{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T04:31:03Z","timestamp":1786336263269,"version":"build-2736575974"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>Nutrition occupies a central and dynamic role across the inflammatory bowel disease (IBD) care continuum, from disease risk reduction and prevention, through induction and maintenance of remission, to the mitigation of disease-related and unrelated complications and the preservation of quality of life \u2013 yet translating this evidence into individualized clinical practice remains a persistent challenge. To address this gap, we conducted a narrative review of the current literature and propose the concept of the nutrition phenotype: a structured framework that integrates disease-specific characteristics, nutritional status, body composition, dietary patterns, and lifestyle factors to define clinically distinct patient profiles. Applying this framework to six phenotypes: malnutrition, overnutrition, dietary therapeutics, functional symptoms, high enteric loss, and complication prevention, we synthesize the evidence supporting targeted nutritional interventions for each and present an integrated clinical algorithm plus a proposed hierarchy for managing patients with overlapping phenotypes to guide prioritization and decision-making. This phenotype-driven approach provides a practical, personalized structure for nutrition care in inflammatory bowel disease, with the aim of improving implementation feasibility and patient outcomes across real-world clinical settings.<\/jats:p>","DOI":"10.3389\/fnut.2026.1895716","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T04:22:53Z","timestamp":1786335773000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutrition phenotypes in inflammatory bowel disease: emerging concepts and future directions to guide clinical practice"],"prefix":"10.3389","volume":"13","author":[{"given":"Stephanie","family":"Gold","sequence":"first","affiliation":[{"name":"The Henry D. 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