小児クローン病患者における栄養療法および食事療法の QOLとの関連性について

船山 理恵; 小椋 千沙; 清水 香織; 国崎 玲子; 藤原 武男; 越智 真奈美; 高橋 美惠子; 松岡 朋子; 清水 泰岳; 新井 勝大

doi:10.11244/jspen.31.718

Effect of Elemental Diet and Dietary Restriction on QOL in Children with Crohn's Disease

Rie Funayama, Chisa Ogura, Kaori Shimizu, Reiko Kunisaki, Takeo Fujiwara, Manami Ochi, Mieko Takahashi, Tomoko Matsuoka, Hirotaka Shimizu, Katsuhiro Arai

Author information

Rie Funayama
Division of Gastroenterology Department of Medical Specialties National Center for Child Health and Development
Faculty of Home Economics, Tokyo Kasei University
Chisa Ogura
Division of Gastroenterology Department of Medical Specialties National Center for Child Health and Development
Kaori Shimizu
Department of Nutritional Management, Yokohama city university Medical center
Reiko Kunisaki
Inflammatory Bowel Disease (IBD) Center, Yokohama city university Medical center
Takeo Fujiwara
Department of Social Medicine, National Center for Child Health and Development
Manami Ochi
Department of Social Medicine, National Center for Child Health and Development
Mieko Takahashi
Department of Nutritional Management, National Center for Child Health and Development
Department of Nutritional Management Sagamihara National Hospital
Tomoko Matsuoka
Department of Nutritional Management, Yokohama city university Medical center
Hirotaka Shimizu
Division of Gastroenterology Department of Medical Specialties National Center for Child Health and Development
Katsuhiro Arai
Division of Gastroenterology Department of Medical Specialties National Center for Child Health and Development

Keywords: Pediatric Crohn's Disease, QOL, Elemental diet

JOURNAL FREE ACCESS

2016 Volume 31 Issue 2 Pages 718-724

DOI https://doi.org/10.11244/jspen.31.718

Details

Abstract

Objective: To investigate the effect of elemental diet (ED) and dietary restriction (DR) on QOL in children with Crohn’s disease (CD).
Methods: Twenty-seven children with CD agreed to participate in this study, and answered questionnaire for ED and DR. Their QOL was evaluated using the Inflammatory Bowel Disease Questionnaire (IBDQ). IBDQ score was compared between 2 groups (Group A: daily ED, Group B: occasional or no ED), and regression analysis was conducted to assess the association between ED/DR and IBDQ score.
Results: There were no significant differences in IBDQ score between 2 groups. Only the number of food causing postprandial discomfort was significantly associated with the IBDQ scores. ED was not significantly associated with the IBDQ score. Children in Group A answered the reason of taking daily ED as “doctor’s recommendation”, and “prevention of disease relapse”.
Conclusion: ED in children with CD would not impair their QOL and children taking daily ED seem to understand its role and effectiveness.

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