Analysis of the Nutrients and Food Products Intake of Polish Males with Ulcerative Colitis in Remission

Abstract

In spite of the lack of evidence of diet therapy efficacy to sustain remission of ulcerative colitis (UC), the dietary counseling may be beneficial, as a number of patients restrict intake of some products with no medical consultation. The aim of the present study was to analyze the nutrients and food products intake of Polish males with UC in remission in comparison with a control group. The UC group of 44 male patients with the confirmed remission, as well as the pair-matched group of 44 male controls, matched by their age and concurrent diseases, was recruited for the study. Their dietary intake was assessed based on three-day dietary records (to analyze the nutrients and food products intake) and information about food products excluded from their diet, and compared between respondents. It was observed that the intake of food products did not differ between the compared groups, except for the intake of potatoes and sugar, which was higher (p = 0.0033, p = 0.0092, respectively) in UC patients (median of 209 g and 11 g, respectively) than the control males (median of 100 g and 1 g, respectively). However, it did not influence differences of energy value and nutrients intake between groups, except for the intake of lactose and vitamin B2 per 1000 kcal, which was lower (p = 0.0425, p = 0.0444, respectively) in UC patients (median of 1.8 g and 0.7 g/1000 kcal) than the control males (median of 3.6 g and 0.8 g/1000 kcal). It was observed that the differences in food products intake between the UC individuals in remission and healthy controls were only minor and did not contribute to any significant differences in their nutrients intake. It was concluded that UC patients should be educated not only about the potential influence of food products on their well-being but also about healthy diet recommendations.

Nutrients in the Prevention of Osteoporosis in Patients with Inflammatory Bowel Diseases

“…Protein-energy wasting is observed more frequently in IBD patients than in healthy individuals, and the same observation can be made in Crohn’s disease patients as compared to subjects suffering from ulcerative colitis [ 33 ]. There were no statistically significant differences between men with ulcerative colitis in remission and healthy subjects [ 34 ].…”

“…There was no statistically significant differences in the intake of total fat, saturated fat, and mono–and poly–unsaturated fat between healthy individuals and CU patients [ 34 ]. The European Society for Clinical Nutrition and Metabolism does not recommend n-3 fatty acid supplementation for maintaining remission in IBD [ 27 ].…”

“…There was no statistically significant difference in vitamin A intake between men suffering form UC and the control group [ 34 ]. In fact, vitamin A or beta-carotene supplementation within a 15-year period did not increase the risk of bone fractures [ 82 ].…”

Vitamin C Deficiency and the Risk of Osteoporosis in Patients with an Inflammatory Bowel Disease

“…Lower intake of vitamin C may be due to a reduced intake of fresh vegetables and fruits. However, Głąbska et al reported that the intake of vegetables and fruits, as well as of vitamin C does not significantly differ between men suffering from ulcerative colitis (UC) and the healthy individuals [16]. Table 2 shows the average intake of vitamin C among patients with CD or UC and healthy.…”

Therapeutic Potential of Proanthocyanidins in Ulcerative Colitis in Remission

“…The habitual intake was assessed with no specific dietary intervention conducted. The dietary intake was assessed based on the three-day dietary records that were conducted by the participants during three typical, random, but not consecutive days, two of them being week days and one a weekend day [25]. Participants received structured forms with the detailed instructions, and the self-reported data were gathered.…”