Universität zu Köln

Ananthakrishnan, Ashwin N., Kaplan, Gilaad G., Bernstein, Charles N., Burke, Kristin E., Lochhead, Paul J., Sasson, Alexa N., Agrawal, Manasi, Tiong, Jimmy Ho Tuan, Steinberg, Joshua, Kruis, Wolfgang, Steinwurz, Flavio, Ahuja, Vineet, Ng, Siew C., Rubin, David T., Colombel, Jean-Frederic and Gearry, Richard (2022). Lifestyle, behaviour, and environmental modification for the management of patients with inflammatory bowel diseases: an International Organization for Study of Inflammatory Bowel Diseases consensus. Lancet Gastroenterol. Hepatol., 7 (7). S. 666 - 679. SAN DIEGO: ELSEVIER INC. ISSN 2468-1253

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Abstract

Environmental and lifestyle factors play an important role in the natural history of Crohn's disease and ulcerative colitis. A group of international experts from the International Organization for the Study of Inflammatory Bowel Diseases voted on a series of consensus statements to inform the management of inflammatory bowel disease (IBD). The recommendations include avoiding traditional cigarette smoking in patients with Crohn's disease or ulcerative colitis, screening for symptoms of depression, anxiety, and psychosocial stressors at diagnosis and during flares (with referral to mental health professionals when appropriate), and encouraging regular physical activity as tolerated. Patients using dietary approaches for treatment of their IBD should be encouraged to adopt diets that are best supported by evidence and involve monitoring for the objective resolution of inflammation. We recommend formal assessment for obesity and nutritional deficiencies, and patients should be encouraged to maintain a normal body-mass index. A shared decision-making approach to contraception should include the consideration of IBD-related factors, and risk factors for venous thromboembolism. Long-term or frequent use of high-dose non-steroidal anti-inflammatory drugs should be avoided. For primary prevention of disease in the offspring of patients with IBD, we recommend avoiding passive exposure to tobacco, using antibiotics judiciously, and considering breastfeeding when able.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ananthakrishnan, Ashwin N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaplan, Gilaad G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bernstein, Charles N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Burke, Kristin E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lochhead, Paul J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sasson, Alexa N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Agrawal, Manasi UNSPECIFIED UNSPECIFIED UNSPECIFIED Tiong, Jimmy Ho Tuan UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinberg, Joshua UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruis, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinwurz, Flavio UNSPECIFIED UNSPECIFIED UNSPECIFIED Ahuja, Vineet UNSPECIFIED UNSPECIFIED UNSPECIFIED Ng, Siew C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rubin, David T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Colombel, Jean-Frederic UNSPECIFIED UNSPECIFIED UNSPECIFIED Gearry, Richard UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-692991
DOI:	10.1016/S2468-1253(22)00021-8
Journal or Publication Title:	Lancet Gastroenterol. Hepatol.
Volume:	7
Number:	7
Page Range:	S. 666 - 679
Date:	2022
Publisher:	ELSEVIER INC
Place of Publication:	SAN DIEGO
ISSN:	2468-1253
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ORAL-CONTRACEPTIVE USE; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; CESAREAN-BORN INFANTS; QUALITY-OF-LIFE; ULCERATIVE-COLITIS; CROHNS-DISEASE; VENOUS THROMBOEMBOLISM; GASTROINTESTINAL TOXICITY; RHEUMATOID-ARTHRITIS; SMOKING-CESSATION Multiple languages Gastroenterology & Hepatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69299