Dietary Therapy with the Crohn s Disease Exclusion Diet in children: A Systematic Review
محل انتشار: پانزدهمین کنگره انجمن علمی تغذیه کودکان ایران
سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 539
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شناسه ملی سند علمی:
NHCHAMED15_110
تاریخ نمایه سازی: 26 بهمن 1398
چکیده مقاله:
Introduction: Crohn s disease (CD) is a chronic inflammatory condition that can occur throughout the gastrointestinal tract. The main object of this study was to assess the effect of Crohn s disease exclusion diet (CDED) in children with Crohn s disease. Methods: We studied the existing literature on the effect of exclusive enteral nutrition (EEN), Crohn’s disease exclusion diet (CDED), a whole-food diet combined with partial enteral nutrition (PEN) and microbiome or intestinal permeability. Results: CD patients with serious nutritional deficits (weight loss > 10% in the last 3-6 months, body mass index <18.5 kg/m 2 , or albumin levels <30 g/L) benefit from combination of CDEDplus PEN. Analysis of the current data now recommend that a 12 week interval is useful for changes in the fecal microbiome and also Harvey Bradshaw Index (HBI) and CRP decreased and albumin increased. Conclusion: Dietary therapy including partial enteral nutrition with an exclusion diet appears to lead to high remission rates in early mild to moderate luminal Crohn’s disease in children.
کلیدواژه ها:
نویسندگان
Fatemeh Sheikhhossein
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
Mohammad Reza Amini
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
Sakineh Shab-Bidar
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran