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Addressing Nutritional Knowledge Gaps in Inflammatory Bowel Disease: A Scoping Review
Eleonora Ribaudi1, Simone Amato2, Guia Becherucci1
1IBD Unit, UOC CEMAD Centro Malattie Dell'apparato Digerente, Dipartimento di Scienze Mediche e Chirurgiche Addominali ed Endocrino Metaboliche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Nutrients
|March 13, 2025
Summary
People with inflammatory bowel disease (IBD) often lack nutritional knowledge, leading to poor dietary choices and malnutrition. Evidence-based education is crucial for improving symptom management and quality of life.
Area of Science:
- Gastroenterology
- Nutrition Science
- Public Health
Background:
- Inflammatory bowel diseases (IBD) are chronic gastrointestinal conditions where nutrition is vital for symptom management.
- Limited patient nutritional knowledge and prevalent misconceptions can negatively impact health outcomes in IBD.
- Existing literature highlights a significant gap in understanding dietary practices among individuals with IBD.
Purpose of the Study:
- To map existing literature on nutritional knowledge in IBD patients.
- To identify knowledge gaps and misconceptions regarding diet in IBD.
- To guide future evidence-based nutritional educational interventions for IBD.
Main Methods:
- Scoping review following Arksey and O'Malley framework and PRISMA 2020 guidelines.
- Systematic literature search across PubMed, Web of Science, and SCOPUS (2003-2024).
- Inclusion of studies on adults (≥18 years) with IBD focusing on nutritional knowledge.
Main Results:
- 23 studies met inclusion criteria from 1440 records.
- IBD patients frequently rely on personal beliefs over evidence-based guidelines for diet.
- Common misconceptions include unnecessary avoidance of dairy, gluten, and fiber; leading to food avoidance and malnutrition risk.
- Educational interventions show promise but are inconsistently applied.
Conclusions:
- Significant nutritional knowledge deficits exist among IBD patients.
- Structured, personalized, and multidisciplinary educational initiatives are essential.
- Integrating dietary education into standard IBD care can improve symptom control and quality of life.
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