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Assessment of Growth and Nutritional Status in Children with Inflammatory Bowel Disease

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Pediatric Inflammatory Bowel Disease

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Abstract

Growth failure and poor nutritional status are common in children with IBD, and can occur before the presentation of other symptoms, particularly among children with Crohn disease. Low nutritional intake, malabsorption, and increased nutrient requirements may contribute to nutrition-related growth failure in children with IBD. Growth status is a good indicator of overall well-being and nutritional status in children. Clinical assessment of growth and nutritional status requires consideration of current and previous growth status, skeletal and sexual maturation, genetic potential for growth, biochemical indicators of micronutrient status, and evaluation of dietary intake.

Laboratory information has limited utility in determining nutritional status but is useful for identifying deficiencies of nutrients such as protein and iron. Measurement of height, weight, and other anthropometric indices provides important information about short- and long-term nutritional status, but requires attention to detail to obtain accurate and precise measures. Delayed skeletal and sexual maturation, and assessment of genetic potential for growth provide a context for interpreting growth and nutritional status.

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Authors and Affiliations

  1. Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, 3535 Market Street, Room 1560, Philadelphia, PA, 19104-4399, USA

    Babette S. Zemel PhD

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  1. Babette S. Zemel PhD
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Correspondence to Babette S. Zemel PhD .

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Editors and Affiliations

  1. Perelman School of Medicine, The Children’s Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Petar Mamula

  2. School of Medicine--Greenville, Pediatric Gastroenterology & Nutrition, University of South Carolina, 200 Patewood Drive, Suite A-140, Greenville, 29615, South Carolina, USA

    Jonathan E. Markowitz

  3. Perelman School of Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Robert N. Baldassano

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Zemel, B.S. (2013). Assessment of Growth and Nutritional Status in Children with Inflammatory Bowel Disease. In: Mamula, P., Markowitz, J., Baldassano, R. (eds) Pediatric Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5061-0_24

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  • DOI: https://doi.org/10.1007/978-1-4614-5061-0_24

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5060-3

  • Online ISBN: 978-1-4614-5061-0

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