Incorporating Nutrition-Based Strategies into IBD Treatment

Magavi, Pooja; Beeken, Lori; Matro, Rebecca; Ally, Mazer; Ferrari, Melissa J.; Konijeti, Gauree G.

doi:10.1007/s11894-022-00851-8

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…Specifically, we found that although most women reported taking a prenatal supplement, in hopes of supplementing the inadequate intake of nutrients from food sources, pregnant women IBD and the HC group fell short of most nutrients recommended in pregnancy from food sources alone. Of particular concern in women with IBD are the dietary micronutrients zinc, iron, calcium, magnesium, choline, folate, B6, B12, water, and fiber [46][47][48][49][50]. Patients with IBD require additional assistance to compensate for increased nutritional needs and poor absorption, whereby simply adding the nutrient does not guarantee that it will be well absorbed in the body [51,52].…”

Section: Discussionmentioning

confidence: 99%

Dietary Intake of Pregnant Women with and without Inflammatory Bowel Disease in the United States

et al. 2023

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Background: Pregnancy is a vulnerable time where the lives of mother and baby are affected by diet, especially high-risk pregnancies in women with inflammatory bowel disease (IBD). Limited research has examined diet during pregnancy with IBD. Aims: Describe and compare the diet quality of pregnant women with and without IBD, and examine associations between dietary intake and guidelines during pregnancy. Methods: Three 24 h recalls were utilized to assess the diets of pregnant women with IBD (n = 88) and without IBD (n = 82) during 27–29 weeks of gestation. A customized frequency questionnaire was also administered to measure pre- and probiotic foods. Results: Zinc intake (p = 0.02), animal protein (g) (p = 0.03), and ounce equivalents of whole grains (p = 0.03) were significantly higher in the healthy control (HC) group than the IBD group. Nutrients of concern with no significant differences between groups included iron (3% IBD and 2% HC met the goals), saturated fat (only 1% of both groups met the goals), choline (23% IBD and 21% HC met the goals), magnesium (38% IBD and 35% HC met the goals), calcium (48% IBD and 60% HC met the goals), and water intake (49% IBD and 48% HC met the goals). Conclusions: Most pregnant women in this cohort fell short of the dietary nutrients recommended in pregnancy, especially concerning for women with IBD.

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Section: Discussionmentioning

confidence: 99%

Dietary Intake of Pregnant Women with and without Inflammatory Bowel Disease in the United States

et al. 2023

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“…The team should consist of gastroenterologists, surgeons, radiologists, and rheumatologists and dermatologists, when necessary, who collaboratively assess the patient’s risk profile and determine the most appropriate treatment. In addition, the involvement of a stoma therapist, navigator nurse, nutritionist, psychologist, and even clinical pharmacist is paramount in the comprehensive management of patients, providing support and guidance throughout the treatment process [ 138 , 139 , 140 , 141 , 142 ]. By involving a multidisciplinary team, the management of POR in CD can be tailored to the specific needs of each patient, taking into consideration risk factors and individualized therapeutic strategies.…”

Section: Discussionmentioning

confidence: 99%

The Management of Postoperative Recurrence in Crohn’s Disease

Fasulo,

D’Amico,

Osorio

et al. 2023

JCM

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Crohn’s disease (CD) is a chronic inflammatory bowel disease with different phenotypes of presentation, inflammatory, penetrating, or stricturing disease, that significantly impacts patient well-being and quality of life. Despite advances in medical therapy, surgery sometimes represents the only treatment to address complications, such as strictures, fistulas, or abscesses. Minimizing postoperative recurrence (POR) remains a major challenge for both clinicians and patients; consequently, various therapeutic strategies have been developed to prevent or delay POR. The current review outlines an updated overview of POR management. We focused on diagnostic assessment, which included endoscopic examination, biochemical analyses, and cross-sectional imaging techniques, all crucial tools used to accurately diagnose this condition. Additionally, we delved into the associated risk factors contributing to POR development. Furthermore, we examined recent advances in the prophylaxis and treatment of POR in CD.

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“…Reducing the frequency of IBD flares requires a holistic approach that involves both conservative and pharmacological measures [7]. Trigger avoidance is key to maintaining clinical remission as outlined in previous randomized trials and multiple treatment strategies for IBD are centered around it [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of online chat-based artificial intelligence responses about inflammatory bowel disease and diet

Naqvi,

Delungahawatta,

Atarere

et al. 2024

European Journal of Gastroenterology &Amp; Hepatology

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Introduction The USA has the highest age-standardized prevalence of inflammatory bowel disease (IBD). Both genetic and environmental factors have been implicated in IBD flares and multiple strategies are centered around avoiding dietary triggers to maintain remission. Chat-based artificial intelligence (CB-AI) has shown great potential in enhancing patient education in medicine. We evaluate the role of CB-AI in patient education on dietary management of IBD. Methods Six questions evaluating important concepts about the dietary management of IBD which then were posed to three CB-AI models – ChatGPT, BingChat, and YouChat three different times. All responses were graded for appropriateness and reliability by two physicians using dietary information from the Crohn’s and Colitis Foundation. The responses were graded as reliably appropriate, reliably inappropriate, and unreliable. The expert assessment of the reviewing physicians was validated by the joint probability of agreement for two raters. Results ChatGPT provided reliably appropriate responses to questions on dietary management of IBD more often than BingChat and YouChat. There were two questions that more than one CB-AI provided unreliable responses to. Each CB-AI provided examples within their responses, but the examples were not always appropriate. Whether the response was appropriate or not, CB-AIs mentioned consulting with an expert in the field. The inter-rater reliability was 88.9%. Discussion CB-AIs have the potential to improve patient education and outcomes but studies evaluating their appropriateness for various health conditions are sparse. Our study showed that CB-AIs have the ability to provide appropriate answers to most questions regarding the dietary management of IBD.

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Incorporating Nutrition-Based Strategies into IBD Treatment

Cited by 5 publications

References 38 publications

Dietary Intake of Pregnant Women with and without Inflammatory Bowel Disease in the United States

Dietary Intake of Pregnant Women with and without Inflammatory Bowel Disease in the United States

The Management of Postoperative Recurrence in Crohn’s Disease

Evaluation of online chat-based artificial intelligence responses about inflammatory bowel disease and diet

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