The Effect of Intravenous Iron Treatment on Quality of Life in Inflammatory Bowel Disease Patients with Nonanemic Iron Deficiency

作者:Cekic Cem*; Ipek Serkan; Aslan Fatih; Akpinar Zehra; Arabul Mahmut; Topal Firdevs; Yuksel Elif Saritas; Alper Emrah; Unsal Belkis
来源:Gastroenterology Research and Practice, 2015, 2015: 582163.
DOI:10.1155/2015/582163

摘要

Background. Iron deficiency is the prevalent complication of inflammatory bowel disease (IBD). Herein, we investigated the effect of intravenous iron treatment on quality of life (QoL) in nonanemic and iron deficient IBD patients. Methods. Eighty-five IBD patients were recruited for this study. The patients were intravenously administered 500mg iron sucrose in the first week of the study. Hematologic parameters and QoL were evaluated before to iron treatment and during the 12th week of treatment. The Inflammatory Bowel Disease Questionnaire (IBDQ) and the Short Form-36 (SF-36) Health Survey were used to assess QoL. Results. Prior to intravenous iron administration, the IBDQ, SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were 152.3 perpendicular to 30.6, 46.7 perpendicular to 7.3, and 45.7 perpendicular to 9.8, respectively. In the 12th week of iron administration, those scores were 162.3 perpendicular to 25.5 (P < 0.001), 49.3 +/- 6.4 (P < 0.001), and 47.6 +/- 8.9 (P = 0.024), respectively, which were all significantly different from the scores prior to iron administration. The mean changes in the IBDQ scores for ulcerative colitis and Crohn's disease were 8.7% and 3.0%(P = 0.029), were 6.4% and 4.7% (P = 0.562) for the SF-36 PCS, and were 4.6% and 3.2% (P = 0.482) for the SF-36 MCS, respectively. Conclusion. Intravenous iron treatment may improve QoL in nonanemic, but iron deficient, IBD patients.

  • 出版日期2015