The Adequacy of Habitual Dietary Fiber Intake in Individuals With Inflammatory Bowel Disease: A Systematic Review

Day, Alice; Davis, R. Wendell; Yao, Chu; Andrews, Jane M.; Bryant, Robert V.

doi:10.1016/j.jand.2020.12.001

Cited by 15 publications

(12 citation statements)

References 58 publications

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“…Further study of dietary choline intakes in the IBD population is worthy of consideration, primarily due to the emerging link between microbial metabolism, its potential role in inflammation, and maintenance of intestinal homeostasis. Previous studies that report that the average fiber intake in patients with quiescent UC ranges from 9 to 13.5 grams/day (30). Fiber intake in the females following the MDP increased significantly.…”

Section: Discussionmentioning

confidence: 77%

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Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis

et al. 2022

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BackgroundThe Mediterranean diet pattern (MDP) is believed to improve health and promote balanced inflammation and metabolism. While unknown, compelling evidence suggests that MDP could benefit patients with inflammatory bowel disease (IBD). We aimed to evaluate the level of diet adherence, diet quality, and nutritional adequacy of the MDP in patients with Ulcerative Colitis (UC).MethodsAdult participants (n = 32) with quiescent UC were randomized to follow a MDP (n = 18) or Canadian Habitual Diet (CHD) (n = 14) for 12 weeks. The MDP participants received tailored nutrition education from a Registered Dietitian. Demographic, clinical data, medical history, and quality of life were assessed with the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), dietary adherence with the Mediterranean Diet Serving Score (MDSS), diet quality via the Healthy Eating Index-2015 (HEI-2015), and dietary intake (ASA-24) were completed at baseline and week 12.ResultsParticipants’ diets were analyzed (MDP n = 15, CHD n = 13). The MDP (n = 10, 67%) achieved a high level of adherence (MDSS score between 16 and 24) vs. CHD (n = 3), (p = 0.030). HEI-2015 significantly increased from baseline to week 12 (p = 0.007) in the MDP and was significantly higher at week 12 compared to the CHD (p = 0.0001). The SIBDQ (bowel domain) showed reductions in the passage of large amounts of gas (p = 0.01) and improvements in tenesmus (p = 0.03) in the MDP. Despite enhanced diet quality and adherence in the MDP, females had inadequate intakes of calcium, iron, vitamin D, vitamin E, and choline and males had inadequate intakes of fiber, vitamin D, vitamin E, and choline. No adverse events were reported.ConclusionWith nutrition education, high adherence to the MDP was achieved without an increase in bowel symptoms. Following the MDP led to a higher diet quality; however, nutritional inadequacies were identified. Tailored dietary education focusing on nutrients of concern when following the MDP is recommended to ensure nutritional adequacy.Clinical trial registration[www.ClinicalTrials.gov], identifier [NCT03053713].

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Section: Discussionmentioning

confidence: 77%

“…Previous studies that report that the average fiber intake in patients with quiescent UC ranges from 9 to 13.5 grams/day ( 30 ). Fiber intake in the females following the MDP increased significantly.…”

Section: Discussionmentioning

confidence: 99%

Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis

et al. 2022

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“…There is limited evidence to indicate that low fibre diets or eliminating fibre rich foods is therapeutically beneficial for the prevention or management of inflammatory bowel disease. Despite this, people with inflammatory bowel disease reportedly eat less total fibre than the general population,34 and this might in part be attributed to medical advice to reduce fibre intake. A recent meta-analysis of data from six cohort studies found no protective association between dietary fibre and risk of ulcerative colitis, but greater fruit and vegetable intake led to a 41% reduced risk in developing Crohn’s disease 35.…”

Section: Fibre and Gut Healthmentioning

confidence: 99%

Fibre intake for optimal health: how can healthcare professionals support people to reach dietary recommendations?

McKeown

Fahey

Slavin

et al. 2022

BMJ

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“…Patinets suffering from IBD tend to consume a lower intake of dietary fiber than healthy subjects, especially in periods of clinical activity, and fiber intakes are inadequate compared with respective national fiber guidelines (70). In a review of RCTs 3/10 UC studies reported fiber supplementation to benefit disease outcomes, whereas 0/12 CD studies and 1/1 pouchitis study reported a benefit on disease activity.…”

Section: Balanced Fat Diet and Dietary Fiber Dietmentioning

confidence: 99%

"Out of the box� new therapeutic strategies for Crohn�s disease: moving beyond biologics

2022

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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The Adequacy of Habitual Dietary Fiber Intake in Individuals With Inflammatory Bowel Disease: A Systematic Review

Cited by 15 publications

References 58 publications

Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis

Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis

Fibre intake for optimal health: how can healthcare professionals support people to reach dietary recommendations?

"Out of the box� new therapeutic strategies for Crohn�s disease: moving beyond biologics

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