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 |
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| creator | 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 |
| description | 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 |
| doi_str_mv | 10.1053/j.gastro.2011.04.045 |
| format | Article |
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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 <60% of estimated TER. Only 5 patients (2%) followed a diet suggested for patients with gastroparesis. Deficiencies were present in several vitamins and minerals; patients with idiopathic disorders were more likely to have diets with estimated deficiencies in vitamins A, B6 , C, K, iron, potassium, and zinc than diabetic patients. Only one-third of patients were taking multivitamin supplements. More severe symptoms (bloating and constipation) were characteristic of patients who reported an energy-deficient diet. Overall, 32% of patients had nutritional consultation after the onset of gastroparesis; consultation was more likely among patients with longer duration of symptoms and more hospitalizations and patients with diabetes. Multivariable logistic regression analysis indicated that nutritional consultation increased the chances that daily TER were met (odds ratio, 1.51; P = .08). Conclusions Many patients with gastroparesis have diets deficient in calories, vitamins, and minerals. Nutritional consultation is obtained infrequently but is suggested for dietary therapy and to address nutritional deficiencies.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1053/j.gastro.2011.04.045</identifier><identifier>PMID: 21684286</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Gastroenterology (New York, N.Y. 1943), 2011-08, Vol.141 (2), p.486-498.e7</ispartof><rights>AGA Institute</rights><rights>2011 AGA Institute</rights><rights>Copyright © 2011 AGA Institute. Published by Elsevier Inc. All rights reserved.</rights><rights>2011 The American Gastroenterological Association. Published by Elsevier Inc. All rights reserved 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-b496c1204b42d82af0537defefa50781fb7c42a66f269fa4a221875e5a6046343</citedby><cites>FETCH-LOGICAL-c517t-b496c1204b42d82af0537defefa50781fb7c42a66f269fa4a221875e5a6046343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.gastro.2011.04.045$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21684286$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parkman, Henry P</creatorcontrib><creatorcontrib>Yates, Katherine P</creatorcontrib><creatorcontrib>Hasler, William L</creatorcontrib><creatorcontrib>Nguyan, Linda</creatorcontrib><creatorcontrib>Pasricha, Pankaj J</creatorcontrib><creatorcontrib>Snape, William J</creatorcontrib><creatorcontrib>Farrugia, Gianrico</creatorcontrib><creatorcontrib>Calles, Jorge</creatorcontrib><creatorcontrib>Koch, Kenneth L</creatorcontrib><creatorcontrib>Abell, Thomas L</creatorcontrib><creatorcontrib>McCallum, Richard W</creatorcontrib><creatorcontrib>Petito, Dorothy</creatorcontrib><creatorcontrib>Parrish, Carol Rees</creatorcontrib><creatorcontrib>Duffy, Frank</creatorcontrib><creatorcontrib>Lee, Linda</creatorcontrib><creatorcontrib>Unalp–Arida, Aynur</creatorcontrib><creatorcontrib>Tonascia, James</creatorcontrib><creatorcontrib>Hamilton, Frank</creatorcontrib><creatorcontrib>NIDDK Gastroparesis Clinical Research Consortium</creatorcontrib><title>Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis</title><title>Gastroenterology (New York, N.Y. 1943)</title><addtitle>Gastroenterology</addtitle><description>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 <60% of estimated TER. Only 5 patients (2%) followed a diet suggested for patients with gastroparesis. Deficiencies were present in several vitamins and minerals; patients with idiopathic disorders were more likely to have diets with estimated deficiencies in vitamins A, B6 , C, K, iron, potassium, and zinc than diabetic patients. Only one-third of patients were taking multivitamin supplements. More severe symptoms (bloating and constipation) were characteristic of patients who reported an energy-deficient diet. Overall, 32% of patients had nutritional consultation after the onset of gastroparesis; consultation was more likely among patients with longer duration of symptoms and more hospitalizations and patients with diabetes. Multivariable logistic regression analysis indicated that nutritional consultation increased the chances that daily TER were met (odds ratio, 1.51; P = .08). Conclusions Many patients with gastroparesis have diets deficient in calories, vitamins, and minerals. Nutritional consultation is obtained infrequently but is suggested for dietary therapy and to address nutritional deficiencies.</description><subject>Adult</subject><subject>Avitaminosis - epidemiology</subject><subject>Avitaminosis - etiology</subject><subject>Body Weight</subject><subject>Clinical Trial</subject><subject>Diabetes Complications</subject><subject>Dietary Supplements</subject><subject>Energy Intake</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>FFQ</subject><subject>Gastric Emptying</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastroparesis - complications</subject><subject>Gastroparesis - diet therapy</subject><subject>Gastroparesis - etiology</subject><subject>Humans</subject><subject>Iron - deficiency</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motility Disorder</subject><subject>Potassium Deficiency - epidemiology</subject><subject>Prospective Studies</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Registries</subject><subject>Severity of Illness Index</subject><subject>Stomach</subject><subject>Surveys and Questionnaires</subject><subject>Vomiting</subject><subject>Zinc - deficiency</subject><issn>0016-5085</issn><issn>1528-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUk1vFDEMjRCILoV_gFBunGZxMsl8XJBQt5SVKkACxDHyZDzdbGcnS5Kp1H9PtlvKxwXJkWXFfvbzM2MvBSwF6PLNdnmFMQW_lCDEElQ2_YgthJZNASDkY7bIrio0NPqEPYtxCwBt2Yin7ESKqlGyqRYMV44Shlu-nhJeE8ep5x_nFFxyfsKRr2hw1tGUX-Ru4p8x5ShF_t2lDV857Cg5y33g6975PaZNji7uBttjoOjic_ZkwDHSi3t_yr69P_969qG4_HSxPnt3WVgt6lR0qq2skKA6JftG4pA51j0NNKCGuhFDV1slsaoGWbUDKpRSNLUmjRWoqlTlKXt7xN3P3Y56m6cMOJp9cLvMz3h05u-fyW3Mlb8xpWpbASIDvL4HCP7HTDGZnYuWxhEn8nM0TVvWshR1mzPVMdMGH2Og4aGLAHMQx2zNURxzEMeAyqZz2as_J3wo-qXGbwqU93TjKJh4t3vqXSCbTO_d_zr8C2BHNzmL4zXdUtz6OWRRoxEmSgPmy-FADvchBEAFUJc_AWRguPA</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Parkman, Henry P</creator><creator>Yates, Katherine P</creator><creator>Hasler, William L</creator><creator>Nguyan, Linda</creator><creator>Pasricha, Pankaj J</creator><creator>Snape, William J</creator><creator>Farrugia, Gianrico</creator><creator>Calles, Jorge</creator><creator>Koch, Kenneth L</creator><creator>Abell, Thomas L</creator><creator>McCallum, Richard W</creator><creator>Petito, Dorothy</creator><creator>Parrish, Carol Rees</creator><creator>Duffy, Frank</creator><creator>Lee, Linda</creator><creator>Unalp–Arida, Aynur</creator><creator>Tonascia, James</creator><creator>Hamilton, Frank</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110801</creationdate><title>Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-b496c1204b42d82af0537defefa50781fb7c42a66f269fa4a221875e5a6046343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Avitaminosis - epidemiology</topic><topic>Avitaminosis - etiology</topic><topic>Body Weight</topic><topic>Clinical Trial</topic><topic>Diabetes Complications</topic><topic>Dietary Supplements</topic><topic>Energy Intake</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>FFQ</topic><topic>Gastric Emptying</topic><topic>Gastroenterology and Hepatology</topic><topic>Gastroparesis - complications</topic><topic>Gastroparesis - diet therapy</topic><topic>Gastroparesis - etiology</topic><topic>Humans</topic><topic>Iron - deficiency</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motility Disorder</topic><topic>Potassium Deficiency - epidemiology</topic><topic>Prospective Studies</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Registries</topic><topic>Severity of Illness Index</topic><topic>Stomach</topic><topic>Surveys and Questionnaires</topic><topic>Vomiting</topic><topic>Zinc - deficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parkman, Henry P</creatorcontrib><creatorcontrib>Yates, Katherine P</creatorcontrib><creatorcontrib>Hasler, William L</creatorcontrib><creatorcontrib>Nguyan, Linda</creatorcontrib><creatorcontrib>Pasricha, Pankaj J</creatorcontrib><creatorcontrib>Snape, William J</creatorcontrib><creatorcontrib>Farrugia, Gianrico</creatorcontrib><creatorcontrib>Calles, Jorge</creatorcontrib><creatorcontrib>Koch, Kenneth L</creatorcontrib><creatorcontrib>Abell, Thomas L</creatorcontrib><creatorcontrib>McCallum, Richard W</creatorcontrib><creatorcontrib>Petito, Dorothy</creatorcontrib><creatorcontrib>Parrish, Carol Rees</creatorcontrib><creatorcontrib>Duffy, Frank</creatorcontrib><creatorcontrib>Lee, Linda</creatorcontrib><creatorcontrib>Unalp–Arida, Aynur</creatorcontrib><creatorcontrib>Tonascia, James</creatorcontrib><creatorcontrib>Hamilton, Frank</creatorcontrib><creatorcontrib>NIDDK Gastroparesis Clinical Research Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parkman, Henry P</au><au>Yates, Katherine P</au><au>Hasler, William L</au><au>Nguyan, Linda</au><au>Pasricha, Pankaj J</au><au>Snape, William J</au><au>Farrugia, Gianrico</au><au>Calles, Jorge</au><au>Koch, Kenneth L</au><au>Abell, Thomas L</au><au>McCallum, Richard W</au><au>Petito, Dorothy</au><au>Parrish, Carol Rees</au><au>Duffy, Frank</au><au>Lee, Linda</au><au>Unalp–Arida, Aynur</au><au>Tonascia, James</au><au>Hamilton, Frank</au><aucorp>NIDDK Gastroparesis Clinical Research Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis</atitle><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle><addtitle>Gastroenterology</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>141</volume><issue>2</issue><spage>486</spage><epage>498.e7</epage><pages>486-498.e7</pages><issn>0016-5085</issn><eissn>1528-0012</eissn><abstract>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 <60% of estimated TER. Only 5 patients (2%) followed a diet suggested for patients with gastroparesis. Deficiencies were present in several vitamins and minerals; patients with idiopathic disorders were more likely to have diets with estimated deficiencies in vitamins A, B6 , C, K, iron, potassium, and zinc than diabetic patients. Only one-third of patients were taking multivitamin supplements. More severe symptoms (bloating and constipation) were characteristic of patients who reported an energy-deficient diet. Overall, 32% of patients had nutritional consultation after the onset of gastroparesis; consultation was more likely among patients with longer duration of symptoms and more hospitalizations and patients with diabetes. Multivariable logistic regression analysis indicated that nutritional consultation increased the chances that daily TER were met (odds ratio, 1.51; P = .08). Conclusions Many patients with gastroparesis have diets deficient in calories, vitamins, and minerals. Nutritional consultation is obtained infrequently but is suggested for dietary therapy and to address nutritional deficiencies.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21684286</pmid><doi>10.1053/j.gastro.2011.04.045</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Alma/SFX Local Collection |
| subjects | 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 |
| title | Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis |
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