Research Article

The Clinical Features of Inflammatory Bowel Disease in Patients with Obesity

Table 1

Demographic and clinical characteristics of patients with obesity and matched controls: Crohn’s disease.

Crohn’s disease (BMI > 30)Crohn’s disease (BMI < 30)-value

No. of patients1664
Median BMI at diagnosis (range)31.8 (30.1–41.5)19.1 (14.5–29.3)
Male (%)11 (68.8)44 (68.8)1.000
Median age at diagnosis (range), year21.3 (17.9–34.8)21.2 (17.9–35.9)0.957
Median interval from onset to diagnosis (range), months9.4 (0.0–117.7)9.5 (0.1–108.2)0.995
Mean follow-up after diagnosis of IBD (months)102.1 ± 58.491.0 ± 48.60.435
Smoking status at diagnosis (%)0.517
 Current smokers5 (31.3)20 (31.3)
 Ex-smokers1 (6.3)1 (1.6)
 Never-smokers10 (62.5)43 (67.2)
Disease location at diagnosis (Montreal classification)0.712
 L1 (terminal ileum)5 (31.3)14 (21.9)
 L2 (colon)1 (6.3)4 (6.3)
 L3 (ileocolon)10 (62.5)46 (71.9)
 L4 (upper GI modifier)4 (25.0)16 (25.0)1.000
Disease location, final (Montreal classification)1.000
 L1 (terminal ileum)4 (25.0)14 (21.9)
 L2 (colon)0 (0.0)3 (4.7)
 L3 (ileocolon)12 (75.0)47 (73.4)
 L4 (upper GI modifier)4 (25.0)18 (28.1)1.000
Perianal fistula0.592
 At diagnosis8 (50.0)24 (37.5)
 Occurrence during follow-up1 (6.3)8 (12.5)
 Never7 (43.8)32 (50.0)
Disease behavior at diagnosis (Montreal classification)1.000
 B1 (nonstricturing and nonpenetrating)13 (81.3)48 (75.0)
 B2 (stricturing)1 (6.25)5 (7.8)
 B3 (penetrating)2 (12.5)11 (17.2)
Disease behavior, final (Montreal classification)0.717
 B1 (nonstricturing and nonpenetrating)9 (56.3)41 (64.1)
 B2 (stricturing)2 (12.5)10 (15.6)
 B3 (penetrating)5 (31.3)13 (20.3)
Medication history
 Steroids7 (43.8)37 (57.8)0.334
 Immunomodulators16 (100.0)57 (89.1)0.312
 Anti-tumor necrosis factor therapy8 (50.0)21 (32.8)0.201
Surgical outcomes
 Bowel resection7 (43.8)18 (28.1)0.228

GI, gastrointestinal, IBD, inflammatory bowel disease, UC, ulcerative colitis, and BMI, body mass index.