Darlene G Kelly MD PhD Facg Facp

Contents

1 Introduction

2 IBD Defined

3 Mechanisms of Malnutrition

4 Diet in the Pathogenesis of IBD

5 Malnutrition in IBD

6 Nutrition in the Treatment of IBD

7 Correcting Deficiencies

8 Goals of Primary Therapy for IBD

9 Nutrition as Primary Therapy in IBD

10 Specialized Roles for Nutrition Support in IBD

11 Conclusions

Summary

Discussed in this chapter are ways in which inflammatory bowel disease (IBD) and nutrition are intimately related. Both Crohns disease and ulcerative colitis can have a profound effect on the nutritional status of those afflicted with these diseases. This can occur as a result of decreased food intake, digestion and absorption, increased requirements, altered metabolism of nutrients, increased losses and drug-nutrient interactions. There have also been implications of diet in the etiology of IBD. Finally, nutrition in the treatment of IBD is outlined. If it is found that nutrients are potential immunomodulators in these diseases, some intriguing dietary treatments may come to the forefront in the future.

From: Clinical Gastroenterology: Nutrition and Gastrointestinal Disease Edited by: M.H. DeLegge © Humana Press Inc., Totowa, NJ

KeyWords: Inflammatory bowel disease, Crohn's disease,

Ulcerative colitis, Malabsorption, Malnutrition

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Good Carb Diet

Good Carb Diet

WHAT IT IS A three-phase plan that has been likened to the low-carbohydrate Atkins program because during the first two weeks, South Beach eliminates most carbs, including bread, pasta, potatoes, fruit and most dairy products. In PHASE 2, healthy carbs, including most fruits, whole grains and dairy products are gradually reintroduced, but processed carbs such as bagels, cookies, cornflakes, regular pasta and rice cakes remain on the list of foods to avoid or eat rarely.

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