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Inflammatory bowel disease in the aging population.
Adam S Faye1, Bharati Kochar2,3,4, David Choi5
1Inflammatory Bowel Disease Center, Division of Gastroenterology, Department of Medicine, NYU Langone Health, New York, NY 10016, United States.
Inflammatory Bowel Diseases
|July 8, 2026
Summary
This review offers strategies for managing inflammatory bowel disease (IBD) in older adults by optimizing care for those over 60 and promoting healthy aging in those 40-60. It emphasizes medication management, screening, and vaccinations to improve quality of life.
Area of Science:
- Gastroenterology and Geriatrics
- Inflammatory Bowel Disease Management
Background:
- Rising inflammatory bowel disease (IBD) prevalence in older adults presents management challenges.
- Age-related comorbidities, polypharmacy, and frailty complicate IBD care.
Purpose of the Study:
- To propose a dual management approach for IBD patients aged >60 and 40-60.
- To optimize care and promote healthy aging in IBD patients.
Main Methods:
- Narrative review of current IBD management strategies for aging populations.
- Emphasis on corticosteroid-sparing medications, medication reconciliation, and functional assessments.
- Recommendations for screening, nutritional counseling, and vaccination schedules.
Main Results:
- Optimized care for older IBD patients involves effective anti-inflammatory medications, dose adjustments, and medication review.
- Promoting healthy aging in younger IBD patients includes early screening and nutritional support.
- Vaccination adherence is crucial for immunosuppressed IBD patients.
Conclusions:
- A proactive, personalized approach to IBD management is essential for older adults.
- Strategies include tailored medication use, early interventions, and preventive care.
- This approach can significantly enhance the quality of life for aging IBD patients.
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