ABSTRACT BACKGROUND/OBJECTIVES We analyzed the nationwide pediatric inflammatory bowel disease (PIBD) registry (1998–2016), to evaluate the nutritional status at the time of diagnosis.

SUBJECTS/METHODS Nine types of nutritional status by the combination of weight-for-length (<2 years)/body mass index (>2 years) and length/height-for-age with three categories (<−2,

−2 to 2, and >2 SD) were described. Malnutrition was defined by WHO criteria. Univariate and multivariate regression analysis was used to identify risk factors for malnutrition. RESULTS

In total, 824 IBD patients (498 Ulcerative colitis (UC); 289 Crohn’s Disease (CD); 37 Indeterminate Colitis (IC); 412 male; the median age 12.5 years) were eligible. The prevalence of

0.001). Incidence of overweight was less common in the CD than UC and IC (_p_ < 0.001). Multivariate analysis revealed that age of onset (>10 years), prepubertal stage, severe disease

activity, perianal involvement, and high C reactive protein level were independently associated with malnutrition in pediatric IBD. CONCLUSION We showed the frequency of nutritional

impairment in PIBD. The percentage of overweight subjects was lower than the other studies. The age of onset, disease activity, CRP level, perianal involvement, and pubertal stage were

associated with a higher risk for developing malnutrition. Our results also confirmed that CD patients are particularly vulnerable to nutritional impairment. CLINICAL TRIAL NUMBER

ClinicalTrials.gov Identifier: NCT04457518. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access

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subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS NUTRITIONAL STATUS OF PEDIATRIC PATIENTS WITH INFLAMMATORY BOWEL DISEASES IS RELATED TO

DISEASE DURATION AND CLINICAL PICTURE AT DIAGNOSIS Article Open access 02 December 2023 CLINICAL FACTORS ASSOCIATED WITH SEVERITY IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE IN BRAZIL BASED

ON 2-YEAR NATIONAL REGISTRY DATA FROM GEDIIB Article Open access 21 February 2024 DIAGNOSTIC DELAY IN CHILDREN WITH INFLAMMATORY BOWEL DISEASE IN THE GERMAN-AUSTRIAN PATIENT REGISTRY

CEDATA-GPGE 2014–2018 Article Open access 07 December 2022 DATA AVAILABILITY Raw data the support the findings of this study are available from the corresponding author upon reasonable

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JPGN. 2012;55:701–6. CAS  PubMed  Google Scholar  Download references ACKNOWLEDGEMENTS We thank all our patients and their families for consenting to this study. A sincere thank to _James

Denison_ for editing and reviewing this manuscript for English language. FUNDING This research was funded by The Society of Turkish Pediatric Gastroenterology, Hepatology, and Nutrition.

AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * School of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Ankara University, Ankara, Turkey Zarife

Kuloglu & Aydan Kansu * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Ege University, İzmir, Turkey Funda Çetin * Department of

Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey Nafiye Urgancı * Department of Pediatrics, Division

of Gastroenterology, Hepatology and Nutrition, Bakırköy Dr. Sadi Konuk Research and Training Center, İstanbul, Turkey Zerrin Önal & Günsel Kutluk * Faculty of Medicine, Department of

Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Gazi University University, Ankara, Turkey Sinan Sarı & Buket Dalgıç * Meram Faculty of Medicine, Department of

Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Necmettin Erbakan University, Konya, Turkey Hasan Yüksekkaya & Aylin Yücel * Faculty of Medicine, Department of

Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Ondokuz Mayıs University, Samsun, Turkey Gönül Çaltepe & Ayhan Gazi Kalaycı * School of Medicine, Department of

Biostatistics, Ankara University , Ankara, Turkey Ebru Dumlupinar * School of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Süleyman Demirel

University, Isparta, Turkey Mustafa Akçam * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Erciyes University, Kayseri, Turkey Duran

Arslan * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Dokuz Eylül University, İzmir, Turkey Nur Arslan & Yeşim Öztürk * Faculty

of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Akdeniz University, Antalya, Turkey Reha Artan * Faculty of Medicine, Department of Pediatrics,

Division of Gastroenterology, Hepatology and Nutrition, Kocaeli University, Kocaeli, Turkey Ayşen Uncuoğlu Aydoğan * Division of Pediatric Gastroenterology, Hepatology, and Nutrition,

Gülhane Training and Research Hospital, Ankara, Turkey Necati Balamtekin * Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Tepecik Training and Research Hospital, Izmir,

Turkey Maşallah Baran * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Dicle University, Diyarbakır, Turkey Gökhan Baysoy * Faculty of

Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Karadeniz University, Trabzon, Turkey Murat Çakır * Faculty of Medicine, Department of

Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Şifa University, İzmir, Turkey Coşkun Çeltik * Faculty of Medicine, Department of Pediatrics, Division of

Gastroenterology, Hepatology and Nutrition, Fırat University, Elazığ, Turkey Yaşar Doğan * Istanbul Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology

and Nutrition, İstanbul University, Istanbul, Turkey Özlem Durmaz * Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Behcet Uz Training and Research Hospital, Izmir, Turkey

Çiğdem Ecevit & Özlem Bekem Soylu * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Osmangazi University, Eskişehir, Turkey

Makbule Eren * Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Erzurum Region Training and Research Hospital, Erzurum, Turkey Gülin Erdemir * Faculty of Medicine,

Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Bezmialem University, Istanbul, Turkey Selim Gökçe * Faculty of Medicine, Department of Pediatrics, Division

of Gastroenterology, Hepatology and Nutrition, Kırıkkale University, Kırıkale, Turkey Fulya Gulerman * Division of Pediatric Gastroenterology, Hepatology, and Nutrition, American Hospital,

Istanbul, Turkey Figen Gürakan * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Gaziantep University, Gaziantep, Turkey Şamil Hızlı *

Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Dr. Sami Ulus Children’s Hospital, Ankara, Turkey Ferda Özbay Hoşnut * Division of Pediatric Gastroenterology, Hepatology,

and Nutrition, Kayseri Training and Research Hospital, Kayseri, Turkey İshak Işık * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition,

İnönü University, Malatya, Turkey Hamza Karabiber * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Celal Bayar, Manisa, Turkey Erhun

Kasırga * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Hacettepe University, Ankara, Turkey Hasan Özen * Faculty of Medicine,

Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Uludag University, Bursa, Turkey Tanju Özkan * Division of Pediatric Gastroenterology, Hepatology, and

Nutrition, Konya Training and Research Hospital, Konya, Turkey Ersin Sayar * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Atatürk

University, Erzurum, Turkey Mahya Sultan Tosun * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Cukurova University, Adana, Turkey

Gökhan Tümgör * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Yeditepe University, Istanbul, Turkey Meltem Korkut Uğraş * Private

Practise, Bursa, Turkey Fatih Ünal * Faculty of Medicine, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Bulent Ecevit University, Zonguldak, Turkey Gonca

Handan Üstündağ * Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Turkish Republic Health Ministry, Ankara Child Health Diseases, Haematology Oncology Training and

Research Hospital, Ankara, Turkey Aytaç Yaman Authors * Zarife Kuloglu View author publications You can also search for this author inPubMed Google Scholar * Funda Çetin View author

publications You can also search for this author inPubMed Google Scholar * Nafiye Urgancı View author publications You can also search for this author inPubMed Google Scholar * Zerrin Önal

View author publications You can also search for this author inPubMed Google Scholar * Sinan Sarı View author publications You can also search for this author inPubMed Google Scholar * Hasan

Yüksekkaya View author publications You can also search for this author inPubMed Google Scholar * Gönül Çaltepe View author publications You can also search for this author inPubMed Google

Scholar * Günsel Kutluk View author publications You can also search for this author inPubMed Google Scholar * Ebru Dumlupinar View author publications You can also search for this author

inPubMed Google Scholar CONSORTIA TURKISH INFLAMMATORY BOWEL DISEASE STUDY GROUP * Mustafa Akçam * , Duran Arslan * , Nur Arslan * , Reha Artan * , Ayşen Uncuoğlu Aydoğan * , Necati

Balamtekin * , Maşallah Baran * , Gökhan Baysoy * , Murat Çakır * , Coşkun Çeltik * , Buket Dalgıç * , Yaşar Doğan * , Özlem Durmaz * , Çiğdem Ecevit * , Makbule Eren * , Gülin Erdemir * , 

Selim Gökçe * , Fulya Gulerman * , Figen Gürakan * , Şamil Hızlı * , Ferda Özbay Hoşnut * , İshak Işık * , Ayhan Gazi Kalaycı * , Aydan Kansu * , Hamza Karabiber * , Erhun Kasırga * , Hasan

Özen * , Tanju Özkan * , Yeşim Öztürk * , Ersin Sayar * , Özlem Bekem Soylu * , Mahya Sultan Tosun * , Gökhan Tümgör * , Meltem Korkut Uğraş * , Fatih Ünal * , Gonca Handan Üstündağ * , 

Aytaç Yaman *  & Aylin Yücel CONTRIBUTIONS All authors were provided data input as a part of a project of Nationwide Registry for Pediatric Inflammatory Bowel Disease (NRPIBD). The

specific contribution of each author is listed below: Kuloglu Z was responsible for the study concept and design, analysis, intrepretation of data and drafting of the manuscript. Çetin F was

the project manager for the project of NRPIBD. Kansu A was responsible for critical review of manuscript. ED was responsible for the statistic analysis. All authors approved the final

version of the manuscript. CORRESPONDING AUTHOR Correspondence to Zarife Kuloglu. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ETHICAL APPROVAL The

study protocol was approved by Ege University Ethics Committee (October 12, 2011, No: 11-7/2). ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard to

jurisdictional claims in published maps and institutional affiliations. SUPPLEMENTARY INFORMATION SUPPLEMENTARY TABLES&FIGURES RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS

ARTICLE CITE THIS ARTICLE Kuloglu, Z., Çetin, F., Urgancı, N. _et al._ Nutritional characteristic of children with inflammatory bowel disease in the nationwide inflammatory bowel disease

registry from the Mediterranean region. _Eur J Clin Nutr_ 76, 1289–1296 (2022). https://doi.org/10.1038/s41430-022-01094-6 Download citation * Received: 17 June 2021 * Revised: 11 January

2022 * Accepted: 26 January 2022 * Published: 16 February 2022 * Issue Date: September 2022 * DOI: https://doi.org/10.1038/s41430-022-01094-6 SHARE THIS ARTICLE Anyone you share the

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