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Nutrition issues in pediatric Crohn's disease

Nutrition issues in pediatric Crohn's disease
Nutrition issues in pediatric Crohn's disease
Twenty-five percent of inflammatory bowel disease (IBD) diagnoses present in childhood, with Crohn's disease (CD) being the most common type. Many children have poor nutrition status at presentation of the disease, which may worsen during the clinical course, with a significant number of children having impaired linear growth. The cause of this poor nutrition status is complex, and contributing factors include inadequate intake, malabsorption, altered energy demands, and losses through stool, particularly in colitis. The principal aim of medical management is to induce disease remission, with minimal side effects, thereby enabling normal growth and development. This must include active consideration of the nutrition needs of such children and how they may be best met. However, our understanding of the manner in which the disease process affects the energy demands of children with CD or how poor nutrition, in turn, may affect the disease course is limited. This may constrain the efficacy and effectiveness of standard therapeutic approaches to care. This review explores the many factors of relevance in the delivery of nutrition support to children with inflammatory bowel disease, and explores the role of exclusive enteral nutrition as a corticosteroid-sparing strategy to induce remission in children with active Crohn's disease
crohn disease, nutrition, nutritional status, nutritional support, child, disease, nutritional requirements, therapy, development, preschool, review, child nutrition physiology, child development, humans, physiopathology, growth, infant, childhood, physiology
0884-5336
214-222
Wiskin, A.E.
2f0070e1-9a80-4856-8c5f-0c91c3d06260
Wootton, S.A.
bf47ef35-0b33-4edb-a2b0-ceda5c475c0c
Beattie, R.M.
977a2f68-2bcf-4436-87e7-28a39952adda
Wiskin, A.E.
2f0070e1-9a80-4856-8c5f-0c91c3d06260
Wootton, S.A.
bf47ef35-0b33-4edb-a2b0-ceda5c475c0c
Beattie, R.M.
977a2f68-2bcf-4436-87e7-28a39952adda

Wiskin, A.E., Wootton, S.A. and Beattie, R.M. (2007) Nutrition issues in pediatric Crohn's disease. Nutrition in Clinical Practice, 22 (2), 214-222. (doi:10.1177/0115426507022002214). (PMID:17374795)

Record type: Article

Abstract

Twenty-five percent of inflammatory bowel disease (IBD) diagnoses present in childhood, with Crohn's disease (CD) being the most common type. Many children have poor nutrition status at presentation of the disease, which may worsen during the clinical course, with a significant number of children having impaired linear growth. The cause of this poor nutrition status is complex, and contributing factors include inadequate intake, malabsorption, altered energy demands, and losses through stool, particularly in colitis. The principal aim of medical management is to induce disease remission, with minimal side effects, thereby enabling normal growth and development. This must include active consideration of the nutrition needs of such children and how they may be best met. However, our understanding of the manner in which the disease process affects the energy demands of children with CD or how poor nutrition, in turn, may affect the disease course is limited. This may constrain the efficacy and effectiveness of standard therapeutic approaches to care. This review explores the many factors of relevance in the delivery of nutrition support to children with inflammatory bowel disease, and explores the role of exclusive enteral nutrition as a corticosteroid-sparing strategy to induce remission in children with active Crohn's disease

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Published date: 2007
Keywords: crohn disease, nutrition, nutritional status, nutritional support, child, disease, nutritional requirements, therapy, development, preschool, review, child nutrition physiology, child development, humans, physiopathology, growth, infant, childhood, physiology

Identifiers

Local EPrints ID: 61615
URI: http://eprints.soton.ac.uk/id/eprint/61615
ISSN: 0884-5336
PURE UUID: 16c7c3ca-8342-4b2f-b111-904ec0c372f8

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Date deposited: 12 Sep 2008
Last modified: 15 Mar 2024 11:27

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Contributors

Author: A.E. Wiskin
Author: S.A. Wootton
Author: R.M. Beattie

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