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Nutritional Aspects in Inflammatory Bowel Diseases
Paola Balestrieri1, Mentore Ribolsi1, Michele Pier Luca Guarino1
1Unit of Gastroenterology, Campus Bio-Medico University, 00128 Rome, Italy.
Nutrients
|February 7, 2020
Summary
Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, often leads to malnutrition due to various factors. Early nutritional assessment is crucial for improving patient outcomes and quality of life.
Area of Science:
- Gastroenterology
- Nutrition Science
- Internal Medicine
Background:
- Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory bowel diseases (IBD) typically diagnosed in young adults.
- Malnutrition is prevalent in IBD patients, affecting 20-85% of individuals.
- Factors contributing to malnutrition include reduced food intake, malabsorption, nutrient loss, and bacterial overgrowth.
Purpose of the Study:
- To highlight the significant prevalence of malnutrition in IBD.
- To emphasize the link between poor nutritional status and adverse clinical outcomes.
- To underscore the importance of comprehensive nutritional assessment in IBD management.
Main Methods:
- Review of factors contributing to malnutrition in IBD.
- Discussion of the impact of malnutrition on clinical outcomes and quality of life.
- Outline of essential components for nutritional assessment in IBD patients.
Main Results:
- Malnutrition is a common complication in Crohn's disease and ulcerative colitis.
- Poor nutritional status, sarcopenia, and selective malnutrition correlate with worse clinical outcomes and treatment response.
- Nutritional assessment is vital for managing IBD patients.
Conclusions:
- Comprehensive nutritional assessment, including dietary intake, energy expenditure, radiological evaluation, and functional capacity, is essential for managing IBD.
- Addressing malnutrition can improve therapeutic response and quality of life for IBD patients.
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