Nutrition Considerations with 
      Pediatric Inflammatory Bowel 
                Disease 
                      
          Lindsay Rypkema, RD, CSP, CLEC 
             CHOC Children's Hospital  
    Objectives 
        
    •  Define the basics of Inflammatory Bowel Disease 
       including disease process and treatment 
    •  Review nutrition assessment, nutrition concerns, and 
       nutrition therapy in IBD 
    •  Understand the past and present research regarding the 
       role of nutrition in IBD 
    •  Gain a strong knowledge base regarding the role of 
       nutrition in IBD to make an impact on your patient’s care 
        
        
        
    Define the Basics of IBD 
    What is inflammatory bowel disease? 
  •  Chronic lifelong disease with times of relapse and 
     remission 
  •  Genetic Predisposition 
     − Most common in Caucasian and Ashkenazic 
                     
       Jewish origin
  •  Environmental factors                                        1.0M to 
     − Most common in Westernized (developed)                      1.3M 
       countries                                                Americans 
                                                                suffer from 
     − More common in urban areas                                  IBD 
  •  Potential diet factors 
     −  Saturated fat, Omega-6 PUFA, red meat  
                                                                              
                                                                              
                                                                              
                                       1.CDC 2015; http://www.cdc.gov/ibd/ibd-epidemiology.htm 
                                                2. Crohn’s and Colitis Foundation of America