Nutrition in adult patients with inflammatory bowel disease.

Abstract:

:Seventy five percent of hospitalized patients with Crohn's disease suffer from malnutrition. One third of Crohn's disease patients have a body mass index below 20. Sixty percent of Crohn's disease patients have sarcopenia. However some inflammatory bowel disease (IBD) patients are obese or suffer from sarcopenic-obesity. IBD patients have many vitamin and nutrient deficiencies, which can lead to important consequences such as hyperhomocysteinemia, which is associated with a higher risk of thromboembolic disease. Nutritional deficiencies in IBD patients are the result of insufficient intake, malabsorption and protein-losing enteropathy as well as metabolic disturbances directly induced by the chronic disease and its treatments, in particular corticosteroids. Screening for nutritional deficiencies in chronic disease patients is warranted. Managing the deficiencies involves simple nutritional guidelines, vitamin supplements, and nutritional support in the worst cases.

journal_name

Curr Drug Targets

journal_title

Current drug targets

authors

Hebuterne X,Filippi J,Schneider SM

doi

10.2174/1389450115666140930150047

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

1030-8

issue

11

eissn

1389-4501

issn

1873-5592

pii

CDT-EPUB-62595

journal_volume

15

pub_type

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