Nutritional Management in IBD: From Malnutrition Diagnosis to Targeted Therapy

Dear Colleagues,

Introduction: Protein–energy malnutrition affects approximately 75% of patients with active Inflammatory Bowel Disease (IBD), particularly those with Crohn's disease. Unfortunately, nutritional improvement is often overlooked as a therapeutic objective in IBD management. Furthermore, clinical practice presents diverse IBD patient populations, including the following: a) well-nourished patients with quiescent disease; b) well-nourished patients with mild-to-moderate disease; c) well-nourished patients with severe diarrhea and high intestinal losses; d) well-nourished patients with intestinal strictures and symptoms of intestinal obstruction; and e) malnourished patients or those at risk of malnutrition. Each of these populations requires tailored dietary management.

Aims: The purpose of this Special Issue is to emphasize the following points: i) at the time of IBD diagnosis, patients should undergo immediate nutritional screening using GLIM criteria as specific monitoring parameters; ii) personalized nutritional therapy must be included among the therapeutic objectives of a treat-to-target approach for all IBD patient types.

Scope: STRIDE II should be updated to incorporate nutritional optimization as an essential target.
Key Topics of Interest: Topics of interest include nutritional evaluation, the diagnosis of malnutrition, nutritional treatment, dietary advice, oral supplementation, and artificial nutrition.

Dr. Francesco William Guglielmi
Guest Editor

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