Abby Knapp


Supplementation in cystic fibrosis

In addition to a properly formulated nutrition plan, appropriate supplementation should be agreed with the patient’s physician. We are talking not only about supplementation with fat-soluble vitamins (vitamin A, D, E, K), mineral components (iron, selenium, zinc) but above all pancreatic enzymes and sodium chloride. Supplementation is recommended due to the presence in patients with cystic fibrosis increased sweating, chronic inflammation and gastrointestinal disturbances.

Disorders in the functioning of the pancreas (taking into account its secretory function) are observed already in the fetal period of the patient. Therefore, a patient with cystic fibrosis already from the first days of life has a doctor’s prescribed supplementation with pancreatic enzymes. Deficiencies of these enzymes are manifested by the presence, fatty diarrhea, bloating and abdominal pain, and most of all the syndrome of malnutrition of the body.

Enzyme supplementation is carried out by the oral route during food intake, and the dose is determined by the amount of fat present in the meal. The dose of the enzyme is controlled systematically by the patient’s doctor. A dietitian may adjust the amount of fat in the meal to these recommendations. It is very important to keep the dietician in contact with the doctor and to carry out joint consultations when making changes to pharmacotherapy. Patient care should be holistic.



Abby Knapp
Kennesaw, Georgia, USA

pwcf (born 1999)



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