Systematic review of nutrition screening and assessment in inflammatory bowel disease

doi:10.3748/wjg.v25.i28.3823

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Systematic Reviews

World J Gastroenterol. Jul 28, 2019; 25(28): 3823-3837
Published online Jul 28, 2019. doi: 10.3748/wjg.v25.i28.3823

Table 3 Components and interpretation of nutrition assessment tools

Nutrition Assessment Tools
SGA[8,9,13]	Comprehensive RD/GI Assessment[35]	BIA[28,30]	CT Scan[9-12,29,31-34,36]
NAT Components
Nutrient Intake	BMI	SMP	mHUAC
Weight loss	GI symptoms, oral intake	FFMI	L3 SMI
Symptoms affecting oral intake	IBD location, severity, concurrent conditions		L4 TPA
Functional capacity	Surgical history, medications		ASMI
Metabolic requirement	Laboratory parameters (Albumin/Vit D/Iron/Vit B12)		SMA
Physical examination	SCAI, HBS
NAT interpretation
A = Well nourished	At risk	Sarcopenia:	Sarcopenia:
B = Mild/moderately malnourished	Not at risk	FFMI:	mHUAC: Lowest sex quartile at level of L3 vertebrae
C = Severely malnourished		Men: ≤ 17 kg/m²	L3 SMI: Lowest sex quartile, variable between studies (Male: < 42-55 cm²/m²; Female: < 35.6-41 cm²/m²)
		Women: ≤ 15 kg/m²	L4 TPA: Lowest sex quartile (Male < 56.7 cm²/m², Female: < 35.6 cm²/m²)
		SMP: Continuous variable	ASMI/SMA: Continuous variable

BMI: Body mass index; SCAI: Simple Colitis Activity Index; HBS: Harvey Bradshaw Score; SGA: Subjective Global Assessment; SMP: Skeletal Muscle Percentage; FFMI: Fat Free Mass Index; mHUAC: Mean Hounsfield Unit Area Calculation; ASMI: Appendicular Skeletal Muscle Index; L3 SMI: L3 Vertebrae Skeletal Muscle Index; SMA: Skeletal Muscle Area; IBD: Inflammatory bowel disease; CT: Computed tomography; RD: Registered dietitian; GI: Gastroenterologist.

Citation: Li S, Ney M, Eslamparast T, Vandermeer B, Ismond KP, Kroeker K, Halloran B, Raman M, Tandon P. Systematic review of nutrition screening and assessment in inflammatory bowel disease. World J Gastroenterol 2019; 25(28): 3823-3837
URL: https://www.wjgnet.com/1007-9327/full/v25/i28/3823.htm
DOI: https://dx.doi.org/10.3748/wjg.v25.i28.3823