BACKGROUND AND AIMS: A growing body of evidence supports the need for detailed attention to nutrition and diet in children with inflammatory bowel disease (IBD). We aimed to define the steps in instituting dietary or nutritional management in light of the current evidence and to offer a useful and practical guide to physicians and dieticians involved in the care of pediatric IBD patients. METHODS: A group of 20 experts in pediatric IBD participated in an iterative consensus process including 2 face-to-face meetings, following an open call to Nutrition Committee of the European Society of Pediatric Gastroenterology, Hepatology and Nutrition Porto, IBD Interest, and Nutrition Committee. A list of 41 predefined questions was addressed by working subgroups based on a systematic review of the literature. RESULTS: A total of 53 formal recommendations and 47 practice points were endorsed with a consensus rate of at least 80% on the following topics: nutritional assessment; macronutrients needs; trace elements, minerals, and vitamins; nutrition as a primary therapy of pediatric IBD; probiotics and prebiotics; specific dietary restrictions; and dietary compounds and the risk of IBD. CONCLUSIONS: This position paper represents a useful guide to help the clinicians in the management of nutrition issues in children with IBD.

Department of Gastroenterology Children Hospital Zagreb University of Zagreb School of Medicine Zagreb Croatia

Department of Paediatric Gastroenterology and Nutrition University Hospital Brussels Free University Brussels Brussels Belgium

Department of Paediatric Gastroenterology Erasmus MC Sophia Children's Hospital Rotterdam The Netherlands

Department of Paediatric Gastroenterology The Royal Hospital for Children Glasgow Scotland

Department of Pediatrics Division of Pediatric Gastroenterology and Nutrition IWK Health Centre Dalhousie University Halifax Nova Scotia Canada

Department of Translational Medical Science Section of Pediatrics University of Naples Federico 2 Naples Italy

Division of Gastroenterology and Nutrition University Children's Hospital Zurich Zurich Switzerland

Dr von Hauner Children's Hospital Ludwig Maximilians University Munich Germany

Gastroenterology and Nutrition Unit Department of Paediatrics 2nd Faculty of Medicine Charles University and Motol University Hospital Prague Czech Republic

Institute for Gastroenterology Nutrition and Liver Diseases Schneider Children's Medical Center Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

Meyer Children Hospital University of Florence Florence Italy

Pediatric Gastroenterology and Liver Unit Sapienza University of Rome Rome Italy

Université Sorbonne Paris Cité Université Paris Descartes and Assistance publique hôpitaux de Paris Hôpital Necker Enfants malades Service de gastroentérologie pédiatrique Paris France

Wolfson Medical Center Sackler School of Medicine Tel Aviv Israel

Citace poskytuje Crossref.org

Management of paediatric ulcerative colitis, part 1: Ambulatory care-An updated evidence-based consensus guideline from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition and the European Crohn's and Colitis Organisation

European Consensus on Malabsorption-UEG & SIGE, LGA, SPG, SRGH, CGS, ESPCG, EAGEN, ESPEN, and ESPGHAN: Part 2: Screening, Special Populations, Nutritional Goals, Supportive Care, Primary Care Perspective