Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease
<p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of o...
Ausführliche Beschreibung
Autor*in: |
Powell Jonathan J [verfasserIn] Cook William B [verfasserIn] Hutchinson Carol [verfasserIn] Tolkien Zoe [verfasserIn] Chatfield Mark [verfasserIn] Pereira Dora IA [verfasserIn] Lomer Miranda CE [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2013 |
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Übergeordnetes Werk: |
In: Nutrition & Metabolism - BMC, 2004, 10(2013), 1, p 9 |
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Übergeordnetes Werk: |
volume:10 ; year:2013 ; number:1, p 9 |
Links: |
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DOI / URN: |
10.1186/1743-7075-10-9 |
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Katalog-ID: |
DOAJ034497560 |
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520 | |a <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< | ||
650 | 4 | |a IBD | |
650 | 4 | |a Iron intake | |
650 | 4 | |a Iron deficiency | |
650 | 4 | |a Quality of life | |
650 | 4 | |a Fortificant iron | |
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700 | 0 | |a Chatfield Mark |e verfasserin |4 aut | |
700 | 0 | |a Pereira Dora IA |e verfasserin |4 aut | |
700 | 0 | |a Lomer Miranda CE |e verfasserin |4 aut | |
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10.1186/1743-7075-10-9 doi (DE-627)DOAJ034497560 (DE-599)DOAJ9314ebf4a58348d5a579ebfe79fbc0ab DE-627 ger DE-627 rakwb eng TX341-641 RC620-627 Powell Jonathan J verfasserin aut Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< IBD Iron intake Iron deficiency Quality of life Fortificant iron Nutrition. Foods and food supply Nutritional diseases. Deficiency diseases Cook William B verfasserin aut Hutchinson Carol verfasserin aut Tolkien Zoe verfasserin aut Chatfield Mark verfasserin aut Pereira Dora IA verfasserin aut Lomer Miranda CE verfasserin aut In Nutrition & Metabolism BMC, 2004 10(2013), 1, p 9 (DE-627)394163419 (DE-600)2160376-5 17437075 nnns volume:10 year:2013 number:1, p 9 https://doi.org/10.1186/1743-7075-10-9 kostenfrei https://doaj.org/article/9314ebf4a58348d5a579ebfe79fbc0ab kostenfrei http://www.nutritionandmetabolism.com/content/10/1/9 kostenfrei https://doaj.org/toc/1743-7075 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2013 1, p 9 |
spelling |
10.1186/1743-7075-10-9 doi (DE-627)DOAJ034497560 (DE-599)DOAJ9314ebf4a58348d5a579ebfe79fbc0ab DE-627 ger DE-627 rakwb eng TX341-641 RC620-627 Powell Jonathan J verfasserin aut Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< IBD Iron intake Iron deficiency Quality of life Fortificant iron Nutrition. Foods and food supply Nutritional diseases. Deficiency diseases Cook William B verfasserin aut Hutchinson Carol verfasserin aut Tolkien Zoe verfasserin aut Chatfield Mark verfasserin aut Pereira Dora IA verfasserin aut Lomer Miranda CE verfasserin aut In Nutrition & Metabolism BMC, 2004 10(2013), 1, p 9 (DE-627)394163419 (DE-600)2160376-5 17437075 nnns volume:10 year:2013 number:1, p 9 https://doi.org/10.1186/1743-7075-10-9 kostenfrei https://doaj.org/article/9314ebf4a58348d5a579ebfe79fbc0ab kostenfrei http://www.nutritionandmetabolism.com/content/10/1/9 kostenfrei https://doaj.org/toc/1743-7075 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2013 1, p 9 |
allfields_unstemmed |
10.1186/1743-7075-10-9 doi (DE-627)DOAJ034497560 (DE-599)DOAJ9314ebf4a58348d5a579ebfe79fbc0ab DE-627 ger DE-627 rakwb eng TX341-641 RC620-627 Powell Jonathan J verfasserin aut Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< IBD Iron intake Iron deficiency Quality of life Fortificant iron Nutrition. Foods and food supply Nutritional diseases. Deficiency diseases Cook William B verfasserin aut Hutchinson Carol verfasserin aut Tolkien Zoe verfasserin aut Chatfield Mark verfasserin aut Pereira Dora IA verfasserin aut Lomer Miranda CE verfasserin aut In Nutrition & Metabolism BMC, 2004 10(2013), 1, p 9 (DE-627)394163419 (DE-600)2160376-5 17437075 nnns volume:10 year:2013 number:1, p 9 https://doi.org/10.1186/1743-7075-10-9 kostenfrei https://doaj.org/article/9314ebf4a58348d5a579ebfe79fbc0ab kostenfrei http://www.nutritionandmetabolism.com/content/10/1/9 kostenfrei https://doaj.org/toc/1743-7075 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2013 1, p 9 |
allfieldsGer |
