Dietary intake of patients with inflammatory bowel disease : A comparison with individuals from a general population and associations with relapse

Autor: Jorrit L. Opstelten, Ben J.M. Witteman, Bas Oldenburg, Jeanne H.M. de Vries, Peter D. Siersema, Anouk Wools
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Adult
Dietary Fiber
Male
medicine.medical_specialty
Population
030209 endocrinology & metabolism
Dietary factors
Disease
Critical Care and Intensive Care Medicine
Inflammatory bowel disease
03 medical and health sciences
Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]
Eating
0302 clinical medicine
Recurrence
Internal medicine
Animal Proteins
Dietary
Vegetables
medicine
Humans
In patient
Relapse
education
VLAG
Human Nutrition & Health
Global Nutrition
education.field_of_study
Wereldvoeding
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Dietary intake
Humane Voeding & Gezondheid
Middle Aged
medicine.disease
Inflammatory Bowel Diseases
Ulcerative colitis
Confidence interval
Diet
Crohn's disease
Cross-Sectional Studies
Female
business
Zdroj: Clinical Nutrition, 38(4), 1892. Churchill Livingstone
Clinical Nutrition, 38, 1892-1898
Clinical Nutrition, 38(4), 1892-1898
Clinical Nutrition, 38, 4, pp. 1892-1898
Clinical Nutrition 38 (2019) 4
ISSN: 0261-5614
Popis: Item does not contain fulltext BACKGROUND AND AIMS: Individuals with inflammatory bowel disease (IBD) often hold strong beliefs on how diet impacts their disease. This study aimed to compare dietary intakes between IBD patients and individuals from the general population and to assess associations of dietary factors with relapse in patients with IBD. METHODS: Patients with longstanding Crohn's disease and ulcerative colitis (n = 165) filled out food frequency questionnaires, as did individuals participating in a Dutch population-based study (controls) (n = 1469). Multivariable regression analyses were used to assess differences in habitual dietary intake between IBD patients and controls, and to estimate associations of dietary factors in patients in remission with the development of disease relapse at follow-up. RESULTS: IBD patients had higher intakes of animal protein (3.50 g/d, 95% confidence interval (CI) 1.67-5.34) and carbohydrate (10.1 g/d, 95% CI 5.23-14.9) than controls and lower intakes of (unsaturated) fat (-3.53 g/d, 95% CI -5.57- -1.50), dietary fiber (-2.19 g/d, 95% CI -3.05- -1.32) and alcohol (-0.84 g/d, 95% CI -1.46- -0.22). This was explained by a higher consumption of carbonated beverages, meat and poultry and lower consumption of fruit, vegetables and dairy products (except cheese) by IBD patients compared with controls. Several dietary factors, particularly (saturated) fat and fiber, appeared to be associated with risk of relapse. CONCLUSIONS: IBD patients had higher dietary intakes of (animal) protein and carbohydrate and lower intakes of (unsaturated) fat, dietary fiber and alcohol compared with a general Dutch population. The results further underscore that dietary factors may have a role in disease course.
Databáze: OpenAIRE
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