Dietary Therapies in Pediatric Crohn's Disease

KAMIŃSKA, Izabela, PAWŁOCIK, Weronika, PAWLAK, Weronika, GRABOWSKA, Ewa, SZYMAŃSKA, Julia, WOJTALA, Laura, RYMARZ, Anna, KOJDER, Dominika, PIEKARSKA, Małgorzata & JEDLINA, Klaudia. Dietary Therapies in Pediatric Crohn’s Disease. Journal of Education, Health and Sport. 2023;21(1):47-53. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.21.01.005

https://apcz.umk.pl/JEHS/article/view/43308

https://zenodo.org/record/7847252

 

 

 

 

 

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2023;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 27.03.2023. Revised: 27.03.2023. Accepted: 19.04.2023. Published: 19.04.2023.

 

 

 

 

 

Dietary Therapies in Pediatric Crohn’s Disease

 

Izabela Kamińska, Szpital Czerniakowski sp.z o. o., ul. Stępińska 19/25, 00-739 Warszawa ORCID:0000-0002-5766-2262

https://orcid.org/0000-0002-5766-2262

E-mail: izakam303@gmail.com

 

Weronika  Pawłocik, Wojewódzki Szpital Zespolony w Lesznie, ul. Jana Kiepury 45, 64-115 Leszno

ORCID:0000-0001-7439-0820

https://orcid.org/0000-0001-7439-0820

E-mail: weronika.pawlocik96@gmail.com

 

Weronika Pawlak, Samodzielny Publiczny Zakład Opieki Zdrowotnej Ministerstwa Spraw Wewnętrznych i Administracji w Poznaniu im. prof. Ludwika Bierkowskiego, ul. Dojazd 34, 60-631 Poznań

ORCID:0000-0002-6016-1119

https://orcid.org/0000-0002-6016-1119

E-mail: weronika.pawlak@interia.eu

 

Ewa Grabowska, Nowodworskie Centrum Medyczne, ul. Miodowa 2, 05-100 Nowy Dwór Mazowiecki ORCID:0000-0003-1426-5205

https://orcid.org/0000-0003-1426-5205

E-mail: ewamich343@gmail.com

 

Julia Szymańska, Szpital Miejski im. Franciszka Raszei, ul.Mickiewicza 2, 60-834 Poznań ORCID:0000-0001-6113-5046

https://orcid.org/0000-0001-6113-5046

E-mail: julmagszy@gmail.com

 

Laura Wojtala, Uniwersytecki Szpital Kliniczny w Poznaniu, ul.Przybyszewskiego 49, 60-355 Poznań ORCID:0000-0002-5715-2334

https://orcid.org/0000-0002-5715-2334

E-mail: lauramwojtala@gmail.com

 

Anna Rymarz, Szpital MSWiA w Lublinie, ul.Grenadierów 3, 20-331 Lublin

ORCID:0000-0003-3387-1569

https://orcid.org/0000-0003-3387-1569

E-mail:ania_rymarz@onet.pl

 

Klaudia Jedlina, Centralny Szpital Kliniczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warszawa

ORCID:0000-0002-2363-2620

https://orcid.org/0000-0002-2363-2620

E-mail: klaudiajedlina@gmail.com

 

Małgorzata Piekarska, Wojewódzki Szpital Specjalistyczny im.Stefana Kardynała Wyszyńskiego SPZOZ w Lublinie, al. Kraśnicka 100, 20-718 Lublin

ORCID: 0000-0001-5055-4923

https://orcid.org/0000-0001-5055-4923

E-mail: piekarska13@gmail.com

 

Dominika Kojder, Samodzielny Publiczny Zakład Opieki Zdrowotnej w Przeworsku, ul. Szpitalna 16, 37-200 Przeworsk

ORCID: 0000-0002-8915-4959

https://orcid.org/0000-0002-8915-4959

E-mail: dominika.kojder9@gmail.com

 

 

 

 

 

 

Abstract

 

Introduction and Purpose: Crons’ disease is a chronic illness of the digestive system. Its etiology is multifactorial and one of the factors is nutrition. That is why the researchers are trying to labour the valuable types of dietary therapy, which could be used in treatment of pediatric CD. The purpose of our review is to point out the impact of dietary therapy on achieving remission in pediatric Crohn’s disease.  

 

Materials and methods: We have reviewed the literature from the PubMed database searching for clinical trials, meta analysis and randomized controlled trials from the past years. The keywords we agreed on offered us the most informative articles and made us hope for the further development of our article.

 

Brief Description Of The State Of Knowledge: Steroid therapy is the principle of CD treatment, but it has a number of side effects that influence the quality of pediatric patients’ life. It has been shown that the use of dietary therapies (EEN, CDED+PEN, SCD) enables the achievement of clinical and biochemical remission, mucosal healing and regulation of dysbiosis. There are many hypotheses explaining this effect, probably the reason of this is the exclusion from the diet of food products that provoke inflammatory processes.

 

Summary: Despite its effectiveness, dietary therapies require motivation and full commitment from patients in order to achieve results. That is why it is so important to conduct further research in this area so that the selected therapy is as acceptable and tolerated by the patient as possible. In addition, education of children and parents, psychological and dietary support are also crucial in the treatment process.

 

Key words:  crohn’s disease; dietary therapy; pediatrics; exclusion diets; nutritional treatment