Quality evaluation and comparative interpretation of nutrition guidelines for adult inflammatory bowel disease from 2013 to 2024
10.3760/cma.j.cn101480-20241021-00117
- VernacularTitle:2013—2024年成人炎症性肠病营养指南共识质量评价及对比解读
- Author:
Yi WANG
1
;
Jiatong LI
1
;
Jie GONG
1
;
Lei SHI
1
Author Information
1. 四川大学华西医院临床营养科，成都 610041
- Publication Type:Journal Article
- Keywords:
Inflammatory bowel disease;
Nutrition;
Diet;
Guideline;
Quality assessment;
AGREEⅡ tool
- From:
Chinese Journal of Inflammatory Bowel Diseases
2025;09(4):310-317
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the quality of domestic and international nutritional guidelines for inflammatory bowel disease (IBD) from 2013 to 2024 and interpret them, with the aim of providing a reference for clinical practice.Methods:Computer searches were conducted in databases, guideline websites, and professional society websites to collect relevant literature on nutritional guidelines for IBD, with the search period ranging from January 2013 to June 2024. After screening the literature and extracting data, two evaluators independently assessed the quality of the included guidelines, and the drfferences in recommendations between domestic and foreign guidelines were compared.Results:A total of nine adult IBD nutritional guidelines were ultimately included, with the ESPEN guidelines scoring the highest. Domestic guidelines had lower quality scores compared to international guidelines, particularly in terms of rigor and independence. All guidelines recommended nutritional screening and assessment; domestic guidelines recommended the NRS-2002 as a nutritional risk screening tool and the patient-generated subjective global assessment (PG-SGA) as a nutritional status assessment tool, while international guidelines did not generally recommend specific tools. The guidelines were relatively consistent in their recommendations for regular monitoring of micronutrients, energy, protein, and other nutrients, and agreed that there is currently no specific diet that can alleviate IBD.Conclusions:There are differences in genetics and eating habits between domestic IBD and foreign IBD. The nutritional management of IBD patients needs comprehensive evaluation and personalized intervention. Nutritional support should be selected according to the specific conditions during the active period, and healthy diet should be followed during the remission period.
