Inflammatory bowel disease: how does nutritional therapy works?

Detalhes bibliográficos
Autor(a) principal: Vieira de Carvalho, Rita
Data de Publicação: 2020
Outros Autores: Lopes, Ana Isabel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34632/cadernosdesaude.2020.8197
Resumo: Introduction: Inflammatory bowel disease (IBD) is a chronic inflammatory pathology of the gastrointestinal tract caused by a dysregulated immune response against the commensal intestinal microbiome. The goals of therapy are to achieve and maintain disease remission, preventing its progression. Nutritional therapy is associated with changed intestinal microflora, improved mucosal barrier function and direct anti-inflammatory effect. Aim: To understand the functioning and effectiveness of nutritional treatment in the evolution of inflammatory bowel disease. Review of data on nutritional treatment in pediatric age. Materials and Methods: A bibliographic revision of scientific online reviews was conducted, gathering and comparing different sets of data found in the referred sources. Results: Exclusive enteral nutrition is as effective as corticosteroid therapy in inducing remission of active Crohn's disease. In maintaining remission, data are scarce, but nutritional therapy appears to decrease the risk of relapse. Conclusion: Exclusive enteral nutrition is currently the first line to induce remission of active Crohn's disease and shows a reduced risk of relapse in maintaining remission in children with IBD.
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spelling Inflammatory bowel disease: how does nutritional therapy works?Doença inflamatória intestinal: como funciona o tratamento nutricional?Introduction: Inflammatory bowel disease (IBD) is a chronic inflammatory pathology of the gastrointestinal tract caused by a dysregulated immune response against the commensal intestinal microbiome. The goals of therapy are to achieve and maintain disease remission, preventing its progression. Nutritional therapy is associated with changed intestinal microflora, improved mucosal barrier function and direct anti-inflammatory effect. Aim: To understand the functioning and effectiveness of nutritional treatment in the evolution of inflammatory bowel disease. Review of data on nutritional treatment in pediatric age. Materials and Methods: A bibliographic revision of scientific online reviews was conducted, gathering and comparing different sets of data found in the referred sources. Results: Exclusive enteral nutrition is as effective as corticosteroid therapy in inducing remission of active Crohn's disease. In maintaining remission, data are scarce, but nutritional therapy appears to decrease the risk of relapse. Conclusion: Exclusive enteral nutrition is currently the first line to induce remission of active Crohn's disease and shows a reduced risk of relapse in maintaining remission in children with IBD.Introdução: A doença inflamatória intestinal (DII) é uma patologia inflamatória crónica do trato gastrointestinal, causada por uma resposta imune desregulada contra o microbioma intestinal comensal. Os objetivos da terapêutica são alcançar e manter a remissão da doença, prevenindo a sua progressão. A terapia nutricional está associada a alteração da microflora intestinal, aperfeiçoamento da função de barreira mucosa e efeito anti-inflamatório direto. Objetivo: Compreender o funcionamento e eficácia do tratamento nutricional na evolução da doença inflamatória intestinal. Revisão dos dados relativos a tratamento nutricional em idade pediátrica. Materiais e Métodos: Foi realizada uma revisão bibliográfica sobre o tema nas revistas científicas disponíveis online, reunindo e comparando os diferentes dados encontrados nas fontes de consulta. Resultados: Na indução da remissão da doença de Crohn ativa, a nutrição entérica exclusiva é tão efetiva como a corticoterapia. Na manutenção da remissão, os dados são escassos, mas a terapia nutricional parece diminuir o risco de recaídas. Conclusão: A nutrição entérica exclusiva é atualmente primeira linha para indução da remissão da doença de Crohn ativa e evidencia redução do risco de recaídas na manutenção da remissão em crianças com DII.Universidade Católica Portuguesa2020-06-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2020.8197https://doi.org/10.34632/cadernosdesaude.2020.8197Cadernos de Saúde; Vol 12 No 2 (2020); 12-19Cadernos de Saúde; v. 12 n. 2 (2020); 12-192795-43581647-055910.34632/cadernosdesaude.2020.12.2reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/8197https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/8197/9517Direitos de Autor (c) 2020 Rita Vieira de Carvalho, Ana Isabel Lopeshttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVieira de Carvalho, RitaLopes, Ana Isabel2023-10-03T15:47:57Zoai:ojs.revistas.ucp.pt:article/8197Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:09.588032Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Inflammatory bowel disease: how does nutritional therapy works?
Doença inflamatória intestinal: como funciona o tratamento nutricional?
title Inflammatory bowel disease: how does nutritional therapy works?
spellingShingle Inflammatory bowel disease: how does nutritional therapy works?
Vieira de Carvalho, Rita
title_short Inflammatory bowel disease: how does nutritional therapy works?
title_full Inflammatory bowel disease: how does nutritional therapy works?
title_fullStr Inflammatory bowel disease: how does nutritional therapy works?
title_full_unstemmed Inflammatory bowel disease: how does nutritional therapy works?
title_sort Inflammatory bowel disease: how does nutritional therapy works?
author Vieira de Carvalho, Rita
author_facet Vieira de Carvalho, Rita
Lopes, Ana Isabel
author_role author
author2 Lopes, Ana Isabel
author2_role author
dc.contributor.author.fl_str_mv Vieira de Carvalho, Rita
Lopes, Ana Isabel
description Introduction: Inflammatory bowel disease (IBD) is a chronic inflammatory pathology of the gastrointestinal tract caused by a dysregulated immune response against the commensal intestinal microbiome. The goals of therapy are to achieve and maintain disease remission, preventing its progression. Nutritional therapy is associated with changed intestinal microflora, improved mucosal barrier function and direct anti-inflammatory effect. Aim: To understand the functioning and effectiveness of nutritional treatment in the evolution of inflammatory bowel disease. Review of data on nutritional treatment in pediatric age. Materials and Methods: A bibliographic revision of scientific online reviews was conducted, gathering and comparing different sets of data found in the referred sources. Results: Exclusive enteral nutrition is as effective as corticosteroid therapy in inducing remission of active Crohn's disease. In maintaining remission, data are scarce, but nutritional therapy appears to decrease the risk of relapse. Conclusion: Exclusive enteral nutrition is currently the first line to induce remission of active Crohn's disease and shows a reduced risk of relapse in maintaining remission in children with IBD.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-02
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34632/cadernosdesaude.2020.8197
https://doi.org/10.34632/cadernosdesaude.2020.8197
url https://doi.org/10.34632/cadernosdesaude.2020.8197
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/8197
https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/8197/9517
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Rita Vieira de Carvalho, Ana Isabel Lopes
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2020 Rita Vieira de Carvalho, Ana Isabel Lopes
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Católica Portuguesa
publisher.none.fl_str_mv Universidade Católica Portuguesa
dc.source.none.fl_str_mv Cadernos de Saúde; Vol 12 No 2 (2020); 12-19
Cadernos de Saúde; v. 12 n. 2 (2020); 12-19
2795-4358
1647-0559
10.34632/cadernosdesaude.2020.12.2
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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