疾病间无显著差异(P=0.63)。布兰德-阿尔特曼一致性分析表明,脂肪测量仪和超声波评估脂肪百分比的方法并不完全一致(P=0.001),尽管两者都呈现出良好的相关性(CC 0.961;P=0.000):结论:皮褶法和超声波法对IBD患者体内脂肪百分比的分析结果不同。这两种方法都可用于评估 IBD 患者的体脂率。然而,在整个病程中,应始终使用同一种方法对体脂进行连续和纵向监测。有必要进行前瞻性纵向研究,以准确界定这两种测量 IBD 患者身体成分的方法的作用:- 背景:炎症性肠病与营养状况的变化有关:- 背景:皮褶测量和超声波是评估身体成分和体内脂肪的有效方法:- 这些方法尽管具有可比性,但并不完全相同,在 IBD 的临床营养实践中都很有用。
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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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