Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis

Background & Aims Gastroparesis can lead to food aversion, poor oral intake, and subsequent malnutrition. We characterized dietary intake and nutritional deficiencies in patients with diabetic and idiopathic gastroparesis. Methods Patients with gastroparesis on oral intake (N = 305) were enrolle...

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Veröffentlicht in:	Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 2011-08, Vol.141 (2), p.486-498.e7
Hauptverfasser:	Parkman, Henry P, Yates, Katherine P, Hasler, William L, Nguyan, Linda, Pasricha, Pankaj J, Snape, William J, Farrugia, Gianrico, Calles, Jorge, Koch, Kenneth L, Abell, Thomas L, McCallum, Richard W, Petito, Dorothy, Parrish, Carol Rees, Duffy, Frank, Lee, Linda, Unalp–Arida, Aynur, Tonascia, James, Hamilton, Frank
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Avitaminosis - epidemiology Avitaminosis - etiology Body Weight Clinical Trial Diabetes Complications Dietary Supplements Energy Intake Energy Metabolism Female FFQ Gastric Emptying Gastroenterology and Hepatology Gastroparesis - complications Gastroparesis - diet therapy Gastroparesis - etiology Humans Iron - deficiency Logistic Models Male Middle Aged Motility Disorder Potassium Deficiency - epidemiology Prospective Studies Referral and Consultation - statistics & numerical data Registries Severity of Illness Index Stomach Surveys and Questionnaires Vomiting Zinc - deficiency
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Zusammenfassung:	Background & Aims Gastroparesis can lead to food aversion, poor oral intake, and subsequent malnutrition. We characterized dietary intake and nutritional deficiencies in patients with diabetic and idiopathic gastroparesis. Methods Patients with gastroparesis on oral intake (N = 305) were enrolled in the National Institute of Diabetes and Digestive and Kidney Diseases Gastroparesis Registry and completed diet questionnaires at 7 centers. Medical history, gastroparesis symptoms, answers to the Block Food Frequency Questionnaire, and gastric emptying scintigraphy results were analyzed. Results Caloric intake averaged 1168 ± 801 kcal/day, amounting to 58% ± 39% of daily total energy requirements (TER). A total of 194 patients (64%) reported caloric-deficient diets, defined as
ISSN:	0016-5085 1528-0012
DOI:	10.1053/j.gastro.2011.04.045