Enteral Nutrition in Patients with Inflammatory Bowel Disease. Systematic Review, Meta-Analysis, and Meta-Regression
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Title: | Enteral Nutrition in Patients with Inflammatory Bowel Disease. Systematic Review, Meta-Analysis, and Meta-Regression |
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Authors: | Comeche Guijarro, José Miguel | Caballero, Pablo | Gutiérrez-Hervás, Ana | Garcia-Sanjuan, Sofia | Comino, Iris | Altavilla, Cesare | Tuells, José |
Research Group/s: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia | Salud y Cuidados en Grupos Vulnerables (SACU) | Calidad de Vida, Bienestar Psicológico y Salud | Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI) |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia | Universidad de Alicante. Departamento de Enfermería |
Keywords: | Inflammatory bowel diseases | Enteral nutrition | Systematic review | Meta-analysis | Crohn’s disease |
Knowledge Area: | Enfermería |
Issue Date: | 4-Nov-2019 |
Publisher: | MDPI |
Citation: | Comeche JM, 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(11):2657. doi:10.3390/nu11112657 |
Abstract: | 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. |
URI: | http://hdl.handle.net/10045/98495 |
ISSN: | 2072-6643 |
DOI: | 10.3390/nu11112657 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
Peer Review: | si |
Publisher version: | https://doi.org/10.3390/nu11112657 |
Appears in Collections: | INV - PCC-HOI - Artículos de Revistas INV - SALUD - Artículos de Revistas INV - CV, BP Y S - Artículos de Revistas INV - SACU - Artículos de Revistas |
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2019_Comeche_etal_Nutrients.pdf | 652,5 kB | Adobe PDF | Open Preview | |
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