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Diet therapy in gastrointestinal disease: a commentary
Journal of the American Dietetic Association
|October 1, 1979
Summary
Dietary management for gastrointestinal diseases involves proven diets like gluten-free for celiac disease and elimination diets for allergies. Controversial diets require more evidence before widespread adoption.
Area of Science:
- Gastroenterology
- Clinical Nutrition
Background:
- Dietary interventions are crucial for managing various gastrointestinal (GI) diseases.
- Current practices include diets with established efficacy and those considered controversial.
Purpose of the Study:
- To categorize dietary regimens for GI diseases based on scientific evidence.
- To differentiate between diets with proven value and those lacking robust support.
Main Methods:
- Review and classification of dietary approaches for common GI conditions.
- Categorization based on the strength of available objective evidence.
Main Results:
- Proven diets include disaccharide elimination (disaccharidase deficiency), gluten-free (celiac disease), allergen elimination (food allergies), protein restriction (portal systemic encephalopathy), low-carbohydrate (dumping syndrome), low-fiber (diarrheal syndromes), and low-fat (steatorrhea).
- Controversial diets include bland diets (acid-peptic disorders), high-fiber diets (colonic disorders), and low-fat diets (gallbladder disease).
Conclusions:
- Dietary recommendations for GI diseases should be evidence-based.
- Distinguishing between scientifically validated and controversial dietary strategies is essential for effective patient management.