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Existing dietary guidelines for Crohn's disease and ulcerative colitis
Amy C Brown1, S Devi Rampertab, Gerard E Mullin
1Department of Complementary & Alternative Medicine, John A Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo Street, MEB 223, Honolulu, HI 96813, USA. amybrown@hawaii.edu
Expert Review of Gastroenterology & Hepatology
|June 10, 2011
Summary
Dietary recommendations for inflammatory bowel disease (IBD) patients include nutritional screening, symptom-trigger avoidance, and supplementation. A global guideline synthesizes advice, noting regional differences in treatments like enteral nutrition for Crohn's disease.
Area of Science:
- Gastroenterology
- Clinical Nutrition
- Evidence-Based Medicine
Background:
- Dietary management is a frequent concern for patients with inflammatory bowel disease (IBD).
- Existing dietary advice for IBD is fragmented across medical societies and patient organizations.
- There is a need to consolidate current dietary recommendations for IBD.
Purpose of the Study:
- To compile and present dietary guidelines for IBD from medical societies.
- To list dietary recommendations from patient-centered IBD organizations.
- To develop a consolidated 'global practice guideline' for diet in IBD.
Main Methods:
- Systematic review of clinical practice guidelines from medical societies.
- Compilation of dietary advice from IBD-focused patient advocacy groups.
- Synthesis of information to create a unified global guideline.
Main Results:
- Key recommendations include nutritional deficiency screening, avoiding trigger foods, frequent small meals, adequate hydration, and limiting caffeine, alcohol, excess fat, and carbohydrates.
- Supplementation, dairy elimination for lactose intolerance, and reduced fiber during flares are advised.
- Probiotic recommendations are mixed; enteral nutrition for Crohn's disease differs between Japan and the USA.
Conclusions:
- A consolidated global guideline can help standardize dietary advice for IBD patients.
- Individualized dietary approaches are crucial, considering symptom triggers and nutritional status.
- Further research may clarify optimal use of probiotics and regional variations in IBD nutritional therapy.
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