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Clinical importance of weight gain and associated factors in patients with moderate to severe ulcerative colitis: results from the MOSAIK cohort in Korea

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Alternative Title
Clinical importance of weight gain and associated factors in patients with moderate to severe ulcerative colitis: results from the MOSAIK cohort in Korea
Abstract
Background: Many patients with ulcerative colitis (UC) gain weight after treatment. However, the clinical significance of weight gain in these patients remains unclear. This study aimed to evaluate body weight changes after treatment in patients newly diagnosed with moderate-to-severe UC and their effects on patients' prognosis.

Methods: The change in weight between diagnosis and 1 year after treatment in 212 patients enrolled in the MOSAIK cohort (mean age, 40 years; males, 60%) was analyzed. Significant weight gain was defined as a weight increase of ≥ 5% from the baseline at 1 year. Factors associated with significant weight gain and the effect of significant weight gain on the risk of major adverse outcomes (clinical relapse, hospitalization, and new use of steroids or biologics) during a follow-up period of 20 months were evaluated.

Results: Mean weight gain at 1 year was 1.7 ± 4.2 kg. The proportion of overweight/obese patients increased by 9.0% from 37.9% to 46.9%. Thirty-two percent had significant weight gain; extensive colitis at diagnosis was the only factor associated with significant weight gain (odds ratio 6.5, 95% confidence interval 1.4-31.0, p = 0.006). In multivariable analysis, significant weight gain was not associated with the risk of major adverse outcomes. Weight loss symptoms at diagnosis were associated with an increased risk for new steroid use after 1 year.

Conclusions: Approximately one-third of patients with moderate-to-severe UC had significant weight gain after 1 year of treatment. However, significant weight gain was not associated with the patient's prognosis.
Author(s)
Hyuk YoonYoung Soo ParkJeong Eun ShinByong Duk YeChang Soo EunSoon Man YoonJae Myung ChaYou Sun KimKyu Chan HuhYoung Sook ParkJae Hee CheonEun Suk JungYoungdoe KimvSu Young Jung
Issued Date
2023
Type
Article
Keyword
Risk factorsUlcerative colitisWeight gain
DOI
10.1186/s12876-023-03008-7
URI
https://oak.ulsan.ac.kr/handle/2021.oak/16485
Publisher
BMC GASTROENTEROLOGY
Language
영어
ISSN
1471-230X
Citation Volume
23
Citation Number
1
Citation Start Page
1
Citation End Page
8
Appears in Collections:
Medicine > Nursing
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