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Children With IBD Not Meeting Recommended Calcium & Vitamin D Intake

by Shirley Johanna on May 29 2017 7:52 PM

Children With IBD Not Meeting Recommended Calcium & Vitamin D Intake
Children with inflammatory bowel disease (IBD) are not meeting the daily recommended intake of calcium and vitamin D, finds a new study conducted by a research team at Great Ormond Street Hospital for Children in London. According to the study, only 26.6% and 21.3% of pediatric IBD patients were achieving the current recommended intake for calcium and vitamin D respectively.
Medical experts from United European Gastroenterology (UEG) are therefore calling for immediate intervention to ensure that pediatric IBD patients are not put at risk of experiencing poor bone health and development, calcium homeostasis imbalance and vitamin D deficiencies.

Achieving optimal levels of calcium and vitamin D is essential for developing children, especially in patients with IBD, as research suggests that children and adolescents with the disease develop suboptimal bone health in comparison to their peers. Therefore, they may not achieve optimal bone mineralization, resulting in an increased risk of permanent height deficits. Vitamin D and calcium both play a major role in bone health and recently vitamin D has shown to potentiate the effect of anti-inflammatory treatments.

However, ensuring a sufficient intake of vitamin D and calcium in children can be challenging. Rita Shergill-Bonner, Principle Dietitian at Great Ormond Street Hospital for Children, London, explains, "When taking into account their young age and modern eating habits, coupled with the emotional, psychological and physical stress of living with IBD, it can be hard for pediatric patients to maintain a balanced diet and a sufficient intake of the right nutrients. We therefore urge the parents and carers of pediatric IBD patients to monitor their children's diets carefully to ensure they are consuming the right foods to help their disease course and ensure adequate and normal development."

There is no solitary cause of IBD but it is thought to be due to a combination of genetic and environmental factors. Incidence rates have been steadily increasing over the past few decades and one in four cases of the disease are diagnosed during childhood. Physical IBD symptoms can be extremely debilitating, including severe abdominal pain, diarrhea, weight loss and fatigue. The disease can also have a significant impact on a patient's psychological, emotional and mental health, with over half of sufferers feeling that the disease negatively affects their education.

Professor Philippe van Hootegem, UEG IBD expert comments, "There are many effective drugs available to help treat IBD but there are still a lot of unmet needs in both child and adult patients. Interesting and hopeful new drugs, some of which are to be taken orally, are in their final development stage. Nevertheless, a definitive curative therapy is not on the horizon yet and future research is still needed."

"It is imperative that healthcare professionals provide all IBD patients with regular and frequent advice on nutrition and healthy eating habits, including guidance on food sources that are rich in calcium and vitamin D", adds Professor Gigi Veereman, UEG pediatric IBD expert. "Tailored care services, long-term follow up, regular reviews and frequent medical interventions are required to minimize additional health risk in our pediatric patients"

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Source-Eurekalert


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