期刊
JOURNAL OF CLINICAL MEDICINE
卷 10, 期 18, 页码 -出版社
MDPI
DOI: 10.3390/jcm10184107
关键词
Crohn's disease; ulcerative colitis; behavior; depression; NOD2; Lipocalin-2
资金
- SPECIAL RESEARCH FUND OF GHENT UNIVERSITY [01D02119]
This study showed a high prevalence of fatigue among IBD patients, with approximately half of patients experiencing fatigue even in remission. Female sex, transferrin saturation, and medication were identified as significant factors associated with physical fatigue.
Background: Although highly prevalent among inflammatory bowel disease (IBD) patients, fatigue remains an unmet clinical need. The aim was to describe the prevalence of fatigue in an IBD population in remission and identify factors associated with fatigue. Methods: IBD patients in clinical and biochemical remission under treatment with immunomodulators or biologicals were included. Fatigue, physical tiredness and depression were assessed using the fatigue Visual Analogue Scale (fVAS), the Shortened Fatigue Questionnaire (SFQ) and the Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR), respectively. Relevant clinical and biochemical parameters were included in regression analyses to identify factors associated with physical fatigue. Results: In total, 157 IBD patients were included. Up to 45.9% of patients reported fatigue, physical tiredness was observed in 51% and depression in 10.8%. The majority of patients with subclinical depression were fatigued. Female sex (OR = 4.17 [1.55-6.78], p = 0.002) was independently associated with physical fatigue. Transferrin saturation (OR = -0.11 [-0.22--0.007], p = 0.037) and treatment with adalimumab (compared to infliximab, OR = -3.65 [-7.21--0.08], p = 0.045) entailed a lower risk of fatigue. Conclusion: Fatigue is observed in about half of IBD patients in remission and can be a symptom of underlying undetected depression. Sex, transferrin saturation and medication were identified as independent risk factors.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据