Micronutrients deficiency among ulcerative colitis patients

https://doi.org/10.53730/ijhs.v7nS1.14325

Authors

  • Amjad Ali Consultant Medical Officer, DHQ hospital, Alpurai KPK
  • Mustaqeem Shah Consultant Gastroenterologist, Dr.Fida Painless & General hospital, Peshawar
  • Arslan Shahzad Associate Professor Gastroenterology, PAF Hospital, Islamabad
  • Hayyan Tila Khan Medical Officer, DHQ Hospital Landikotel, KPK
  • Rashad Mahmood MPhil, PhD, Associate Professor Physiology, Mohtarma Benazir Bhutto Medical College, Mirpur Azad Kashmir

Keywords:

ulcerative colitis, malnutrition, micronutrients deficiency

Abstract

Background and Aim: Malnutrition is a significant concern in inflammatory bowel disease with incidence varied from 18% to 62% among ulcerative colitis (UC) patients. The purpose of the present study was to investigate the ulcerative colitis patients for micronutrient status. Patients and Methods: This prospective study was conducted on 56 ulcerative colitis patients in the Endoscopic Unit of Dr. Fida Painless & General Hospital, Peshawar for the duration from April 2022 to April 2023. Newly diagnosed ulcerative patients confirmed by colonoscopy and histopathology were enrolled. All the patients were divided into three different categories based on disease severity: Group-I (mild), Group-II (moderate), and Group-III (severe). Each individual underwent complete physical examination, laboratory investigations, and colonoscopy. Serum was obtained and tested for selenium, iron, copper, and magnesium levels. SPSS version 27 was used for data analysis. Results: Of the total 56 UC patients, there were 21 (37.5%) male and 35 (62.5%) female. The overall mean age was 34 years. Based on histopathological examination, the grading of disease severity were as follows: Group-I (mild) 4 (7.1%), Group-II (moderate) 28 (50%), and Group-III (severe) 24 (42.9%). UC patients group and healthy group had similarity in terms of age and gender.

Downloads

Download data is not yet available.

References

Hussien A, El-Moniem SA, Tawhid Z, Altonbary A. Micronutrient deficiency among patients with ulcerative colitis. The Egyptian Journal of Internal Medicine. 2022 Dec;34(1):83.

Tran V, Shammas R, Sauk J, Padua D (2019) Evaluating tofacitinib citrate in the treatment of moderate‑to‑severe active ulcerative colitis: design, development and positioning of therapy. Clin Exp Gastroenterol 12:179–191

Boal Carvalho P, Cotter J (2017) Mucosal healing in ulcerative colitis: a comprehensive review. Drugs 77(2):159–173

Lee J, Kim E, Moon W (2019) Chronological review of endoscopic indices in inflammatory bowel disease. Clin Endosc 52(2):129–136

Shafee N, Manaf Z, Mokhtar N, Ali R (2020) an assessment of dietary intake, food avoidance and food beliefs in patients with ulcerative colitis of different disease status. Intest Res 18(4):447–458.

Poursadegh F, Ahadi M, Vosoughinia H, Salehi M, Namdar A et al (2018) A STROBE compliant observational study on trace elements in patients with ulcerative colitis and their relationship with disease activity. Medicine 97(52):1–7

Rubin D, Ananthakrishnan A, Siegel C, Sauer B, Long M (2019) ACG clinical guideline: ulcerative colitis in adults. Am J Gastroenterol 114(3):384–413

Xie T, Zhang T, Ding C, Dai X, Li Y et al (2018) Ulcerative Colitis Endoscopic Index of Severity (UCEIS) versus Mayo Endoscopic Score (MES) in guiding the need for colectomy in patients with acute severe colitis. Gastroenterology Rep 6(1):38–44.

Jarmakiewicz‑Czaja S, Piątek D, Filip R (2020) The infuence of nutrients on inflammatory bowel diseases. J Nutr Metab 2020:2894169.

Halsted JA, Ronaghy HA, Abadi P et al (1972) Zinc deficiency in man. The Shiraz experiment. Am J Med 53:277–284

Linder MC, Hazegh‑Azam M (1996) Copper biochemistry and molecular biology. Am J Clin Nutr 63:797S–811S.

Aleksandrova K, Romero‑Mosquera B, Hernandez V (2017) Diet, gut microbiome and epigenetics: emerging links with inflammatory bowel diseases and prospects for management and prevention. Nutrients 9:962

Siva S, Rubin D, Gulotta G, Wroblewski K, Pekow J (2017) Zinc deficiency is associated with poor clinical outcomes in patients with inflammatory bowel disease. Infamm Bowel Dis 23(1):152–157.

Kalantari H, Barekat S, Maracy M, Azadbakht L, Shahshahan Z (2014) Nutritional status in patients with ulcerative colitis in Isfahan, Iran. Adv Biomed Res 3:58

Shokrzadeh M, Taghvaei T, Haghighi‑Hasanalideh P, Shahidi M (2013) The relationship between copper and zinc levels in the serum and urine and the risk of ulcerative colitis. J Maz Univ Med 23(106):78–84.

