| Original Article |
Questions: 1) What is the incidence of adult patients with inflammatory bowel disease (IBD) are at risk for ARFID? 2) What are the ARFID risk factors? 3) What is the connection between malnutrition and ARFID risk?
Design/Method: A cross-sectional study was conducted between 2019 and 2020. ARFID risk was measured using the Nine-Item ARFID Screen. Nutritional risk was measured with the Patient Generated-Subjective Global Assessment. Logistic regression models were used to evaluate the association between clinical characteristics and a positive ARFID risk screen. Patient demographics, disease characteristics, and medical history were abstracted from medical records
Setting: The United States
Patients/ Study community: Adults with IBD
Results: Avoidant/restrictive eating behaviors are common in patients with IBD. Active gastrointestinal symptoms and intestinal inflammation contribute to ARFID risk. ARFID risk is associated with malnutrition risk
Commentary:
| IBD patients who display active symptoms and/or inflammation should be assessed for their risk of developing ARFID. The identification of early malnutrition risk through routine ARFID screening of patients with IBD and subsequent referrals to qualified dietitians would help target appropriate dietary interventions for disease and symptom management and could help detect early malnutrition risk, resulting in earlier intervention and improved clinical outcomes |
Citation: Emily Yelencich, Emily Truong, Adrianne M. Widaman, and et all. Avoidant restrictive food intake disorder prevalent among patients with inflammatory bowel disease. Clinical Gastroenterology and Hepatology. 2022; 20(6):1282–1289
DOI: 10.1016/j.cgh.2021.08.009
https://pubmed.ncbi.nlm.nih.gov/34389486/
Topics: Inflammatory Bowel Disease, Ulcerative Colitis, Crohn’s Disease, Avoidant/Restrictive Food Intake Disorder
