Effectiveness of Mediterranean Diet’s Adherence in Children with Inflammatory Bowel Diseases

Strisciuglio, Caterina; Cenni, Sabrina; Serra, Maria Rosaria; Dolce, Pasquale; Martinelli, Massimo; Staiano, Annamaria; Miele, Erasmo

doi:10.3390/nu12103206

Cited by 33 publications

(23 citation statements)

References 42 publications

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“…Protein supplementation was captured but was not an inclusion or exclusion criteria. If subjects met criteria, they were asked to sign a consent form, at which points participants were explained in detail how to fill-out a 3-day food diary, an instrument commonly used to access food intake [17,18] and could ask any clarifying questions (3-day food diary facsimile is available as Supplementary Materials). A total of 166 participants completed the dietary journal, 125 males and 41 females.…”

Section: Methodsmentioning

confidence: 99%

The Mediterranean Athlete’s Nutrition: Are Protein Supplements Necessary?

Passariello¹,

Marchionni

Carcuro³

et al. 2020

Nutrients

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(1) Background: It is recommended that an athlete, in order to ensure correct nutrition and performance, should consume between 1.2 and 2.0 g/kg/day of protein, while the daily recommended protein intake for a non-athlete is 0.8and 0.9 mg/kg/day. It is unclear if athletes living in Mediterranean countries are able to meet protein requirements without supplementation, since Mediterranean diet de-emphasizes meat and meat products. (2) Methods: 166 athletes (125 males) enrolled between 2017 and 2019 were required to keep a dietary journal for three consecutive days (2 workdays and 1 weekend day). Athletes had to be >18 years old, train in a particular sport activity more than 3 h a week and compete at least at an amateur level. Journal data were collected and then translated into macro-nutrient content (grams of protein, carbohydrates, and lipids) by a nutritionist. (3) Results: The protein intake reported by this specific population vary slightly from the Academy of Nutrition and Dietetics (AND), Dietitians of Canada (DC), and the American College of Sports Medicine (ACSM) joint statement recommendation level. Average protein levels without protein supplementation fell within the protein guidelines. Counterintuitively, the intake among those who supplemented their diet with protein was higher compared with those who did not, even when excluding the contribution of supplements. Although the majority of subjects participating in the study were able to meet protein intake recommended for athletes without protein supplementation, 27% of athletes were below the guideline range. (4) Conclusions: these data suggest that athletes’ nutrition should be more often evaluated by a nutritionist and that they will benefit from increasing their nutritional knowledge in order to make better food choices, resorting to protein supplementation only when effectively needed.

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Section: Methodsmentioning

confidence: 99%

The Mediterranean Athlete’s Nutrition: Are Protein Supplements Necessary?

Passariello¹,

Marchionni

Carcuro³

et al. 2020

Nutrients

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“…Microbiome changes were variable among participants from the 2020 study by Suskind et al [ 68 ]. Some studies have identified increased microbiome diversity in CD patients on the SCD, while others have used murine models to show that carbohydrate monotony provides a selective pressure favouring certain intestinal bacterial species while decreasing the total diversity [ 106 , 108 ]. Microbial composition in all three groups (SCD, mSCD, WF) showed a trend towards increased microbial diversity (Inverse Simpson Index), from 4.67–14.09 at enrollment to 10.93–17.76 at the end of the two-week study period [ 68 ].…”

Section: Diets Without Proven Clinical Efficacy For Ibdmentioning

confidence: 99%

“…The authors concluded that the CD-TREAT diet could achieve similar effects on the microbiome as EEN in both healthy adults and experimental rat models. The report of the larger clinical trial is eagerly awaited and will hopefully add another option to the dietary treatments of CD [ 106 , 108 , 109 ].…”

Section: Diets Without Proven Clinical Efficacy For Ibdmentioning

confidence: 99%

Nutritional Therapies and Their Influence on the Intestinal Microbiome in Pediatric Inflammatory Bowel Disease

et al. 2021

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Inflammatory bowel disease (IBD) is a chronic, autoimmune disorder of the gastrointestinal tract with numerous genetic and environmental risk factors. Patients with Crohn’s disease (CD) or ulcerative colitis (UC) often demonstrate marked disruptions of their gut microbiome. The intestinal microbiota is strongly influenced by diet. The association between the increasing incidence of IBD worldwide and increased consumption of a westernized diet suggests host nutrition may influence the progression or treatment of IBD via the microbiome. Several nutritional therapies have been studied for the treatment of CD and UC. While their mechanisms of action are only partially understood, existing studies do suggest that diet-driven changes in microbial composition and function underlie the diverse mechanisms of nutritional therapy. Despite existing therapies for IBD focusing heavily on immune suppression, nutrition is an important treatment option due to its superior safety profile, potentially low cost, and benefits for growth and development. These benefits are increasingly important to patients. In this review, we will describe the clinical efficacy of the different nutritional therapies that have been described for the treatment of CD and UC. We will also describe the effects of each nutritional therapy on the gut microbiome and summarize the strength of the literature with recommendations for the practicing clinician.

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“…Moreover, better adherence to a modified Mediterranean diet was associated with a lower risk of Crohn’s disease, although not of ulcerative colitis [ 94 ]. In fact, as research suggests, the Mediterranean diet reduced intestinal inflammation in IBD children in clinical remission [ 95 ]. It is vital to note that the results of an in vitro and in vivo study revealed that extra virgin olive oil (an important element of the MD diet) might improve disease symptoms in immune-mediated inflammatory diseases [ 96 ].…”

Section: Dietary Support Supplementation and Imaging Techniquesmentioning

confidence: 99%

What Links an Increased Cardiovascular Risk and Inflammatory Bowel Disease? A Narrative Review

et al. 2021

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Several studies have shown increased rates of cardiovascular disease (CVD) in patients suffering from inflammatory bowel disease (IBD), particularly in cases of early atherosclerosis and myocardial infarction. IBD most frequently begins at an early age, patients usually present normal weight and remain under constant care of a physician, as well as of a nutritionist. Therefore, the classical risk factors of CVD are not reflected in the higher prevalence of CVD in the IBD population. Still, both groups are characterised by chronic inflammation and display similar physiopathological mechanisms. In the course of IBD, increased concentrations of pro-inflammatory cytokines, such as C-reactive protein (CRP) and homocysteine, may lead to endothelial dysfunctions and the development of CVD. Furthermore, gut microbiota dysbiosis in patients with IBD also constitutes a risk factor for an increased susceptibility to cardiovascular disease and atherosclerosis. Additionally, diet is an essential factor affecting both positively and negatively the course of the aforementioned diseases, whereas several dietary patterns may also influence the association between IBD and CVD. Thus, it is essential to investigate the factors responsible for the increased cardiovascular (CV) risk in this group of patients. Our paper attempts to review the role of potential inflammatory and nutritional factors, as well as intestinal dysbiosis and pharmacotherapy, in the increased risk of CVD in IBD patients.

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Effectiveness of Mediterranean Diet’s Adherence in Children with Inflammatory Bowel Diseases

Cited by 33 publications

References 42 publications

The Mediterranean Athlete’s Nutrition: Are Protein Supplements Necessary?

The Mediterranean Athlete’s Nutrition: Are Protein Supplements Necessary?

Nutritional Therapies and Their Influence on the Intestinal Microbiome in Pediatric Inflammatory Bowel Disease

What Links an Increased Cardiovascular Risk and Inflammatory Bowel Disease? A Narrative Review

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