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. 2023 Aug;51(8):3000605231184046.
doi: 10.1177/03000605231184046.

Association with controlling nutritional status score and disease activity of ulcerative colitis

Ziyu Lian  1 , Jingyi Hu  1 , Cheng Cheng  1 , Yajun Liu  1 , Lei Zhu  1 , Hong Shen  1
Affiliations

Association with controlling nutritional status score and disease activity of ulcerative colitis

Ziyu Lian et al. J Int Med Res. 2023 Aug.

Abstract

Objective: To explore the association between the controlling nutritional status (CONUT) score and disease activity in patients with ulcerative colitis (UC).

Methods: This retrospective study enrolled patients with UC. Demographic, clinical and laboratory data were collected and compared. The CONUT score was obtained for each patient. The association between the CONUT score and laboratory parameters was analysed and the ability of the score to assess disease activity was evaluated.

Results: A total of 182 patients with UC were enrolled. Patients with active disease showed significantly increased inflammatory biomarkers and decreased nutritional biomarkers compared with patients in remission. Malnourished individuals had significantly elevated inflammatory biomarkers and significantly reduced haemoglobin, prealbumin and retinol-binding protein. The CONUT score was inversely correlated with haemoglobin, prealbumin, retinol-binding protein and was positively correlated with faecal calprotectin, C-reactive protein, erythrocyte sedimentation rate, neutrophil/lymphocyte ratio and platelet/lymphocyte ratio. The area under the receiver operating characteristic curve was 0.655 (95% confidence interval, 0.557-0.752). The optimal cut-off value was 1.5 points, with a sensitivity of 75.7% and a specificity of 50.0%.

Conclusion: The CONUT score may evaluate the inflammatory response and nutritional status of UC patients, so it could be a potential biomarker to assess disease activity in UC.

Keywords: Ulcerative colitis; controlling nutritional status score; disease activity.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1.
Figure 1.
Laboratory parameters of patients with ulcerative colitis stratified according to the nutritional status determined by the controlling nutritional status (CONUT) score. Student’s t-test was used to compare continuous variables with a normal distribution; and Mann–Whitney U-test was used to compare continuous variables without a normal distribution. FC, faecal calprotectin; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; NLR, neutrophil/lymphocyte ratio; PLR, platelet/lymphocyte ratio; Hb, haemoglobin; PAB, prealbumin; RBP, retinol-binding protein. The colour version of this figure is available at: http://imr.sagepub.com.
Figure 2.
Figure 2.
Spearman's rank correlation analyses of the laboratory parameters and the controlling nutritional status (CONUT) score of patients with ulcerative colitis. FC, faecal calprotectin; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; NLR, neutrophil/lymphocyte ratio; PLR, platelet/lymphocyte ratio; Hb, haemoglobin; PAB, prealbumin; RBP, retinol-binding protein. The colour version of this figure is available at: http://imr.sagepub.com.
Figure 3.
Figure 3.
Receiver operating characteristic curve analysis of the ability of the controlling nutritional status score to assess the disease activity of ulcerative colitis (area under the curve = 0.655, P = 0.003, 95% confidence interval, 0.557–0.752). The colour version of this figure is available at: http://imr.sagepub.com.
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