Mourad Najwa F, Hashash Jana G, Kariyawasam Viraj C, Mourad Fadi H
Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon.
Inflammatory Bowel Disease Center, Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA.
Expert Rev Gastroenterol Hepatol. 2025 Jun;19(6):671-683. doi: 10.1080/17474124.2025.2508970. Epub 2025 May 20.
Inflammatory bowel diseases (IBD) management extends beyond pharmacotherapy, incorporating psychosocial support, patient education, physical activity, and dietary strategies. These components are often overlooked despite their impact on quality of life (QoL) and treatment adherence. This review explores the role of non-pharmacological strategies in optimizing IBD care.
This article examines the significance of patient-physician communication, disease-specific education, mental health support, exercise, and diet in IBD management. A strong patient-physician relationship fosters trust and adherence to treatment. Knowledge empowers patients, improving long-term control. Psychosocial challenges, including anxiety, depression, and fatigue, further complicate disease management, highlighting the need for timely interventions. Physical activity and dietary interventions play essential roles in reducing sarcopenia and malnutrition, though standardized guidelines are lacking. Literature was reviewed to assess their effectiveness and clinical integration.
Holistic, multidisciplinary care should be standard in IBD management. Education, mental health screening, and structured diet and exercise plans must be integrated into routine care. Medical training should emphasize communication skills and patient-centered strategies. Future research should establish evidence-based guidelines for implementing these approaches effectively, ensuring improved long-term outcomes for IBD patients.
炎症性肠病（IBD）的管理不仅限于药物治疗，还包括心理社会支持、患者教育、体育活动和饮食策略。尽管这些组成部分对生活质量（QoL）和治疗依从性有影响，但往往被忽视。本综述探讨了非药物策略在优化IBD护理中的作用。
本文探讨了医患沟通、疾病特异性教育、心理健康支持、运动和饮食在IBD管理中的重要性。良好的医患关系可促进信任和治疗依从性。知识赋予患者力量，有助于改善长期控制。包括焦虑、抑郁和疲劳在内的心理社会挑战使疾病管理更加复杂，凸显了及时干预的必要性。体育活动和饮食干预在减少肌肉减少症和营养不良方面发挥着重要作用，尽管缺乏标准化指南。本文回顾了相关文献以评估其有效性和临床整合情况。
全面的多学科护理应成为IBD管理的标准。教育、心理健康筛查以及结构化的饮食和运动计划必须纳入常规护理。医学培训应强调沟通技巧和以患者为中心的策略。未来的研究应制定基于证据的指南，以有效实施这些方法，确保改善IBD患者的长期预后。
