Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jan 31;12(2):372.
doi: 10.3390/nu12020372.

Nutritional Aspects in Inflammatory Bowel Diseases

Paola Balestrieri  1 , Mentore Ribolsi  1 , Michele Pier Luca Guarino  1 , Sara Emerenziani  1 , Annamaria Altomare  1 , Michele Cicala  1
Affiliations
Review

Nutritional Aspects in Inflammatory Bowel Diseases

Paola Balestrieri et al. Nutrients. .

Abstract

Crohn's disease (CD) and ulcerative colitis (UC) are chronic, relapsing, inflammatory disorders of the digestive tract that characteristically develop in adolescence and early adulthood. The reported prevalence of malnutrition in inflammatory bowel disease (IBD) patients ranges between 20% and 85%. Several factors, including reduced oral food intake, malabsorption, chronic blood and proteins loss, and intestinal bacterial overgrowth, contribute to malnutrition in IBD patients. Poor nutritional status, as well as selective malnutrition or sarcopenia, is associated with poor clinical outcomes, response to therapy and, therefore, quality of life. The nutritional assessment should include a dietetic evaluation with the assessment of daily caloric intake and energy expenditure, radiological assessment, and measurement of functional capacity.

Keywords: CD; IBD; UC; enteral nutrition; malabsorption; malnutrition.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mechanisms of malnutrition in inflammatory bowel disease (IBD) patients.
See this image and copyright information in PMC

References

    1. Goh J., O’Morain C.A. Review article: Nutrition and adult inflammatory bowel disease. Aliment. Pharmacol. Ther. 2003;17:307–320. doi: 10.1046/j.1365-2036.2003.01482.x. - DOI - PubMed
    1. Clare F., Donnellan L.H., Simon L. Nutritional management of Crohn’s disease. Ther. Adv. Gastroenterol. 2013;6:231–242. - PMC - PubMed
    1. Lanfranchi G.A., Brignola C., Campieri M., Bazzocchi G., Pasquali R., Bassein L., Labo G. Assessment of nutritional status in Crohn’s disease in remission or low activity. Hepatogastroenterology. 1984;31:129–132. - PubMed
    1. Hartman C., Eliakim R., Shamir R. Nutritional status and nutritional therapy in inflammatory bowel diseases. World J. Gastroenterol. 2009;15:2570–2578. doi: 10.3748/wjg.15.2570. - DOI - PMC - PubMed
    1. Hanauer S.B., Stathopoulos G. Risk benefit assessment of drugs used in the treatment of inflammatory bowel disease. Drug Saf. 1991;6:192–219. doi: 10.2165/00002018-199106030-00005. - DOI - PubMed