Challenges with optimizing nutrition in cystic fibrosis.

Abstract:

:Introduction. Optimizing nutrition remains the cornerstone of therapy for patients with cystic fibrosis (CF) since it is associated with better pulmonary function and survival. However, a significant proportion of patients still fail to achieve normal growth and nutritional status. Areas covered. This review describes the current challenges in providing effective nutritional therapy in CF with a focus on the current issues related to energy imbalance, dietary composition, adherence to nutritional recommendations, pancreatic enzyme replacement therapy, and the effects of modulators of the CF transmembrane conductance regulator. Expert opinion. CF is a multisystemic disease that requires a personalized nutritional approach with accurate evaluation of energy balance. There is an urgent need for evidence-based recommendations on the dietary composition, in consideration of the increasing prevalence of overweight, diabetes and the potential effects of fatty acids on inflammation and immune response. More research into new pancreatic enzyme formulations is also required.

journal_name

Expert Rev Respir Med

authors

Colombo C,Nobili RM,Alicandro G

doi

10.1080/17476348.2019.1614917

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

533-544

issue

6

eissn

1747-6348

issn

1747-6356

journal_volume

13

pub_type

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