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Precision nutrition in pediatric IBD: A position paper from the ESPGHAN special interest group for basic science and translational research, the IBD Porto group, and allied health professionals

K. Gerasimidis, RK. Russell, F. Giachero, K. Gkikas, B. Tel, A. Assa, J. Bronsky, L. de Ridder, I. Hojsak, A. Jenke, L. Norsa, R. Sigall-Boneh, S. Sila, E. Wine, M. Zilbauer, C. Strisciuglio, M. Gasparetto, ESPGHAN Special Interest Group in Basic...

. 2024 ; 78 (2) : 428-445. [pub] 20231227

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24007232

Grantová podpora
None

Stratified and precision nutrition refers to disease management or prevention of disease onset, based on dietary interventions tailored to a person's characteristics, biology, gut microbiome, and environmental exposures. Such treatment models may lead to more effective management of inflammatory bowel disease (IBD) and reduce risk of disease development. This societal position paper aimed to report advances made in stratified and precision nutritional therapy in IBD. Following a structured literature search, limited to human studies, we identified four relevant themes: (a) nutritional epidemiology for risk prediction of IBD development, (b) food-based dietary interventions in IBD, (c) exclusive enteral nutrition (EEN) for Crohn's disease (CD) management, and (d) pre- and probiotics for IBD management. There is scarce literature upon which we can make recommendations for precision or stratified dietary therapy for IBD, both for risk of disease development and disease management. Certain single-nucleotide polymorphisms related to polyunsaturated fatty acid (PUFA) metabolism may modify the effect dietary PUFA have in increasing the risk of IBD development. Non-colonic CD, mild-to-moderate CD, and high microbiota richness may predict success of EEN and may be used both for prediction of treatment continuation, but also for early cessation in nonresponders. There is currently insufficient evidence to make recommendations for precision or stratified dietary therapy for patients with established IBD. Despite the great interest in stratified and precision nutrition, we currently lack data to support conclusive recommendations. Replication of early findings by independent research groups and within structured clinical interventions is required.

Amsterdam University Medical Centers Amsterdam The Netherlands

Children's Hospital Kassel University of Witten Herdecke Witten Germany

Children's Hospital Zagreb University of Zagreb Medical School Zagreb Croatia

Department of Human Nutrition School of Medicine University of Glasgow Glasgow UK

Department of Paediatric Gastroenterology Addenbrooke's Hospital Cambridge University Hospitals NHS Trust Cambridge UK

Department of Paediatric Gastroenterology Hepatology and Nutrition Royal Hospital for Children and Young People Edinburgh UK

Department of Paediatric Gastroenterology Jenny Lind Children's Hospital Norfolk and Norwich University Hospitals Norwich UK

Department of Paediatrics University Hospital Motol Prague Czech Republic

Department of Pediatrics Division of Pediatric Gastroenterology University of Alberta Edmonton Alberta Canada

Department of Woman Child and General and Specialist Surgery University of Campania Vanvitelli Napoli Italy

Israel Pediatric Gastroenterology and Nutrition Unit The E Wolfson Medical Center Holon Israel

Norwich Medical School Faculty of Medicine and Health Science University of East Anglia Norwich UK

Pediatric Center MTA Center of Excellence Semmelweis University Budapest Hungary

Pediatric Hepatology Gastroenterology and Transplantation ASST Papa Giovanni XXIII Bergamo Italy

Referral Center for Pediatric Gastroenterology and Nutrition Children's Hospital Zagreb Zagreb Croatia

Sophia Children's Hospital Erasmus MC University Rotterdam The Netherlands

The Juliet Keidan Institute of Pediatric Gastroenterology Hepatology and Nutrition Shaare Zedek Medical Center The Hebrew University of Jerusalem Jerusalem Israel

Wellcome MRC Stem Cell Institute University of Cambridge Cambridge UK

Citace poskytuje Crossref.org

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