The prevalence of inflammatory bowel disease (IBD) among young Americans is rising at an alarming rate, according to new research. Dr Michael Kappelman, professor of paediatrics and epidemiology at the University of North Carolina at Chapel Hill, described the rates as "among the highest reported worldwide."

The study, published on November 20 in the journal Gastroenterology, offers groundbreaking insights into the prevalence of pediatric IBD in the United States. It estimates that over 100,000 Americans under 20 are affected by IBD, a group of diseases where the immune system mistakenly attacks healthy bowel cells. The two most common forms of IBD are Crohn's disease and ulcerative colitis.

Alarming Statistics

Using insurance claims data from Florida, New York, Pennsylvania, Ohio, and California, the research team estimated the nationwide prevalence of IBD in 2020. They found a 22 per cent rise in pediatric cases of Crohn's disease and a 29 per cent increase in ulcerative colitis compared to 2009.

Dr Kappelman emphasized that pediatric IBD impacts a significant portion of American youth, with the highest rates reported among white youth and those living in the Northeast. He called for more research to understand variations in prevalence across racial and ethnic groups.

“This comprehensive evaluation of pediatric IBD prevalence in the US is a vital step toward understanding the full spectrum of the disease in our youth,” said study co-author Andrés Hurtado-Lorenzo, senior vice president at the Crohn's and Colitis Foundation. He added that the findings are essential for healthcare professionals and policymakers to manage the growing burden of IBD effectively.

Managing IBD requires a multifaceted approach that includes medical treatment, lifestyle adjustments, and dietary modifications. Here are some strategies to help:

1. Consult a Specialist

A gastroenterologist can provide an accurate diagnosis and tailor treatment plans. To manage inflammation and prevent flare-ups, medications such as anti-inflammatory drugs, immunosuppressants, or biologics may be prescribed.

2. Adopt a Nutrient-Dense Diet

Certain foods can trigger symptoms, so it's crucial to identify and avoid them. Focus on a balanced diet rich in:

- Lean proteins (e.g., fish, chicken)

- Low-fibre vegetables during flare-ups

- Omega-3 fatty acids, which have anti-inflammatory properties

Work with a dietitian to create an eating plan that meets your nutritional needs while minimizing discomfort.

3. Manage Stress

Stress can worsen IBD symptoms. Practices such as mindfulness meditation, yoga, and deep-breathing exercises can help reduce stress and improve mental well-being.

4. Monitor Symptoms

Keeping a symptom diary can help you identify triggers and track the effectiveness of treatments. Share this information with your doctor for better management strategies.

5. Stay Active

Regular, moderate exercise can reduce inflammation and improve overall health. Low-impact activities like walking or swimming are often beneficial.

6. Build a Support Network

IBD can be emotionally challenging. Joining a support group or seeking counselling can provide a sense of community and help manage the psychological impact of living with a chronic condition.

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