Anthropometric measurements of nutritional status in chronic pancreatitis in India: comparison of tropical and alcoholic pancreatitis.
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Date
2011-03
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Abstract
Aim Undernutrition is considered to be a cause of tropical pancreatitis (TP) since this disease is commonly seen in the
underprivileged populations of the world. This study was
done to compare the nutritional status in patients with TP
and alcoholic chronic pancreatitis (ACP) using anthropometric
measurements.
Methods Anthropometric measurements were done in
patients with TP and ACP aged >18 years and matched
healthy controls. Presence of pain, recent dietary restriction,
diabetes mellitus (DM), calcification, serum prealbumin
(PAB), and quantitative fecal elastase (FE) was assessed.
Premorbid body mass index (BMI) was determined from
weight before the onset of illness as reported by the patients.
Results Of 54 patients (47 male), 39 (72.2%) had TP and
the rest had ACP. Patients with TP were younger than those
with ACP; the frequency of pain, DM, calcification, and
exocrine insufficiency was similar in the two groups.
Compared to control subjects, patients had lower BMI,
triceps skin fold thickness (TSFT) and mid-arm circumference
(MAC) (p<0.01), but waist-to-hip ratio (W/H) was
similar. Undernutrition was equally common in TP and
ACP (15 [38.5%] vs. 6 [40%]). The BMI, TSFT, MAC, and
W/H were similar in TP and ACP. The premorbid BMI was
higher than that at presentation (20.2 [3.8] kg/m² vs. 19.1
[3.3] kg/m², p<0.01). There was no association between
BMI and features contributing to undernutrition (DM, pain,
recent dietary restriction, FE level, and calcification) on
univariate analysis.
Conclusions Energy undernutrition occurs equally commonly in TP and ACP and this appears to develop after the onset of illness.
Description
Keywords
Anthropometry, Fecal elastase, Prealbumin, Tropical calcific ancreatitis, Undernutrition
Citation
Regunath Hariharan, Shivakumar Bhadravathi Marigowda, Kurien Annamma, Satyamoorthy Kapaettu, Pai C Ganesh. Anthropometric measurements of nutritional status in chronic pancreatitis in India: comparison of tropical and alcoholic pancreatitis. Indian Journal of Gastroenterology. 2011 Mar-Apr; 30(2): 78-83.