P460 - NUTRITIONAL RISK ASSESSMENT (MUST) AND MALNUTRITION PREVALENCE (GLIM) IN PATIENTS WITH IBD

P460

NUTRITIONAL RISK ASSESSMENT (MUST) AND MALNUTRITION PREVALENCE (GLIM) IN PATIENTS WITH IBD

G. Cei¹, S. Leone², E. Previtali², F. Giudici³, G. Burbui⁴, C. Celli⁵, C. Fiorindi^1,*

¹Department of Health Science, University of Florence, Florence , ²AMICI ONLUS, Associazione nazionale per le Malattie Infiammatorie Croniche dell’Intestino, Milan, ³Department of Experimental and Clinical Medicine, ⁴University of Florence, ⁵Metropolitan City of Florence, Florence , Italy

Rationale: Malnutrition is a common condition in patients with Inflammatory Bowel Disease (IBD) and often leads to an alteration of body composition. The increased risk of a compromised nutritional status is due to changes in absorption and/or requirements related to the disease, especially during active inflammation, often in combination with an unbalanced dietary intake. It is essential to identify patients with IBD at nutritional risk. The objectives of this study are to assess nutritional risk based on the Malnutrition Universal Screening Tool (MUST) screening test and to determine the prevalence of malnutrition in patients with IBD according to the Global Leadership Initiative on Malnutrition (GLIM) criteria.

Methods: This is a prospective observational study that includes subjects with IBD belonging to the association A.M.I.C.I. Italia who voluntarily agreed to participate in the online survey. Nutritional risk and prevalence of malnutrition were measured through the questionnaire Survey “Nutritional screening and Malnutrition assessment”, in Italian, created independently.

Results: Overall, 705 subjects with IBD were included. The prevalence of malnutrition risk according to MUST is 43% (n.303). The prevalence of malnutrition according to GLIM criteria is 20.1% (n.142), of these 71 subjects with CD (21.7%) and 66 subjects with UC (18.4%). In particular, among the malnourished subjects 64.1% (n.91) present a condition of moderate malnutrition and 35.9% (n.51) severe malnutrition.

The concordance between subjects who presented a high nutritional risk (MUST>=2) and those presenting a condition of malnutrition according to GLIM (Kappa = 0.335) (p<0.05).

Conclusion: Despite the self-administration of the questionnaire and the high presence of disease remission in the sample, the prevalence of malnutrition is 20.1%. It is therefore necessary to screen patients with IBD for malnutrition to evaluate and treat it promptly.

Disclosure of Interest: None declared