Abstract
Nutrition has an important role in the management of inflammatory bowel disease (IBD) and
metabolic syndrome (MS). The goal of this study was to assess the nutritive status of patients
treated with IBD and metabolic syndrome in the Gastroenterology Centre, Pauls Stradiòð Clinical
University Hospital. Body bioelectrical impedance analysis (BIA) using GENIUS 220 PLUS
(Jawon Medical) was used to determine Body Mass Index (BMI) kg/m², Metabolic Body Fat (MBF)
kg, Soft Lean Mass (SLM) kg, Total Body Water (TBW) kg, body composition, metabolic type,
Basal Metabolic Rate (BMR) kcal, and total Energy Expenditure (TEE) kcal in patients with IBD
and metabolic syndrome and in a similarly aged control group. The obtained data showed that
BMI was not correlated with MBF, BTW and Lean Body Mass (LBM). Patients with Crohn’s disease
(CD) had normal value of BMI (M 24.3 kg/m²; F 20.2kg/m²), but we found variety-specific differences
in body composition that confirmed deficiency or increase of specific body parameters.
The performed prospective study confirmed the importance of the more precise nutritional status
analysis, as it was clinically useful for the nutritional management of IBD. Patients with CD had
expressed nutrient deficiency, sarcopenia, and reduced amount of proteins and minerals. For patients
with MS, sarcopenia was present despite obesity.
The Utility of Visceral Fat Level by Bioelectrical Impedance Analysis in the Screening of Metabolic Syndrome