An update on dietary therapies in paediatric Crohn's disease.
Curr Opin Clin Nutr Metab Care
; 27(3): 304-312, 2024 05 01.
Article
em En
| MEDLINE
| ID: mdl-38456807
ABSTRACT
PURPOSE OF REVIEW This article provides a literature update on original articles published in the past 18âmonths (May 2022-November 2023) in the dietary management of paediatric Crohn's disease. RECENT FINDINGS:
There is more data to support the use of exclusive enteral nutrition in the management of active Crohn's disease in children. Several food-based dietary therapies have been proposed for the management of Crohn's disease. There is an interest in precision nutritional therapy in Crohn's disease, but current data are scarce.SUMMARY:
Exclusive enteral nutrition is an effective treatment for paediatric Crohn's disease. Predictors of response to exclusive enteral nutrition include mild disease phenotype and ileal disease involvement, although data remain inconclusive. Adherence to exclusive enteral nutrition is cornerstone to its efficacy. Treatment with exclusive enteral nutrition modifies the gut microbiome, modulates bile acid metabolism and has significant effects on host immune responses. More studies are expected in which drugs need to be combined with dietary therapies and microbial therapeutics. The efficacy of Crohn's disease exclusion diet coupled with partial enteral nutrition is supported by independent studies, but tolerance remains an issue, particularly for long-term disease management. More research is anticipated in precision nutritional therapy in paediatric Crohn's disease, but currently no recommendations can be made.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Crohn
Limite:
Child
/
Humans
Idioma:
En
Revista:
Curr Opin Clin Nutr Metab Care
Ano de publicação:
2024
Tipo de documento:
Article