The State of Weight in Cystic Fibrosis: Understanding Nutritional Status and Individualizing Nutritional Care in the
Sapna Khemka1, Stacie Hunter2, Jessica Jones2
1Division of Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH 43205, USA.
Abstract:
There is a well-established association between cystic fibrosis (CF) and malnutrition. Several comorbid conditions have also been associated with undernutrition in people with cystic fibrosis (PwCF). Highly effective modulator therapy has allowed for a paradigm shift altering disease progression and management. Modulator use has even been associated with acceleration of weight trajectory causing overnutrition, which can lead to cardiovascular and metabolic comorbid conditions. This review explores how nutritional status is evolving in the era of cystic fibrosis transmembrane conductance regulator (CFTR) modulators in people with CF, specifically in children. By synthesizing current research, we aim to support pediatric healthcare providers and nutritionists in delivering tailored, proactive nutritional care in this new therapeutic landscape.
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