Body mass index in children with newly diagnosed inflammatory bowel disease: observations from two multicenter North American inception cohorts.

Subra Kugathasan, Justin Nebel, Joseph A. Skelton, James Markowitz, David Keljo, Joel Rosh, Neal LeLeiko, David Mack, Anne Griffiths, Athos Bousvaros, Jonathan Evans, Adam Mezoff, Susan Moyer, Maria Oliva-Hemker, Anthony Otley, Mariann Pfefferkorn, Wallace Crandall, Robert Wyllie, Jeffrey Hyams

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To conduct a systematic review of children with newly diagnosed inflammatory bowel disease (IBD) from 2 prospective inception cohorts to examine body mass index (BMI) status at presentation. STUDY DESIGN: Clinical, demographic, and BMI data were obtained from 783 patients with newly diagnosed IBD. National Health and Nutrition Examination Survey data for 2748 healthy children were used as a control. RESULTS: Most children with Crohn's disease and ulcerative colitis had a BMI in the normative range (5%-84%). Low BMI (<5%) was seen in 22% to 24% of children with Crohn's disease and 7% to 9% of children with ulcerative colitis. Ten percent of children with Crohn's disease and 20% to 30% of children with ulcerative colitis had a BMI at diagnosis consistent with overweight or risk for overweight. CONCLUSION: Children with IBD are affected by current population trends toward overweight. A significant subgroup of children with newly diagnosed IBD has a BMI categorized as overweight or at risk for overweight. Clinicians should be aware of possible IBD diagnosis in the presence increased BMI.

Original languageEnglish (US)
Pages (from-to)523-527
Number of pages5
JournalThe Journal of pediatrics
Volume151
Issue number5
StatePublished - Nov 2007

    Fingerprint

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Kugathasan, S., Nebel, J., Skelton, J. A., Markowitz, J., Keljo, D., Rosh, J., LeLeiko, N., Mack, D., Griffiths, A., Bousvaros, A., Evans, J., Mezoff, A., Moyer, S., Oliva-Hemker, M., Otley, A., Pfefferkorn, M., Crandall, W., Wyllie, R., & Hyams, J. (2007). Body mass index in children with newly diagnosed inflammatory bowel disease: observations from two multicenter North American inception cohorts. The Journal of pediatrics, 151(5), 523-527.