- Among 66 adults with Crohn’s disease or ulcerative colitis in remission or with mild disease activity, malnutrition prevalence increased over six months despite low inflammatory activity.
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In patients with inactive or mildly active IBD, the Malnutrition Inflammation Risk Tool (MIRT) demonstrated the highest sensitivity for identifying malnutrition.
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The Saskatchewan IBD Nutrition Risk Tool (SaskIBD-NR) was the most accurate in predicting GLIM-defined malnutrition and low fat-free mass index (FFMI).
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MIRT showed 40.5% sensitivity for ESPEN-defined malnutrition and 50% for GLIM-defined malnutrition, while SaskIBD-NR achieved 75.8% accuracy for GLIM-defined malnutrition and 80% for low FFMI.
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Study limitations included a small, single-center cohort, six-month duration, and reliance on bioelectrical impedance analysis for body composition.
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