Miele Erasmo, Shamir Raanan, Aloi Marina, Assa Amit, Braegger Christian, Bronsky Jiri, de Ridder Lissy, Escher Johanna C, Hojsak Iva, Kolaček Sanja, Koletzko Sibylle, Levine Arie, Lionetti Paolo, Martinelli Massimo, Ruemmele Frank, Russell Richard K, Boneh Rotem Sigall, van Limbergen Johan, Veereman Gigi, Staiano Annamaria
Department of Translational Medical Science, Section of Pediatrics, University of Naples "Federico II," Naples, Italy.
Institute for Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Pediatr Gastroenterol Nutr. 2018 Apr;66(4):687-708. doi: 10.1097/MPG.0000000000001896.
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.
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.
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.
This position paper represents a useful guide to help the clinicians in the management of nutrition issues in children with IBD.
越来越多的证据表明，对于炎症性肠病（IBD）患儿，需要对营养和饮食给予细致关注。我们旨在根据现有证据确定实施饮食或营养管理的步骤，并为参与儿科IBD患者护理的医生和营养师提供一份实用指南。
在向欧洲儿科胃肠病学、肝病学和营养学会波尔图营养委员会、IBD兴趣小组和营养委员会公开征集后，一组20名儿科IBD专家参与了一个包括2次面对面会议的迭代共识过程。工作小组基于对文献的系统回顾，对41个预先定义的问题进行了探讨。
共认可了53项正式建议和47项实践要点，在以下主题上达成了至少80%的共识率：营养评估；宏量营养素需求；微量元素、矿物质和维生素；营养作为儿科IBD的主要治疗方法；益生菌和益生元；特定饮食限制；以及饮食成分与IBD风险。
本立场文件是帮助临床医生管理IBD患儿营养问题的有用指南。
