Research on the application of modifiable malnutrition universal screening tool in patients with inflammatory bowel disease
Objective To investigate the application effect of modifiable malnutrition universal screening tool(mMUST)in patients with inflammatory bowel disease(IBD).Methods A total of 82 non-surgical patients with IBD admitted to Jiangyin People's Hospital from February to April 2023 were selected,and the patients were screened by mMUST and nutritional risk screening 2002(NRS 2002),respectively.Results The consistency of mMUST and NRS 2002 in screening nutritional risk of patients with IBD was relatively good(Kappa=0.806,P<0.05).A total of 34 cases(41.46%)of patients with IBD were screened for low nutritional risk using mMUST,12 cases(14.63%)for moderate risk,and 36 cases(43.90%)for high risk.A total of 57 cases(69.51%)were screened for no risk using NRS 2002,and 25 cases(30.49%)for high risk.There was no statistically significant difference in the proportion result of high-risk patients between the two screening methods(χ2=3.058,P=0.076).The mMUST screening showed that the body mass index(BMI),grip strength,hemoglobin,total protein,serum albumin,and prealbumin in the moderate and high nutritional risk group were all lower than those in the low nutritional risk group.The ratios of C reaction protein(CRP)>5 mg/L and fecal calprotectin>50 μg/g in the moderate and high nutritional risk group were all higher than those in the low nutritional risk group,with statistically significant differences(P<0.05).Using the level of nutritional risk as the dependent variable,binary logistic regression analysis was used to investigate the related factors of nutritional risk in patients with IBD.The results showed that BMI and prealbumin were the impacting factors of nutritional risk.Conclusion mMUST is suitable for nutritional risk screening of patients with IBD,and is worthy of clinical promotion.
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