Dietary Guidance From the International Organization for the Study of Inflammatory Bowel Diseases

Levine, Arie; Rhodes, Jonathan M.; Lindsay, James O.; Abreu, María T.; Kamm, Michael A.; Gibson, Peter R.; Gasché, Christoph; Silverberg, Mark S.; Mahadevan, Uma; Boneh, Rotem Sigall; Wine, E; Damas, Oriana M.; Syme, Graeme; Trakman, Gina L.; Yao, Chu K; Stockhamer, Stefanie; Hammami, Muhammad B.; Garces, Luis C.; Rogler, Gerhard; Koutroubakis, Ioannis Ε.; Ananthakrishnan, Ashwin N.; McKeever, Liam; Lewis, James D.

doi:10.1016/j.cgh.2020.01.046

Cited by 199 publications

(156 citation statements)

References 99 publications

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“…In the absence of clearly defined nutritional guidance for people with IBD during this pandemic, it is reasonable to advise healthy eating recommendations in line with the International Organization for the Study of Inflammatory Bowel Disease ( Figure 2). 29,30 It must be acknowledged that these guidelines do not take into account the practicalities of eating within the limitations imposed by a pandemic environment and require individualization for stricturing disease. Food insecurity may result from financial hardship seen with declining global economy and job loss.…”

Section: Healthy Flexible Eating With Daily Physical Activitymentioning

confidence: 99%

“… 43 The broad principles of the role diet has in IBD are proposed by International Organization for the Study of Inflammatory Bowel Disease and summarized in Figure 2 . 29 However, these recommendations are largely based on epidemiological and observational data or from animal studies. Despite the relative lack of evidence, many patients follow restrictive and non-evidence-based approaches popularized by Internet-based recommendations.…”

Section: Defined Dietary Strategies For Ibd: What Is Appropriate Dietmentioning

confidence: 99%

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Practical Guidance for Dietary Management of Patients With Inflammatory Bowel Disease During the SARS-CoV2 Pandemic

Day

Wood

Halmos

et al. 2021

Journal of the Academy of Nutrition and Dietetics

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Section: Healthy Flexible Eating With Daily Physical Activitymentioning

confidence: 99%

Section: Defined Dietary Strategies For Ibd: What Is Appropriate Dietmentioning

confidence: 99%

Practical Guidance for Dietary Management of Patients With Inflammatory Bowel Disease During the SARS-CoV2 Pandemic

Day

Wood

Halmos

et al. 2021

Journal of the Academy of Nutrition and Dietetics

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“…It is as effective as EEN in achieving clinical and biochemical remission and mucosal healing but superior to EEN in tolerance and compliance. [31][32][33][34][35][36][37] Thus, the CDED may constitute a nutritionally balanced long-term strategy for maintaining remission if complied with adequately.…”

Section: Emjmentioning

confidence: 99%

“…16,35 Prof Wine posited that other CD cohorts could benefit from CDED, such as those with severe luminal CD, individuals who are refractory to drug therapy, or for those where CDED might be beneficial beyond 12 weeks. Recent studies have highlighted the important role of dietary therapies for those with CD in settings different to clinical trials 36,37 and ongoing studies are focussing on more severe patients.…”

Section: Professor Eytan Winementioning

confidence: 99%

Nutritional Management of Paediatric Crohn’s Disease

2020

EMJ

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For many people with Crohn’s disease (CD), onset occurs in childhood or adolescence. Treatment for CD has moved from predominantly surgical to, more often, pharmacological. While successful for many, others have tried various medications and combinations without long-term success and, for all, drug treatment needs to be balanced with potential therapy risks. Findings that diet can impact pathogenesis of CD to cause and exacerbate symptoms have inspired studies of dietary interventions. The Crohn’s Disease Exclusion Diet (CDED) was developed following the observation that certain dietary components were linked to inflammation and gut dysbiosis found in those with CD. This three-phase diet included two periods of a highly-controlled and prescribed diet, followed by a maintenance diet in which patients had a wider choice of foods. The diet limited ingestion of foods that may trigger inflammation and/or dysbiosis in CD, such as saturated fats, wheat, carrageenan, and some dairy products, and included healthy choices, such as fruits, vegetables, lean protein sources, and complex carbohydrates. It was nutritionally balanced, science-based, and included foods that were widely accessible. Based on findings from clinical trials and case studies, four experts (Prof Lionetti, Prof Martín-de-Carpi, Mrs Sigall-Boneh, and Prof Wine) discussed the background of CD, current treatment options, the utility of dietary therapies including CDED, and how all healthcare professionals (HCP) looking after children and adolescents with CD should consider the use of diet as part of their therapy.

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“…A dietary guidance for patients with IBD has been recently published highlighting the lack of strong evidence for foods to include or avoid for patients with IBD. 22 Most IBD-friendly whole food diets involved exclusion of carbohydrates, inclusion of lean protein, fruits, and vegetables. 23 – 25 Similarly, few studies have demonstrated adverse reaction of foods in some dogs with CAF.…”

Section: Introductionmentioning

confidence: 99%

Dysbiosis in a canine model of human fistulizing Crohn’s disease

et al. 2020

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Crohn's disease (CD) is a chronic immune-mediated inflammatory condition caused by the loss of mucosal tolerance toward the commensal microbiota. On average, 29.5% and 42.7% CD patients experience perianal complications at 10 and 20 y after diagnosis, respectively. Perianal CD (pCD) result in high disease burden, diminished quality of life, and elevated health-care costs. Overall pCD are predictors of poor long-term outcomes. Animal models of gut inflammation have failed to fully recapitulate the human manifestations of fistulizing CD. Here, we evaluated dogs with spontaneous canine anal furunculosis (CAF), a disease with clinical similarities to pCD, as a surrogate model for understanding the microbial contribution of human pCD pathophysiology. By comparing the gut microbiomes between dogs suffering from CAF (CAF dogs) and healthy dogs, we show CAF-dog microbiomes are either very dissimilar (dysbiotic) or similar (healthy-like), yet unique, to healthy dog's microbiomes. Compared to healthy or healthy-like CAF microbiomes, dysbiotic CAF microbiomes showed an increased abundance of Bacteroides vulgatus and Escherichia coli and a decreased abundance of Megamonas species and Prevotella copri. Our results mirror what have been reported in previous microbiome studies of patients with CD; particularly, CAF dogs exhibited two distinct microbiome composition: dysbiotic and healthy-like, with determinant bacterial taxa such as E. coli and P. copri that overlap what it has been found on their human counterpart. Thus, our results support the use of CAF dogs as a surrogate model to advance our understanding of microbial dynamics in pCD.

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Dietary Guidance From the International Organization for the Study of Inflammatory Bowel Diseases

Cited by 199 publications

References 99 publications

Practical Guidance for Dietary Management of Patients With Inflammatory Bowel Disease During the SARS-CoV2 Pandemic

Practical Guidance for Dietary Management of Patients With Inflammatory Bowel Disease During the SARS-CoV2 Pandemic

Nutritional Management of Paediatric Crohn’s Disease

Dysbiosis in a canine model of human fistulizing Crohn’s disease

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