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Nutritional Care in Patients with Inflammatory Bowel Disease

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Immunology".

Deadline for manuscript submissions: 25 June 2026 | Viewed by 529

Special Issue Editors


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Guest Editor
Department of Health Science, University of Firenze, Azienda Ospedaliero Universitaria Careggi, Largo Brambilla 3, 50139 Florence, Italy
Interests: perioperative nutrition; immunonutrition; gastrointestinal surgery; body composition; malnutrition; sarcopenia; gut microbioma

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Guest Editor
Gastroenterology Research Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, 50134 Florence, Italy
Interests: biologic therapy; anti-TNF; surgery; ileostomy; dietary management; fatigue; quality of life; malnutrition; nutritional deficiencies

Special Issue Information

Dear Colleagues,

Inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), are chronic conditions characterized by persistent inflammation of the gastrointestinal (GI) tract. Nutritional management plays a crucial role in the overall care of these patients and usually involves dietary interventions and nutritional supplementation.

The goals of nutritional intervention in IBD extend beyond symptom control: preventing macro- and micronutrient deficiencies, optimizing body composition, and supporting psychological well-being are equally important. In addition to dietary modulation, nutritional supplementation—including vitamins, minerals, probiotics, prebiotics, and other bioactive compounds—may provide therapeutic benefits by contributing to the prevention of disease flare-ups, enhancing remission maintenance, and reducing postoperative complications.

This Special Issue aims to provide an updated, evidence-based overview of dietary approaches and nutritional supplementation in adult IBD, with a focus on personalized strategies across different clinical scenarios. We invite submissions of original research, clinical trials, and comprehensive reviews (including systematic reviews and meta-analyses) addressing topics such as the following:

  • Dietary patterns and exclusion diets in IBD;
  • Impact of personalized nutrition on disease outcomes and quality of life;
  • Role of micronutrient and macronutrient supplementation;
  • Effects of probiotics, prebiotics, and nutraceuticals;
  • Nutritional strategies in perioperative or postoperative settings.

We look forward to your contributions to advance clinical practice and promote a more integrative approach to IBD care.

Dr. Camilla Fiorindi
Dr. Gabriele Dragoni
Guest Editors

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • probiotics
  • micronutrient deficiency
  • postoperative management
  • dietary intervention
  • nutritional supplementation
  • quality of life
  • malnutrition
  • sarcopenia
  • enteral nutrition
  • preoperative nutrition

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Published Papers (1 paper)

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Research

10 pages, 503 KB  
Article
Nutritional Risk in Patients with IBD: Results from a National Survey
by Camilla Fiorindi, Giulia Cei, Salvatore Leone, Enrica Previtali, Giorgia Burbui, Chiara Celli and Francesco Giudici
Nutrients 2026, 18(8), 1261; https://doi.org/10.3390/nu18081261 - 16 Apr 2026
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Abstract
Background: Malnutrition is a clinically relevant yet often under-recognized complication of inflammatory bowel diseases (IBD). Evidence from non-hospitalized patients remains limited. This study provides a descriptive analysis of indicators of nutritional risk among members of the Italian IBD patients’ association and explores [...] Read more.
Background: Malnutrition is a clinically relevant yet often under-recognized complication of inflammatory bowel diseases (IBD). Evidence from non-hospitalized patients remains limited. This study provides a descriptive analysis of indicators of nutritional risk among members of the Italian IBD patients’ association and explores the association with symptoms, clinical characteristics, and access to nutritional care. Methods: A cross-sectional survey was conducted on 705 IBD patients. The questionnaire incorporated all the items required to assess nutritional risk included in the Malnutrition Universal Screening Tool (MUST) and its association with other clinical parameters. Results: Overall, 43.0% of respondents were found to be at moderate or high risk of malnutrition based on the MUST. A low BMI was observed in 25.6% of patients with CD and 22.1% of those with UC. Additionally, unintentional weight loss (UWL) occurred in 24.5% and 23.7% of CD and UC patients, respectively. In total, 30% of patients reported restricting their diet because they were afraid certain foods would worsen their symptoms. Gastrointestinal symptoms were significantly associated with MUST ≥ 2. Only 21.7% of participants reported receiving nutritional counselling. A total of 67.3% of subjects already at high nutritional risk (MUST ≥ 2) have never received any dietary recommendations. Conclusions: In this community sample of IBD patients, a considerable proportion reported indicators compatible with nutritional risk. These findings are not generalized to the general IBD population due to the dissemination through a patient association, but highlight gaps in outpatient nutritional assessment and patient education. Structured, accessible nutritional support may help address these unmet needs. Full article
(This article belongs to the Special Issue Nutritional Care in Patients with Inflammatory Bowel Disease)
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