Abstract
In order to examine the malnutritional condition of outpatients with pancreatitis, a dietary investigation was conducted in Japanese patients with chronic pancreatitis (n=38) and healthy subjects (n=35) of the same age for 3–7 consecutive days, and the characteristics of their food intake were examined. The patients with pancreatitis took in less calories, fat, carbohydrate, and protein than the healthy subjects, by 900 kcal, 20g, 150g, and 20 g, respectively. On the other hand, the fat energy ratio in the patients was 20%, similar to that in the healthy subjects. Also, when the fat intake was classified according to origin, i.e., animal, marine, or plant, the proportions for animal (g) and plant (g) were low, while marine fat accounted for a significantly higher percentage than in the healthy subjects. The intake of cholesterol and Ca in the patients was significantly smaller than that in the healthy subjects, but no significant difference was observed in the intake per body weight of proteins and Ca. It seems, possible that the low calorie, low protein, low fat, and low carbohydrate intake may be factors in the malnutritional condition of the patients with chronic pancreatitis. Analysis of covariance and principal component analysis showed that the body weight of the patients was closely correlated with decreases of caloric intake and intake of carbohydrate. The above results revealed that low body weight in patients with chronic pancreatitis was closely related to the decrease of calorie and carbohydrate intake, in addition to maldigestion and malabosorption of nutrients.
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Pedersen NT, Andersen BN, Pedersen G, et al. Chronic pancreatitis in Copenhagen. A retrospective study of 64 consecutive patients. Scand J Gastroenterol 1982;17:925–931.
Kasugai T, Kuno N, Kizu M, et al. Endoscopic pancreatocholangiography II. The pathological endoscopic pancreatocholagniogram. Gastroenterology 1972;63:227–234.
Sun DCH, Shay H, Pancreozymin-secretin test. The combined study of serum enzymes and duodenal contents in the diagnosis of chronic pancreatitis. Gastroenterology 1960;38:570–581.
Imamura K, Nakamura T, Miyazawa T, et al. Oral administration of chymotrypsin labile peptide for a new test of exocrine pancreatic function (PFT) in comparison with pancreozyminsecretin test. Am J Gastroenterol 1978;69:572–578.
Bartholomew LG, Comfort MW. Chronic pancreatitis without pain. Gastroenterology 1956;31:727–745.
Sarles H. An international survey on nutrition and pancreatitis. Digestion 1973;9:389–403.
Durbec JP, Sarles H. Multicenter survey of the etiology of pancreatic diseases. Relationship between the relative risk of developing chronic pancreatitis and alcohol, protein, and lipid consumption. Digestion 1978;18:337–350.
von H Goebell JH, Holz J, Hoffmeister H. Hypercaloric nutrition as etiological factor in chronic pancreatitis. Z Gastroenternol 1980;18:94–97.
Gastard J, Joubaud F, Farbos T, et al. Etiology and course of primary chronic pancreatitis in western France. Digestion 1973;9:416–428.
Schacky CV. Prophylaxis of atherosclerosis with marine omega-3 fatty acids. Ann Intern Med 1987;107:890–899.
Nakamura T, Kudoh K, Takebe K. Evaluation of the nutritional state in maldigestive patients with chronic pancreatitis. Dig Absorp 1991;14(1):20–23.
Ofusa H. Clinical study on derangement of calcium and bone mineral metabolism in chronic pancreatitis patients with pancreatic diabetes. J Jpn Pancr Soc 1989;4:518–529.
Roberts IM. Enzyme therapy for malabsorption in exocrine pancreatic insufficiency. Pancreas 1973;4:496–503.
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Nakamura, T., Arai, Y., Terada, A. et al. Dietary analysis of Japanese patients with chronic pancreatitis in stable conditions. J Gastroenterol 29, 756–762 (1994). https://doi.org/10.1007/BF02349283
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DOI: https://doi.org/10.1007/BF02349283