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World J Clin Cases. Jan 16, 2023; 11(2): 308-315
Published online Jan 16, 2023. doi: 10.12998/wjcc.v11.i2.308
Telenutrition for the management of inflammatory bowel disease: Benefits, limits, and future perspectives
Merve Güney Coşkun, Ezgi Kolay, Metin Basaranoglu
Merve Güney Coşkun, Department of Nutrition and Dietetics, Istanbul Medipol University, Faculty of Health Sciences, Istanbul 34810, Turkey
Merve Güney Coşkun, Department of Nutrition and Dietetics, Institute of Health Sciences, Istanbul Medipol University, Istanbul 34810, Turkey
Ezgi Kolay, Dietitian, Independent Researcher, Istanbul 34000, Turkey
Metin Basaranoglu, Department of Gastroenterology, Bezmialem Vakif University Faculty of Medicine, Istanbul 34093, Turkey
Author contributions: All authors contributed to the conception and design of the study, drafting the article or making critical revisions related to the important intellectual content of the manuscript; All authors involved in the final approval of the version of the article to be published.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Merve Güney Coşkun, MSc, Lecturer, Department of Nutrition and Dietetics, Istanbul Medipol University, Faculty of Health Sciences, Kavacık, Göztepe Mah, Atatürk Cd. No. 40, Istanbul 34810, Turkey. merve.guney@medipol.edu.tr
Received: September 20, 2022
Peer-review started: September 20, 2022
First decision: November 15, 2022
Revised: November 24, 2022
Accepted: December 21, 2022
Article in press: December 21, 2022
Published online: January 16, 2023
Processing time: 114 Days and 1.1 Hours
Abstract

Patients with inflammatory bowel disease (IBD) require lifelong and personalized care by a multidisciplinary healthcare team. However, the traditional medical model is not ideal for patients who require continuous close monitoring and whose symptoms may dramatically worsen between regularly scheduled visits. Additionally, close dietary follow-up and monitoring of IBD in a traditional setting are challenging because of the disease complexity, high pressure on outpatient clinics with a small number of IBD specialist dietitians, and rising incidence. Given the significant burden of IBD, there is a need to develop effective dietary management strategies. The coronavirus disease 2019 pandemic caused an unprecedented shift from in-person care to delivering health care via technological remote devices. Traditional nutrition therapy and consultation can be provided by telenutrition through remote electronic communication applications that could greatly benefit patient care. Telenutrition might be useful, safe, and cost-effective compared with standard care. It is likely that virtual care for chronic diseases including IBD will continue in some form into the future. This review article summarizes the evidence about telenutrition applications in the management of IBD patients, and we gave an overview of the acceptance and impact of these interventions on health outcomes.

Keywords: Telenutrition; Telemedicine; Digital health; Inflammatory bowel disease; Symptom monitoring; Self-management

Core Tip: Routine nutritional assessment, education, and close communication about diet are essential for professionally recommended diets, and they are a potential therapeutic strategy for inflammatory bowel disease onset and severity. Traditional nutrition therapy and consultation can be provided by telenutrition through remote electronic communication applications, which could greatly benefit patient care. Telenutrition is a self-management tool offering cost-effective, quick, and accessible personalized dietary advice for inflammatory bowel disease patients that require lifelong follow-up and maintenance treatment. However, there are certain barriers to legacies, education, sufficient equipment, and privacy. Further studies and interventions should focus on removing barriers while improving benefits.