Perceptive eating as part of the journey in inflammatory bowel disease: Lessons learned from lived experience

Nowlin, Sarah; Manning, Laura; Keefer, Laurie; Gorbenko, Ksenia

doi:10.1016/j.clnesp.2020.11.017

Cited by 13 publications

(34 citation statements)

References 13 publications

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“…Various dietary approaches are available in the literature for the treatment of IBD that have shown success in controlling symptoms. These have been described in Table 1, but accurate randomized controlled trials are needed to verify their efficacy and recommend them to patients with IBD [21,22].…”

Section: Role Of Diet In the Pathogenesis Of Ibdmentioning

confidence: 99%

“…A high degree of psychological disorders (depression, 91%) and malnutrition (59%) were found in IBD patients [33]. Indeed, IBD patients are characterized by an inflammatory state that induces structural and functional changes in the bowel, which can lead to reduced absorption in the gut and thus to weight loss and micronutrient deficiencies [5,7,21]. Dietary choices of patients with IBD may contribute to the state of malnutrition, due to self-imposed limits on certain foods in order to manage their symptoms.…”

Section: From Malnutrition To Psychological Disorders In Patients Wit...mentioning

confidence: 99%

“…In contrast to coeliac disease (CeD), there is no recommendation to remove gluten from the diet in IBD. IBD patients often report an intentional avoidance of gluten to manage IBD symptoms [21,43] and most of the IBD patients who decide to avoid gluten do not have a diagnosis of CeD. Some studies have investigated how the GFD may improve symptoms and/or influence the course of IBD [24,44,45].…”

Section: Gluten Free Dietmentioning

confidence: 99%

“…When lactose is not digested, it can be fermented by gut microbiota, leading to intestinal symptoms. Dairy products are a commonly mentioned and avoided food group in some studies involving patients with IBD [6,21,43,58,59]. The ingestion of foods that are high in saturated fats derived from milk induces intestinal dysbiosis, with a relative abundance of a sulphite-reducing species, Bilophila wadsworthia, which has been associated with a pro-inflammatory T helper type 1 immune response and an increased incidence of colitis in mice [60].…”

Section: Lactose-free Dietmentioning

confidence: 99%

“…Dietary restrictions in many patients occur during flares and are stopped in remission. Some patients claim that they can only eat chicken and rice or liquid nutrition during a flare [5,21] Several studies have been conducted to analyze the foods that are avoided by patients with IBD, summarized in Table 2, and the list of "bad" and "good" foods differed between patients. The bad foods are considered to be triggers that can exacerbate their IBD symptoms, such as diarrhea, pain, nausea and bloating.…”

Section: Ibd Patients' Approach To Dietmentioning

confidence: 99%

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Nutrition in Patients with Inflammatory Bowel Diseases: A Narrative Review

et al. 2022

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Inflammatory bowel diseases (IBD) affect the gastrointestinal tract: they include Crohn’s disease (CD) and ulcerative colitis (UC). Each has a different phenotypic spectrum, characterized by gastrointestinal and extra-intestinal manifestations. People living with IBD are very interested in diet, but little is known about the impact of diet on these patients; no guidelines are available yet. In this review, we analyze the dietary patterns of patients with IBD and the approach to the choices of foods both in adults and pediatric patients. Very often, IBD patients report an intentional avoidance of gluten to manage the disease; furthermore, a proportion of IBD patients believe that dairy products worsen their symptoms and that avoidance may help the disease. They have a low compliance with the Mediterranean Diet, which is considered to have potential benefits but is little used in practice. In conclusion, the review underscores the pivotal role of nutritional counselling in IBD patients, and the importance of future clinical studies to evaluate the beneficial effects of dietary recommendations in the management of IBD.

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Section: Role Of Diet In the Pathogenesis Of Ibdmentioning

confidence: 99%

Section: From Malnutrition To Psychological Disorders In Patients Wit...mentioning

confidence: 99%

Section: Gluten Free Dietmentioning

confidence: 99%

Section: Lactose-free Dietmentioning

confidence: 99%

Section: Ibd Patients' Approach To Dietmentioning

confidence: 99%

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Nutrition in Patients with Inflammatory Bowel Diseases: A Narrative Review

et al. 2022

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Weighing the scales: Taking a balanced approach to diet therapies in pediatric inflammatory bowel disease

Kalami,

David,

Futornick

et al. 2023

J. pediatr. gastroenterol. nutr.

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Note: This table reviews lesser-known resources such as how to access GI-specialized registered dietitians and mental health providers in-person and virtually. It also reviews educational resources for healthcare providers on IBD and diet, including resources on nutrition, disordered eating, body image, and lifestyle for pediatric patients with IBD. Abbreviations: DT, diet therapy; GI, gastroenterology; IBD, inflammatory bowel disease; RD, registered dietitian.How to cite this article: Kalami VS, David JG, Futornick S, Yeh AM. Weighing the scales: taking a balanced approach to diet therapies in pediatric inflammatory bowel disease.

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