10.1186/1743-7075-10-9 doi (DE-627)DOAJ034497560 (DE-599)DOAJ9314ebf4a58348d5a579ebfe79fbc0ab DE-627 ger DE-627 rakwb eng TX341-641 RC620-627 Powell Jonathan J verfasserin aut Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< IBD Iron intake Iron deficiency Quality of life Fortificant iron Nutrition. Foods and food supply Nutritional diseases. Deficiency diseases Cook William B verfasserin aut Hutchinson Carol verfasserin aut Tolkien Zoe verfasserin aut Chatfield Mark verfasserin aut Pereira Dora IA verfasserin aut Lomer Miranda CE verfasserin aut In Nutrition & Metabolism BMC, 2004 10(2013), 1, p 9 (DE-627)394163419 (DE-600)2160376-5 17437075 nnns volume:10 year:2013 number:1, p 9 https://doi.org/10.1186/1743-7075-10-9 kostenfrei https://doaj.org/article/9314ebf4a58348d5a579ebfe79fbc0ab kostenfrei http://www.nutritionandmetabolism.com/content/10/1/9 kostenfrei https://doaj.org/toc/1743-7075 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2013 1, p 9 |
allfieldsSound |
10.1186/1743-7075-10-9 doi (DE-627)DOAJ034497560 (DE-599)DOAJ9314ebf4a58348d5a579ebfe79fbc0ab DE-627 ger DE-627 rakwb eng TX341-641 RC620-627 Powell Jonathan J verfasserin aut Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< IBD Iron intake Iron deficiency Quality of life Fortificant iron Nutrition. Foods and food supply Nutritional diseases. Deficiency diseases Cook William B verfasserin aut Hutchinson Carol verfasserin aut Tolkien Zoe verfasserin aut Chatfield Mark verfasserin aut Pereira Dora IA verfasserin aut Lomer Miranda CE verfasserin aut In Nutrition & Metabolism BMC, 2004 10(2013), 1, p 9 (DE-627)394163419 (DE-600)2160376-5 17437075 nnns volume:10 year:2013 number:1, p 9 https://doi.org/10.1186/1743-7075-10-9 kostenfrei https://doaj.org/article/9314ebf4a58348d5a579ebfe79fbc0ab kostenfrei http://www.nutritionandmetabolism.com/content/10/1/9 kostenfrei https://doaj.org/toc/1743-7075 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2013 1, p 9 |
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Powell Jonathan J misc TX341-641 misc RC620-627 misc IBD misc Iron intake misc Iron deficiency misc Quality of life misc Fortificant iron misc Nutrition. Foods and food supply misc Nutritional diseases. Deficiency diseases Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease |
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TX341-641 RC620-627 Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease IBD Iron intake Iron deficiency Quality of life Fortificant iron |
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dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease |
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Dietary fortificant iron intake is negatively associated with quality of life in patients with mildly active inflammatory bowel disease |
abstract |
<p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< |
abstractGer |
<p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< |
abstract_unstemmed |
<p<Abstract</p< <p<Background</p< <p<Iron deficiency anaemia and oral iron supplementation have been associated negatively with quality of life, and with adverse effects, respectively, in subjects with inflammatory bowel disease (IBD). Hence, the risk-benefit ratio of oral iron is not understood in this patient group. The present case–control study investigated whether dietary iron intake impacts on quality of life in IBD patients.</p< <p<Methods</p< <p<Quality of life, habitual dietary iron intakes and iron requirements were assessed in 29 patients with inactive or mildly active IBD as well as in 28 healthy control subjects.</p< <p<Results</p< <p<As expected, quality of life was worse in IBD patients as a whole in comparison to healthy controls according to EuroQol score and EuroQol VAS percentage (6.9 ± 1.6 <it<vs</it< 5.3 ± 0.6; <it<p</it<< 0.0001 and 77 ± 14% <it<vs</it< 88 ± 12%; <it<p</it<=0.004 respectively). For IBD subjects, 21/29 were iron deplete based upon serum iron responses to oral iron but, overall, were non-anaemic with mean haemoglobin of 13.3 ± 1.5 g/dL, and there was no difference in their quality of life compared to 8/29 iron replete subjects (Hb 14.0 ± 0.8 g/dL). Interestingly, total dietary iron intake was significantly <it<negatively</it< associated with quality of life in IBD patients, specifically for non-haem iron and, more specifically, for fortificant iron. Moreover, for total non-haem iron the negative association disappeared when fortificant iron values were subtracted. Finally, further sub-analysis indicated that the negative association between (fortificant) dietary iron intake and quality of life in IBD patients is driven by findings in patients with mildly active disease rather than in patients with quiescent disease.</p< <p<Conclusions</p< <p<Iron deficiency <it<per se</it< (i.e. without concomitant anaemia) does not appear to further affect quality of life in IBD patients with inactive or mildly active disease. However, in this preliminary study, dietary iron intake, particularly fortificant iron, appears to be significantly negatively associated with quality of life in patients with mildly active disease.</p< |
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score |
7.40149 |