TY - JOUR
T1 - Deficits in geriatric assessment are important in relation to fatigue in older patients with Inflammatory Bowel Disease
AU - Fons, Anne B.
AU - Asscher, Vera E. R.
AU - Stuyt, Rogier J. L.
AU - Baven-Pronk, A. Martine C.
AU - van der Marel, Sander
AU - Jacobs, Rutger J.
AU - Mooijaart, Simon P.
AU - Eikelenboom, Piet
AU - van der Meulen-de Jong, Andrea E.
AU - Kalisvaart, Kees J.
AU - Jeroen Maljaars, P. W.
N1 - Publisher Copyright: © 2024 The Authors
PY - 2024
Y1 - 2024
N2 - Background: No previous study has investigated fatigue in older patients with Inflammatory Bowel Disease (IBD). Aims: To describe the prevalence of fatigue in older patients and compare it to the prevalence in younger patients with IBD, and to determine factors associated with fatigue. Methods: A prospective, multicenter cohort study, including older- (≥ 65 years) and younger patients with IBD (18–64 years). A geriatric assessment was performed in older patients to measure deficits in geriatric assessment (DiG). Fatigue was defined by one item from the short Inflammatory Bowel Disease Questionnaire. Active disease was defined as the presence of clinical or biochemical disease activity. Results: Fatigue prevalence in the 405 older patients varied between 45.4% (71/155) in active disease to 23.6% (60/250) in remission. Fatigue prevalence in 155 younger patients was 59.5% (47/79) and 57.4% (89/155), respectively. Female sex, clinical disease activity, use of immunomodulators and presence of DiG were associated with fatigue in older patients with IBD. Conclusions: Fatigue prevalence is lower in older patients with IBD compared to younger patients with IBD, but increases when active disease is present. Clinicians should be aware that fatigue is a relevant symptom in older patients with IBD, as it is associated with DiG.
AB - Background: No previous study has investigated fatigue in older patients with Inflammatory Bowel Disease (IBD). Aims: To describe the prevalence of fatigue in older patients and compare it to the prevalence in younger patients with IBD, and to determine factors associated with fatigue. Methods: A prospective, multicenter cohort study, including older- (≥ 65 years) and younger patients with IBD (18–64 years). A geriatric assessment was performed in older patients to measure deficits in geriatric assessment (DiG). Fatigue was defined by one item from the short Inflammatory Bowel Disease Questionnaire. Active disease was defined as the presence of clinical or biochemical disease activity. Results: Fatigue prevalence in the 405 older patients varied between 45.4% (71/155) in active disease to 23.6% (60/250) in remission. Fatigue prevalence in 155 younger patients was 59.5% (47/79) and 57.4% (89/155), respectively. Female sex, clinical disease activity, use of immunomodulators and presence of DiG were associated with fatigue in older patients with IBD. Conclusions: Fatigue prevalence is lower in older patients with IBD compared to younger patients with IBD, but increases when active disease is present. Clinicians should be aware that fatigue is a relevant symptom in older patients with IBD, as it is associated with DiG.
KW - Crohn's disease
KW - Elderly
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=85185592851&partnerID=8YFLogxK
U2 - 10.1016/j.dld.2024.01.196
DO - 10.1016/j.dld.2024.01.196
M3 - Article
C2 - 38369409
SN - 1590-8658
JO - Digestive and liver disease
JF - Digestive and liver disease
ER -