Tình trạng dinh dưỡng của người bệnh viêm ruột mạn tính tại Bệnh viện Đại học Y Hà Nội năm 2024–2025 và một số yếu tố liên quan

Inflammatory Bowel Disease (IBD) is a chronic inflammatory condition whose global incidence is on the rise, particularly in developing nations like Vietnam. Patients with IBD, especially those with Crohn's disease and Ulcerative colitis (UC), frequently experience malnutrition, often exacerbated by delayed diagnosis, inadequate treatment, or poor adherence to therapy. This nutritional deficiency significantly impacts patient outcomes, leading to extended hospitalizations, higher recurrence rates, and diminished quality of life. Understanding the nutritional status and its associated factors in this vulnerable population is therefore crucial for improving patient care. This study aims to assess the nutritional status of IBD patients hospitalized at Hanoi Medical University Hospital between 2024 and 2025 and to identify key associated factors influencing their nutritional well-being, including protein-energy malnutrition.

Medical professionals (gastroenterologists, nutritionists), clinical researchers, and public health practitioners interested in Inflammatory Bowel Disease and nutritional management.

This cross-sectional descriptive study investigated the nutritional status and its associated factors among 56 Inflammatory Bowel Disease (IBD) patients, specifically those with Crohn's disease and Ulcerative colitis (UC), at Hanoi Medical University Hospital between October 2024 and July 2025. The research employed standard anthropometric measurements and subjective global assessment (SGA/MNA) to evaluate nutrition, aiming to provide a comprehensive overview of the challenge posed by protein-energy malnutrition in this patient group. Participants had a median age of 35.0 years, with a notable prevalence of malnutrition, recorded at 33.9% by BMI, 32.1% by MUAC, and 35.7% by SGA/MNA. Key factors significantly associated with malnutrition identified through logistic regression included younger age (below 40 years) and a history of abdominal surgery, particularly when using BMI criteria. Furthermore, active disease status and a history of abdominal surgery were significant predictors of malnutrition according to SGA/MNA. These findings underscore the high burden of malnutrition within the IBD population and highlight the necessity for routine nutritional screening and early intervention strategies in clinical practice. The insights gained are crucial for developing targeted nutritional support protocols, especially for younger patients or those with a history of surgical interventions and active disease. While the study provides valuable data from a specific hospital setting, future larger-scale, multi-center research is recommended to enhance the generalizability of these findings and further elucidate the complex interplay of associated factors influencing nutrition in IBD patients.