Grefeuille V, Fortin S, Gibson R, Rohner F, Williams A et al (2021) Associations between zinc and hemoglobin concentrations in preschool children and women of reproductive age: An analysis of representative survey data from the Biomarkers Refecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project. J Nutr 151(5):1277–1285.

Fairweather‑Tait S, Wawer A, Gillings R, Jennings A, Myint P et al (2014) Iron status in the elderly. Mech Ageing Dev 136:22–28.

Jowett SL, Seal CL, Pearce MS, et al. (2004) Influence of dietary factors on the clinical course of ulcerative colitis: a prospective cohort study. Gut 53, 1479–1484.

Ripoli J, Miszputen J, Ambrogini O Jr, et al. (2010) Nutritional follow-up of patients with ulcerative colitis during periods of intestinal inflammatory activity and remission. Arg Gastroenterol 47, 49–55.

Geering BJ, Badart-Smook A, Stockbrugger RW, et al. (2000) Comprehensive nutritional status in recently diagnosed patients with inflammatory bowel disease compared with population controls. Eur J Clin Nutr 54, 514–521.

Jonefjäll B, Simrén M, Lasson A, Öhman L, Strid H. Psychological distress, iron deficiency, active disease and female gender are independent risk factors for fatigue in patients with ulcerative colitis. United European Gastroenterology Journal. 2018 Feb;6(1):148-58.

Ehrlich S, Mark AG, Rinawi F, Shamir R, Assa A. Micronutrient deficiencies in children with inflammatory bowel diseases. Nutrition in Clinical Practice. 2020 Apr;35(2):315-22.

Stephanie Brown, Catherine L. Wall, Chris Frampton, Richard B. Gearry, Andrew S. Day, Dietary Nutrient Intake and Blood Micronutrient Status of Children with Crohn’s Disease Compared with Their Shared-Home Environment, Healthy Siblings, Nutrients, 10.3390/nu14163425, 14, 16, (3425), (2022).

Roberta Zupo, Annamaria Sila, Fabio Castellana, Roberto Bringiotti, Margherita Curlo, Giovanni De Pergola, Sara De Nucci, Gianluigi Giannelli, Mauro Mastronardi, Rodolfo Sardone, Prevalence of Zinc Deficiency in Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis, Nutrients, 10.3390/nu14194052, 14, 19, (4052), (2022).

Jeffrey A. Morganstern, Alexander Schosheim, Unique Challenges in the Diagnosis and Management of the Pediatric IBD Patient, Inflammatory Bowel Disease, 10.1007/978-3-030-81780-0_9, (221-244), (2021).

Julie Rempel, Kanika Grover, Wael El-Matary, Micronutrient Deficiencies and Anemia in Children with Inflammatory Bowel Disease, Nutrients, 10.3390/nu13010236, 13, 1, (236), (2021).

Ugo Cucinotta, Claudio Romano, Valeria Dipasquale, Diet and Nutrition in Pediatric Inflammatory Bowel Diseases, Nutrients, 10.3390/nu13020655, 13, 2, (655), (2021).

Justyna Kikut, Karolina Skonieczna-Żydecka, Diana Sochaczewska, Agnieszka Kordek, Małgorzata Szczuko, Differences in Dietary Patterns of Adolescent Patients with IBD, Nutrients, 10.3390/nu13093119, 13, 9, (3119), (2021).

Joshaghani H, Amiriani T, Goodarzi R, Mirkarimi H, Besharat S et al (2018) Serum concentrations of trace elements in patients with ulcerative colitis. JCBR 2(2):40–45

Mohammadi E, Qujeq D, Taheri H, Hajian‑Tilaki K (2017) Evaluation of serum trace element levels and superoxide dismutase activity in patients with inflammatory bowel disease: translating basic research into clinical application. Biol Trace Elem Res 177(2):235–240.

Castro Aguilar‑Tablada T, Navarro‑Alarcón M, Quesada Granados J, Samaniego Sánchez C, Rufán‑Henares J et al (2016) Ulcerative colitis and crohn’s disease are associated with decreased serum selenium concentrations and increased cardiovascular risk. Nutrients 8(12):780.

Weisshof R, Chermesh I. Micronutrient deficiencies in inflammatory bowel disease. Current Opinion in Clinical Nutrition & Metabolic Care. 2015 Nov 1;18(6):576-81.

Rempel J, Grover K, El-Matary W. Micronutrient deficiencies and anemia in children with inflammatory bowel disease. Nutrients. 2021 Jan 15;13(1):236.

Ehrlich S, Mark AG, Rinawi F, Shamir R, Assa A. Micronutrient deficiencies in children with inflammatory bowel diseases. Nutrition in Clinical Practice. 2020 Apr;35(2):315-22.

Published

05-06-2023

How to Cite

Ali, A., Shah, M., Shahzad, A., Khan, H. T., & Mahmood, R. (2023). Micronutrients deficiency among ulcerative colitis patients. International Journal of Health Sciences, 7(S1), 1111–1118. https://doi.org/10.53730/ijhs.v7nS1.14325

Issue

Section

Peer Review Articles

Most read articles by the same author(s)