title: Nutrition in adult patients with inflammatory bowel disease.
abstract: Seventy five percent of hospitalized patients with Crohn's disease suffer from malnutrition. One third of Crohn's disease patients have a body mass index below 20. Sixty percent of Crohn's disease patients have sarcopenia. However some inflammatory bowel disease (IBD) patients are obese or suffer from sarcopenic-obesity. IBD patients have many vitamin and nutrient deficiencies, which can lead to important consequences such as hyperhomocysteinemia, which is associated with a higher risk of thromboembolic disease. Nutritional deficiencies in IBD patients are the result of insufficient intake, malabsorption and protein-losing enteropathy as well as metabolic disturbances directly induced by the chronic disease and its treatments, in particular corticosteroids. Screening for nutritional deficiencies in chronic disease patients is warranted. Managing the deficiencies involves simple nutritional guidelines, vitamin supplements, and nutritional support in the worst cases.
authors.forename: Xavier
authors.initials: X
authors.lastname: Hebuterne
authors.forename: Jerome
authors.initials: J
authors.lastname: Filippi
authors.affiliation: Service de Gastro-entérologie et Nutrition Clinique Hôpital de l'Archet 2, CHU de Nice 06202 Nice cedex 03, France. hebuterne.x@chu-nice.fr.
authors.forename: Stephane M
authors.initials: SM
authors.lastname: Schneider
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000009:adverse effects; D019587:Dietary Supplements; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000628:therapy*; D044342:Malnutrition / Q000209:etiology* / Q000628:therapy
chemical_list: D000893:Anti-Inflammatory Agents