Enteral Nutrition in Patients with Inflammatory Bowel Disease. Systematic Review, Meta-Analysis, and Meta-Regression
by
Jose M. Comeche 1
, Pablo Caballero 1,*, Ana Gutierrez-Hervas 2, Sofia García-Sanjuan 2, Iris Comino 1, Cesare Altavilla 1 and Jose Tuells 1
Jose M. Comeche 1, Pablo Caballero 1,*, Ana Gutierrez-Hervas 2, Sofia García-Sanjuan 2, Iris Comino 1, Cesare Altavilla 1 and Jose Tuells 1
1
Department of Community Nursing, Preventive Medicine and Public Health and History of Science (SPAIN), University of Alicante, San Vicente del Raspeig, 03690 Alicante, Spain
2
Department of Nursing (SPAIN), University of Alicante, San Vicente del Raspeig, 03690 Alicante, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(11), 2657; https://doi.org/10.3390/nu11112657
Received: 30 August 2019 / Revised: 23 October 2019 / Accepted: 25 October 2019 / Published: 4 November 2019
(This article belongs to the Special Issue Update of Enteral Nutrition)
Inflammatory bowel disease (IBD) is a chronic disease mediated by the immune system and is characterized by inflammation of the gastrointestinal tract. One of the possible treatments for this pathology is a change in the type of diet, of which enteral nutrition (EN) is one. This study is to understand how the use of EN can affect the adult population diagnosed with IBD. We conducted a systematic review, meta-analysis, and a meta-regression. On the different databases (MEDLINE, Scopus, Cochrane, LILACS, CINAHL, WOS), we found 363 registers with an accuracy of 12% (44 registers). After a full-text review, only 30 research studies were selected for qualitative synthesis and 11 for meta-analysis and meta-regression. The variables used were Crohn’s disease activity index (CDAI), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR). EN has been shown to have efficacy for the treatment of Crohn’s disease and is compatible with other medicines. As for the CDAI or rates of remission, there were no differences between enteral and parenteral nutrition. Polymeric formulas have shown better results with respect to the CRP. The long-term treatment could dilute the good CDAI results that are obtained at the start of the EN treatment.
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Keywords:
inflammatory bowel diseases; enteral nutrition; systematic review; meta-analysis; Crohn’s disease
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MDPI and ACS Style
Comeche, J.M.; Caballero, P.; Gutierrez-Hervas, A.; García-Sanjuan, S.; Comino, I.; Altavilla, C.; Tuells, J. Enteral Nutrition in Patients with Inflammatory Bowel Disease. Systematic Review, Meta-Analysis, and Meta-Regression. Nutrients 2019, 11, 2657.
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