Nutritional Aspects in Inflammatory Bowel Diseases

Nutrients. 2020 Jan 31;12(2):372. doi: 10.3390/nu12020372.

Abstract

Crohn's disease (CD) and ulcerative colitis (UC) are chronic, relapsing, inflammatory disorders of the digestive tract that characteristically develop in adolescence and early adulthood. The reported prevalence of malnutrition in inflammatory bowel disease (IBD) patients ranges between 20% and 85%. Several factors, including reduced oral food intake, malabsorption, chronic blood and proteins loss, and intestinal bacterial overgrowth, contribute to malnutrition in IBD patients. Poor nutritional status, as well as selective malnutrition or sarcopenia, is associated with poor clinical outcomes, response to therapy and, therefore, quality of life. The nutritional assessment should include a dietetic evaluation with the assessment of daily caloric intake and energy expenditure, radiological assessment, and measurement of functional capacity.

Keywords: CD; IBD; UC; enteral nutrition; malabsorption; malnutrition.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Colitis, Ulcerative / complications
  • Colitis, Ulcerative / physiopathology*
  • Crohn Disease / complications
  • Crohn Disease / physiopathology*
  • Diet Surveys
  • Female
  • Humans
  • Male
  • Malnutrition / diagnosis*
  • Malnutrition / etiology
  • Mass Screening / methods*
  • Nutrition Assessment*
  • Nutritional Status
  • Prevalence
  • Young Adult