Nutritional impact of inflammatory bowel diseases on children and adolescents

Abstract

There are nutritional consequences of inflammatory bowel diseases in children and adolescents, mainly growth stunting, slower pubertal development, underweight and vitamin deficiencies. Nutritional impairments were more significant in patients with Crohn's disease; overweight and obesity were more common in patients with ulcerative rectocolitis. A detailed nutritional assessment should be performed periodically in children and adolescents with inflammatory bowel disease.

Pediatric Ulcerative Colitis from Prevalence to Outcome

“…In this study, most of our patients received steroids (77.3%) followed by mesalazine (59.1%). This is unlike Virta and Kolho [20] and Ludvigsson, et al [15] studies where most of their patients received aminosalicylates (94% and 81% respectively) more than steroids (72% and 44% respectively). Medical treatment of children with UC should consider both induction and maintenance phases [2,3].…”

“…However, compared to Crohn's disease, UC had shorter interval between onset of symptoms and signs and the diagnosis. It also had less systemic inflammation, therefore less effect on bone, appetite and nutritional status [14,20]. Children with IBD require detailed nutritional assessment on a regular basis [20].…”

“…Bacterial infections should be excluded first in any pediatric patient presented with bloody diarrhea [25]. UC patients should be screened for Latent TB Infection (LTBI), hepatitis B, hepatitis C and HIV viral infections [20].…”

Nutritional characterization, antioxidant activity and bergenin content of the pulp of Endopleura uchi

“…In the region of Belém, in the eastern Brazilian Amazon, yellow uxi is used for its timber, and its oil, fruits, and trunk bark are used in traditional medicines to treat arthritis, cholesterol, and sinusitis (Herrero-Jáuregui et al 2009;Shanley et al 2012). The bark of yellow uxi is rich in bergenin, a 4-O-methyl gallic acid C-glycoside derivate, which shows anti-inflammatory, antifungal, hepatoprotective, and neuroprotective activities (Bastos et al 2020;Muniz et al 2020;Machado et al 2010;Nunomura et al 2009;Pontes et al 2009).…”

Retocolite Ulcerativa Associada À Colangite Esclerosante E Pancreatite Aguda Na Infância

“…O fator de risco a ser ressaltado é o relato de casos semelhantes na família, sobretudo em parentes de primeiro grau 5,6 . A presença de processo inflamatório acarreta elevado gasto energético para o organismo infantil, além de comprometer a absorção de nutrientes 7,8 . Embora representem entidades clínicas distintas, ambas as DII possuem sinais e sintomas intestinais em comum e também estão associadas a um grande número de manifestações em outros órgãos e sistemas, conhecidas como manifestações extraintestinais (MEIs) 9 .…”