Nutritional therapy for inflammatory bowel disease
DOI:
https://doi.org/10.52556/2587-3873.2023.4(97).03Keywords:
Nutrition, dietary treatment, inflammatory bowel diseases, ulcerative colitis, Crohn’s diseaseAbstract
his article presents a synthesis of publications from the relevant scientific literature, addressed to the importance of nutritional treatment în patients with inflammatory bowel diseases (IBD). Various restrictive and elimination diets are critically reviewed from the perspective of evidence-based medicine, including: exclusive enteral nutrition, low-FODMAP, specific carbohydrate, paleolithic, anti-inflammatory, CD-TREAT, and other diets. Although there are countless books and websites on „medical nutrition” în IBD, there is no conclusive evidence to support restrictive diets în IBD patients. Thus, current recommendations for these patients should rather focus on a healthy and balanced diet, based on natural, unprocessed products, rather than limiting and/or adding certain dietary components. în addition, patients with IBD should be encouraged to practice appropriate physical activity, which during the remission period should not differ from that recommended for healthy people.
References
1. Țurcan S. Colita ulceroasă. Medicina, Chisinau, 2012, 192 p.
2. Bischoff S. et al. ESPEN practical guideline: Clinical Nutrition în inflammatory bowel disease. In: Clinical Nutrition. 2020, vol. 39, pp. 632-653. https://doi.org/10.1016/j.clnu.2019.11.002
3. Forbes A. et al. ESPEN guideline: Clinical nutrition în inflammatory bowel disease. In: Clinical Nutrition. 2017, vol. 36, pp. 321-347. https://doi.org/10.1016/j.clnu.2016.12.027
4. Levine A. et al. Dietary Guidance from the International Organization for the Study of Inflammatory Bowel Diseases. In: Clinical Gastroenterology and Hepatology. 2020, vol.18, pp.1381-1392. https://doi.org/10.1016/j.cgh.2020.01.046
5. Schreinera P. et al. Nutrition în Inflammatory Bowel Disease. In: Digestion. 2020, vol. 101(suppl 1), pp. 120-135. https://doi.org/10.1159/000505368
6. Matsuoka K. et al. Evidence-based clinical practice guidelines for inflammatory bowel disease. In: J Gastroenterol. 2018, vol. 53(3), pp.305-53. https://doi.org/10.1007/s00535-018-1439-1
7. Yong-Le Zhan et al. Is a low FODMAP diet beneficial for patients with inflammatory bowel disease? A meta-analysis and systematic review. In: Clin Nutr. 2018, vol. 37(1), pp.123-129. https://doi.org/10.1016/j.clnu.2017.05.019
8. James D. et al. A Randomized Trial Comparing the Specific Carbohydrate Diet to a Mediterranean Diet în Adults with Crohn's Disease. In: Gastroenterology. 2021, vol. 161, pp.837-852.
9. Olendzki B.C. et al. An anti-inflammatory diet as treatment for inflammatory bowel disease: a case series report. In: Nutr J. 2014, vol. 13, p.5. https://doi.org/10.1186/1475-2891-13-5
10. Limketkai B.N. et al. Dietary interventions for induction and maintenance of remission în inflammatory bowel disease. Cochrane Database Syst Rev. 2019 Feb;2:CD012839. https://doi.org/10.1002/14651858.CD012839.pub2
11. Svolos V. et al. Treatment of Active Crohn's Disease with an Ordinary Food-based Diet That Replicates Exclusive Enteral Nutrition. In: Gastroenterology. 2019, vol. 156(5), pp.1354-1367. https://doi.org/10.1053/j.gastro.2018.12.002
12. The effect of diet on disease activity and symptoms în patients with ulcerative colitis. Available from: https://ClinicalTrials.gov/ show/NCT03053713.
13. Torres, J. et al. European Crohn's and colitis organization topical review on complementary medicine and psychotherapy în inflammatory bowel disease. In: J Crohns Colitis. 2019, vol. 13(6), pp. 673-685. https://doi.org/10.1093/ecco-jcc/jjz051
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
