Nutrition in inflammatory bowel diseases; Is there a role?

Elsevier

Available online 18 February 2023, 101827

Best Practice & Research Clinical GastroenterologyAuthor links open overlay panelResearch agenda•

How diet interacts with IBD, and guidelines are still being developed.

The role of Mediterranean diet in particular to remission achievement and maintenance.

Focus on a holistic approach utilizing a balanced diet rich in bioactive compounds.Practice points

Westernized lifestyles, including western food and diet, improved hygiene, increased antibiotic use, and urbanization are believed to contribute to the rise of inflammatory bowel diseases (IBDs).

Crohn's disease and Ulcerative colitis are the major entities of IBDs.

The role of diet in the etiology and clinical course of IBDs is yet not fully explored.

Abstract

Nutrition is of paramount importance not only for healthy individuals, but all the more for the ones with pathologies interlinked with the diet. In that light, diet, when used accordingly can act in a protective manner in inflammatory bowel diseases. The interplay of diet and IBD is not thoroughly defined, and guidelines are a work in progress. However, significant knowledge has been gained with regard to foods and nutrients that may exacerbate or alleviate the core symptoms. Patients with IBD restrict from their diet a plethora of foods often arbitrary, thus depriving themselves from valuable constituents. Careful navigation into the newfound field of genetic variants and personalization of diet should be employed with avoidance of the Westernized diet, processed foods and additives, and focus on a holistic approach with a balanced diet rich in bioactive compounds in order to improve the quality of life of these patients and address diet-related deficiencies.

Keywords

IBD

Crohn's disease

Ulcerative colitis

Diet

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© 2023 Published by Elsevier Ltd.

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