Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center
(1) Background: There is growing interest in the assessment of muscular mass in inflammatory bowel disease (IBD) as sarcopenia is associated with important outcomes. The aim of the study was to evaluate the percentage of sarcopenia in IBD patients, characterizing methods for assessment and clinical...
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Language: | English |
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MDPI AG
2019-09-01
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Series: | Nutrients |
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Online Access: | https://www.mdpi.com/2072-6643/11/10/2281 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marco Pizzoferrato Roberto de Sire Fabio Ingravalle Maria Chiara Mentella Valentina Petito Anna Maria Martone Francesco Landi Giacinto Abele Donato Miggiano Maria Cristina Mele Loris Riccardo Lopetuso Elisa Schiavoni Daniele Napolitano Laura Turchini Andrea Poscia Nicola Nicolotti Alfredo Papa Alessandro Armuzzi Franco Scaldaferri Antonio Gasbarrini |
spellingShingle |
Marco Pizzoferrato Roberto de Sire Fabio Ingravalle Maria Chiara Mentella Valentina Petito Anna Maria Martone Francesco Landi Giacinto Abele Donato Miggiano Maria Cristina Mele Loris Riccardo Lopetuso Elisa Schiavoni Daniele Napolitano Laura Turchini Andrea Poscia Nicola Nicolotti Alfredo Papa Alessandro Armuzzi Franco Scaldaferri Antonio Gasbarrini Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center Nutrients IBD sarcopenia inflammation nutrition |
author_facet |
Marco Pizzoferrato Roberto de Sire Fabio Ingravalle Maria Chiara Mentella Valentina Petito Anna Maria Martone Francesco Landi Giacinto Abele Donato Miggiano Maria Cristina Mele Loris Riccardo Lopetuso Elisa Schiavoni Daniele Napolitano Laura Turchini Andrea Poscia Nicola Nicolotti Alfredo Papa Alessandro Armuzzi Franco Scaldaferri Antonio Gasbarrini |
author_sort |
Marco Pizzoferrato |
title |
Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center |
title_short |
Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center |
title_full |
Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center |
title_fullStr |
Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center |
title_full_unstemmed |
Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary Center |
title_sort |
characterization of sarcopenia in an ibd population attending an italian gastroenterology tertiary center |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2019-09-01 |
description |
(1) Background: There is growing interest in the assessment of muscular mass in inflammatory bowel disease (IBD) as sarcopenia is associated with important outcomes. The aim of the study was to evaluate the percentage of sarcopenia in IBD patients, characterizing methods for assessment and clinical symptoms associated to it. (2) Methods: Consecutive IBD patients accessing the Fondazione Policlinico Agostino Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) were enrolled. Healthy patients, elderly or elderly sarcopenic patients, were enrolled as controls. Skeletal muscle mass was evaluated by Dual Energy X-ray Absorptiometry (DEXA) or Bio-Impedensometric Analysis (BIA). Asthenia degree was assessed by subjective visual analogue scales (VAS). Quality of life was measured by the EQ-5D questionnaire. (3) Results: Patients with IBD showed a significant reduction in skeletal muscle mass than healthy controls with lower DEXA and BIA parameters. Moreover, IBD patients presented a lower perception of muscle strength with a higher incidence of asthenia and reduction in quality of life when compared with healthy controls. A significant association between loss in skeletal muscle mass and high asthenia degree was found, configuring a condition of sarcopenia in about one third of patients with IBD. (4) Conclusions: Sarcopenia is common in IBD patients and it is associated with fatigue perception as well as a reduction in quality of life. Therefore, routine assessment of nutritional status and body composition should be a cornerstone in clinical practice, bringing gastroenterologists and nutritionists closer together for a compact, defined picture. |
topic |
IBD sarcopenia inflammation nutrition |
url |
https://www.mdpi.com/2072-6643/11/10/2281 |
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doaj-8989548b936f4f6ebdf3c9c82bc355d72020-11-24T21:11:05ZengMDPI AGNutrients2072-66432019-09-011110228110.3390/nu11102281nu11102281Characterization of Sarcopenia in an IBD Population Attending an Italian Gastroenterology Tertiary CenterMarco Pizzoferrato0Roberto de Sire1Fabio Ingravalle2Maria Chiara Mentella3Valentina Petito4Anna Maria Martone5Francesco Landi6Giacinto Abele Donato Miggiano7Maria Cristina Mele8Loris Riccardo Lopetuso9Elisa Schiavoni10Daniele Napolitano11Laura Turchini12Andrea Poscia13Nicola Nicolotti14Alfredo Papa15Alessandro Armuzzi16Franco Scaldaferri17Antonio Gasbarrini18UOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyIstituto di Patologia Speciale Medica, Università Cattolica del Sacro Cuore, 00168 Roma, ItalyIstituto di Patologia Speciale Medica, Università Cattolica del Sacro Cuore, 00168 Roma, ItalyUOC Nutrizione Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Geriatria, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Geriatria, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Nutrizione Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Nutrizione Clinica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyMedical Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, ItalyUOC Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, Italy(1) Background: There is growing interest in the assessment of muscular mass in inflammatory bowel disease (IBD) as sarcopenia is associated with important outcomes. The aim of the study was to evaluate the percentage of sarcopenia in IBD patients, characterizing methods for assessment and clinical symptoms associated to it. (2) Methods: Consecutive IBD patients accessing the Fondazione Policlinico Agostino Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) were enrolled. Healthy patients, elderly or elderly sarcopenic patients, were enrolled as controls. Skeletal muscle mass was evaluated by Dual Energy X-ray Absorptiometry (DEXA) or Bio-Impedensometric Analysis (BIA). Asthenia degree was assessed by subjective visual analogue scales (VAS). Quality of life was measured by the EQ-5D questionnaire. (3) Results: Patients with IBD showed a significant reduction in skeletal muscle mass than healthy controls with lower DEXA and BIA parameters. Moreover, IBD patients presented a lower perception of muscle strength with a higher incidence of asthenia and reduction in quality of life when compared with healthy controls. A significant association between loss in skeletal muscle mass and high asthenia degree was found, configuring a condition of sarcopenia in about one third of patients with IBD. (4) Conclusions: Sarcopenia is common in IBD patients and it is associated with fatigue perception as well as a reduction in quality of life. Therefore, routine assessment of nutritional status and body composition should be a cornerstone in clinical practice, bringing gastroenterologists and nutritionists closer together for a compact, defined picture.https://www.mdpi.com/2072-6643/11/10/2281IBDsarcopeniainflammationnutrition |