Incorporating Nutrition-Based Strategies into IBD Treatment
- PMID: 36264426
- DOI: 10.1007/s11894-022-00851-8
Incorporating Nutrition-Based Strategies into IBD Treatment
Abstract
Purpose of review: Diet and nutrition have emerged as key factors in the development and course of inflammatory bowel disease (IBD), including the approach to therapy. We present an overview of evidence-based recommendations and recent research in dietary therapy and nutrition management for patients with IBD.
Recent findings: Patients with IBD should undergo a comprehensive nutrition assessment with the assistance of a registered dietitian (RD), including screening for micronutrient deficiencies. Multiple specialized whole foods and liquid formula diets have been evaluated as part of induction and maintenance therapy for IBD. Nutritional status should ideally be optimized in the perioperative setting as well. Nutritional issues are prevalent among IBD patients and should be addressed by a multidisciplinary team, tailored to each patient's disease type, severity and course, including response to medical therapy and need for surgical management, as well as relevant psychosocial considerations.
Keywords: Crohn’s disease; Diet; Inflammatory bowel disease; Nutrition; Treatment; Ulcerative colitis.
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
References
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
-
- Chang J. Pathophysiology of inflammatory bowel diseases. N Engl J Med. 2020;383(27):2652–64. https://doi.org/10.1056/NEJMra2002697 . - DOI
-
- Lewis JD, Abreu M. Diet as a trigger or therapy for inflammatory bowel diseases. Gastroenterology. 2017;152(2):398-414.e6. https://doi.org/10.1053/j.gastro.2016.10.019 . - DOI
-
- Who.int. 2022. Fact sheets - Malnutrition. [online] Available at: https://www.who.int/news-room/fact-sheets/detail/malnutrition . Accessed 19 Sept 2022.
-
- •• Fitzpatrick JA, Melton S, Yao C, et al. Dietary management of adults with IBD — the emerging role of dietary therapy. Nat Rev Gastroenterol Hepatol 2022:1–18. https://doi.org/10.1038/s41575-022-00619-5 . Recent comprehensive review of approach to nutritional assessment and management in IBD patients.
-
- Singh S, Dulai PS, Zarrinpar A, et al. Obesity in IBD: epidemiology, pathogenesis, disease course and treatment outcomes. Nat Rev Gastroenterol Hepatol 2017:14(2):110–21. https://doi.org/10.1038/nrgastro.2016.181 .
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