Increased Sugar Consumption in Crohn’s Disease

Abstract

120 patients with Crohn’s disease, 100 with ulcerative colitis and controls matched for age and sex were interviewed by questionnaire. Questions related to current and past sugar and milk intake and consumption of some breakfast cereals. Patients with Crohn’s disease ate significantly more sugar than either controls or patients with ulcerative colitis at the time of interview. Their use of sugar had changed little since the onset of symptoms.

A review of associations between Crohn’s disease and consumption of sugars

“…Daily added sugar was examined by both Graham et al (1978) and Mayberry et al (1980) as a proxy for total sugar intake. Both studies reported similar intakes and found that CD patients added more sugar to foods than controls.…”

“…Graham et al (1978) interviewed subjects and reported that CD patients consumed 10 teaspoons of sugar per day compared with seven teaspoons in the control group (P`0.0009). Using a postal questionnaire, Mayberry et al (1980) found that patients added 10.6 teaspoons per day whereas controls added six teaspoons per day (P`0.001).…”

“…The use of varying techniques to estimate dietary intake and possible differences in disease activity (which was not reported in the majority of studies) may have contributed to the inconsistency in results. Mayberry et al (1980) and Graham et al (1978) used the amount of sugar added to beverages and cereals as a proxy measure of sugar consumption, while a combination of added sugar and frequency of sugar-containing foods was used by Silkoff et al (1980), Mayberry et al (1981) and Penny et al (1983). Katschinski et al (1988) used a combination of added sugar and confectionery consumption.…”

“…When the estimated added sugar intakes were expressed as ®ve 40 g increments, signi®cantly more controls fell into the`zero' category, while more CD patients were in the 40±79 g and 80±119 g categories. Mayberry et al (1980) used a postal questionnaire to investigate current intakes of sugar, milk and breakfast cereals in a group of 120 patients with CD who had been diagnosed for a mean of 10 y (sd 7.2 y). The controls, who were matched for age and sex were also asked to estimate current intakes of added sugars.…”

Current Dietary Approaches in Bowel Diseases: Low Fermentable Oligo-, Di- and Mono-Saccharides and Polyols (FODMAP) Diet: Review

“…Şeker başta olmak üzere rafine karbonhidrat tüketimi; İBH gelişimiyle ilişkilendirilse de, Kuzey Amerika, Avrupa ve Japonya'da yürütülen bir çalışmada, rafine karbonhidrat tüketiminin hastalığın gelişimi üzerinde etkisinin olmadığı gö-rülmüştür. 6,7 Buna karşın; diyetin yağ asidi ve protein örüntüsüyle İBH gelişimi arasında ilişki olduğunu gösteren çalışmalar tutarlılık göster-mektedir. Hayvansal protein içeriği yüksek ve n-6 yağ asidinden zengin diyetlerin İBH gelişimini hızlandırdığı yaygın bir görüştür.…”