{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:38:07Z","timestamp":1788813487358,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Dietary therapy is often used in the management of children with inflammatory bowel diseases (IBD). Nevertheless, appropriate dietetic support and resources are not universally available, potentially leading to variable practices. This survey aimed to describe contemporary dietary practices and resourcing across IBD member centers of European Society of Paediatric Gastroenterology Hepatology &amp; Nutrition (ESPGHAN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous 33\u2010item questionnaire survey on nutritional care and dietetic resources was circulated to the Porto Group and IBD Interest Group of ESPGHAN in November 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We obtained responses from 63\/145 (43%) physicians from 31 countries. Fifty\u2010four (86%) physicians, routinely use exclusive enteral nutrition (EEN) for induction of remission, 26\/63 (41%) partial enteral nutrition (PEN) for maintenance of remission and 28 (44%) implement food\u2010based dietary therapies, the most popular being Crohn's Disease (CD) exclusion Diet coupled with PEN 36 (61%). Notably, 41 (65%) reported offering dietary counseling for active CD compared to 20 (32%) for ulcerative colitis (UC,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Availability of a dietitian varied between centers, with 13 (21%) rarely or never having a dietitian available. Among sites where a dietitian was always or mostly available, 93% used EEN compared to 70% of sites where a dietitian was less available (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Access to dietitians was reported for 31% of CD patients in lower\u2010income countries versus 66% in high\u2010income countries (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Over 50% of CD patients sought dietary advice, compared to 41% of UC patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We identified variable practices in nutritional therapy and dietetic resources among pediatric IBD centers. Addressing these challenges will improve IBD therapy and integrate nutritional therapies in the multi\u2010disciplinary care of these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpn3.70343","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:12:49Z","timestamp":1773004369000},"page":"1233-1241","source":"Crossref","is-referenced-by-count":2,"title":["Nutrition care and dietetic resources in pediatric inflammatory bowel disease: An initiative of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Porto Group and Special Interest Group"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5082-7634","authenticated-orcid":false,"given":"Rotem Sigall","family":"Boneh","sequence":"first","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition Unit The E. Wolfson Medical Center Holon Israel"},{"name":"Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noga","family":"Oren","sequence":"additional","affiliation":[{"name":"Human Nutrition, School of Medicine University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eytan","family":"Wine","sequence":"additional","affiliation":[{"name":"Departments of Paediatrics and Physiology University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dror S.","family":"Shouval","sequence":"additional","affiliation":[{"name":"Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center of Israel The Faculty of Medical and Health Sciences Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard K.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology Royal Hospital for Children and Young People 50 Little France Crescent Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Mart\u00edn\u2010de\u2010Carpi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology, Hepatology and Nutrition Hospital Sant Joan de D\u00e9u Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9432-2200","authenticated-orcid":false,"given":"Konstantinos","family":"Gerasimidis","sequence":"additional","affiliation":[{"name":"Human Nutrition, School of Medicine University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-022-5107-8"},{"issue":"2","key":"e_1_2_8_3_1","article-title":"The medical management of paediatric Crohn's disease: an ECCO\u2010ESPGHAN guideline update","volume":"15","author":"Rheenen PF","year":"2020","journal-title":"J Crohns 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