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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...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
Grantová podpora
None
PubMed
38374554
DOI
10.1002/jpn3.12096
Knihovny.cz E-zdroje
- MeSH
- Crohnova nemoc * terapie MeSH
- dítě MeSH
- idiopatické střevní záněty * terapie MeSH
- indukce remise MeSH
- lidé MeSH
- pomocný zdravotnický personál MeSH
- translační biomedicínský výzkum MeSH
- veřejné mínění MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
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 Paediatrics University Hospital Motol Prague Czech Republic
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
Sophia Children's Hospital Erasmus MC University Rotterdam The Netherlands
Wellcome MRC Stem Cell Institute University of Cambridge Cambridge UK
Citace poskytuje Crossref.org
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