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IBD incidence continues to rise in developed countries in all age groups which is contributing to compounding prevalence. Further, IBD incidence is rising sharply in Asia and other recently developed and developing countries. In this review, we discuss the implications of changing trends of IBD epidemiology. First, changing patterns provide insights into IBD causes, as they occur concurrent with shifts in the environment, cultures, and attitudes. Understanding the impact of the environment on IBD risk can help towards prediction and prevention strategies. Second, we must prepare healthcare systems for the rising burden of IBD and address it at various levels towards improving outcomes and health, overall.<\/jats:p>","DOI":"10.1002\/ueg2.12317","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T15:54:05Z","timestamp":1666022045000},"page":"1113-1120","source":"Crossref","is-referenced-by-count":180,"title":["Implications of the changing epidemiology of inflammatory bowel disease in a changing world"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4729-1485","authenticated-orcid":false,"given":"Manasi","family":"Agrawal","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine Center for Molecular Prediction of Inflammatory Bowel Disease (PREDICT) Aalborg University  Copenhagen Denmark"},{"name":"The Dr. Henry D. 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