Dietary beliefs of people with ulcerative colitis and their effect on relapse and nutrient intake

Jowett, Sarah L.; Seal, Chris; Phillips, Elizabeth; Gregory, W. Larry; Barton, J R; Welfare, Mark

doi:10.1016/s0261-5614(03)00132-8

Cited by 117 publications

(131 citation statements)

References 29 publications

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“…Jowett et al . in a study from UK showed that 68% of patients believed that diet was relevant to their disease, 49% avoided certain foods, and 39% thought certain foods triggered a relapse 18. Zallot et al .…”

Section: Discussionmentioning

confidence: 99%

“…In two‐third patients, IBD was thought to affect appetite and pleasure in eating and three‐fourth patients thought that certain foods improve symptoms in case of relapse including lentils, khichdi , oatmeal, curd, buttermilk, rice, Indian flatbread, bottle gourd, and sponge gourd. In the earliest study by Jowett et al .,18 22% of patients felt that fiber‐rich foods were helpful for their colitis. In the study by Zallot et al .,13 one‐third felt that dietary behavior in IBD can cause nutritional and vitamin deficiency, and half felt that disease had changed their pleasure of eating.…”

Section: Discussionmentioning

confidence: 99%

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Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

et al. 2017

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Background and AimPatients with inflammatory bowel disease (IBD) are at a risk of nutritional deficits because of poor dietary beliefs and practices. There are no data on this aspect from Asia, which is experiencing a rise in IBD incidence. We aimed to establish dietary beliefs and practices in patients of IBD from India.MethodsPatients with ulcerative colitis (UC) and Crohn's disease (CD) followed up between November 2016 and March 2017 were included. A questionnaire extracted information on the patients' sociodemographic, nutritional and disease profile, smoking and drinking habits, dietary beliefs and practices, current dietary preferences, intake and avoidance, dietary changes made after diagnosis of IBD, dietary changes made during relapse, frequency of consumption of major food groups, and the attitudes toward dietary advice.ResultsA total of 316 patients (218 UC and 98 CD; mean age: 38.5 ± 12.2 years) were included. Forty‐four percent patients perceived food as a risk factor for IBD, 52% felt dietary habits to have a more important role than medicines in disease control, 77% reported certain foods improve symptoms during relapse, 86% had modified their diet since the diagnosis of IBD (UC > CD, P = 0.04), 90% imposed food restrictions, and <50% had received dietary counseling. About 40% of patients could not meet their dietary requirements and 66% had decreased their dietary intake since diagnosis, which further decreased during relapse (85%).ConclusionDietary beliefs and practices play a central role in perception of disease in IBD patients. A large majority of them make dietary changes which can lead to undernutrition. Proper dietary counseling is required in these patients to prevent malnutrition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

et al. 2017

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“…Unfortunately, there is a misconception regarding the consumption of milk and milk products in patients with UC, and this misconception leads to life-long deprivation among most UC patients of milk and milk products (26). Indeed, there is no difference in terms of the prevalence of lactose intolerance between patients with UC and healthy individuals.…”

Section: Resultsmentioning

confidence: 99%

Ulcerative colitis and diet

Çekiç¹,

Ünsal²

2012

Turk J Gastroenterol

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“…However, some patients continue with their restrictions after the disease activity is controlled, which contributes to lower intake of micronutrients and antioxidants 9 . The exclusion of fruits and vegetables also contributed to the low intake of folate in patients with UC 19 . The report of lactose intolerance is an important finding of this paper, and can influence calcium intake.…”

Section: Discussionmentioning

confidence: 99%

Ingestão alimentar em pacientes com doença inflamatória intestinal

Silva¹,

Schieferdecker²,

Amarante³

2011

ABCD, arq. bras. cir. dig.

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-Background -Patients with inflammatory bowel disease may have nutritional deficiencies. Aim -To verify the adequacy of dietary intake of patients with Crohn's disease and ulcerative colitis. Methods -To assess food intake of 55 patients, 28 with Crohn's disease and 27 with ulcerative colitis treated in the gastroenterology clinic, was used the 24-Hour Food Recall and Food Frequency Questionnaire. The inflammatory activity of the disease was evaluated by serum C-reactive protein and Harvey and Bradshaw Index. For comparison of means t test was used, and the average on non-parametric, the Mann-Whitney test, with level of significance p <0.05. Results -The patients were aged between 19 and 63 years and time since diagnosis was 7.9 years (1 to 22). According to the food intake was identified deficiency in energy intake, fiber, iron, potassium, sodium, magnesium, calcium, menadione, riboflavin, niacin, folate, pantothenic acid, tocopherol and cholecalciferol in Crohn's disease and ulcerative colitis, active or in remission. The intake of vegetables, fruits, dairy products and beans were low, and intake of fats and sweets was higher than the recommendations. Conclusion -There was a deficiency in food intake both in Crohn's disease and in ulcerative colitis, in activity and in remission. These deficiencies can adversely affect the disease course, and justify the need for nutritional intervention with these patients. ABCDDV/794RESUMO -Racional -Pacientes com doença inflamatória intestinal podem apresentar deficiências nutricionais. Objetivo -Verificar a adequação da ingestão alimentar de pacientes com doença de Crohn e retocolite ulcerativa inespecífica. Métodos -Para avaliação da ingestão alimentar de 55 pacientes, 28 com doença de Crohn e 27 com retocolite ulcerativa atendidos em ambulatório de gastroenterologia, utilizou-se o Recordatório Alimentar de 24 Horas e o Questionário de Frequência Alimentar. A atividade inflamatória da doença foi avaliada pelos níveis séricos de proteína C reativa e o Índice de Harvey e Bradshaw. Para comparação de médias foi usado o teste t não pareado e, para as médias não paramétricas, o teste de Mann-Whitney, considerando nível de significância valor de p<0,05. Resultados -Os pacientes tinham idade entre 19 e 63 anos e tempo de diagnóstico de 7,9 anos (1 a 22). De acordo com a ingestão alimentar identificou-se deficiência na ingestão de energia, fibras, ferro, potássio, sódio, magnésio, cálcio, menadiona, riboflavina, niacina, folato, ácido pantotênico, tocoferol e colecalciferol na doença de Crohn e na retocolite ulcerativa em atividade ou em remissão. A ingestão de legumes, frutas, laticínios e feijão foi baixa, e a de doces e gorduras foi maior que as recomendações. Conclusão -Houve deficiência na ingestão alimentar tanto na doença de Crohn como na retocolite ulcerativa, em atividade e em remissão. Essas deficiências podem afetar negativamente o curso da doença e justificam a necessidade de intervenção nutricional com esses pacientes.

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Dietary beliefs of people with ulcerative colitis and their effect on relapse and nutrient intake

Cited by 117 publications

References 29 publications

Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

Ulcerative colitis and diet

Ingestão alimentar em pacientes com doença inflamatória intestinal

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