Malnutrition is an underrecognized complication among patients with inflammatory bowel diseases(IBD)and despite that,it has been reported to affect 16%of patients with IBD(1).Malnutrition is at least 5 times more prev...Malnutrition is an underrecognized complication among patients with inflammatory bowel diseases(IBD)and despite that,it has been reported to affect 16%of patients with IBD(1).Malnutrition is at least 5 times more prevalent among hospitalized patients with IBD compared to patients without IBD(2).Poor outcomes including increased rates of hospitalization,increased surgeries as well as lower response to medical treatment have been associated with malnutrition(2).Patients with Crohn’s disease(CD)and ulcerative colitis(UC)suffer from malnutrition due to reduced oral intake,malabsorption,increased energy and protein requirements and an increase in nutritional losses associated with inflammatory states.Most societies recommend screening for malnutrition at IBD diagnosis and routinely during follow up.However,guidance about diet in IBD is often controversial and represents a challenge for care providers as well as patients.The role of diet has been investigated as a risk factor for IBD etiopathogenesis,as a potential therapy for active disease and as a supportive measure in the ill malnourished patient.展开更多
文摘Malnutrition is an underrecognized complication among patients with inflammatory bowel diseases(IBD)and despite that,it has been reported to affect 16%of patients with IBD(1).Malnutrition is at least 5 times more prevalent among hospitalized patients with IBD compared to patients without IBD(2).Poor outcomes including increased rates of hospitalization,increased surgeries as well as lower response to medical treatment have been associated with malnutrition(2).Patients with Crohn’s disease(CD)and ulcerative colitis(UC)suffer from malnutrition due to reduced oral intake,malabsorption,increased energy and protein requirements and an increase in nutritional losses associated with inflammatory states.Most societies recommend screening for malnutrition at IBD diagnosis and routinely during follow up.However,guidance about diet in IBD is often controversial and represents a challenge for care providers as well as patients.The role of diet has been investigated as a risk factor for IBD etiopathogenesis,as a potential therapy for active disease and as a supportive measure in the ill malnourished patient.
