Increased consumption of refined carbohydrates in patients with crohn's disease

Abstract

The nutritional habits of 63 patients with Crohn's disease (C.d.) were explored by means of questionnaires and compared with a control group of 63 persons matched as to age, sex and social status. Before the disease was recognized patients with C.d. consumed 742 grams/week (g/w) sweets and 1380 g/w pastries, during the disease 482 g/w sweets and 905 g/w pastries. The controls only consumed 285 g/w sweets and 563 g/w pastries. The differences between both groups are highly significant. There existed no significant difference in the intake of other foodstuffs such as proteins, fats, vegetables or alcohol. The high intake of refined carbohydrates in patients with C.d. may be partly responsible for its increasing incidence in the developed countries. This might be due to the sugar content as such and/or the food additives.

Oral Cavity Condition and Selected Salivary Parameters in Children and Adolescents Suffering from Inflammatory Bowel Diseases

“…Z kilku badań wynika większa jej intensywność [11][12][13][14][15], a inne nie wykazują takiej zależności [16,17]. Nasilenie występowania próchnicy u chorych było wyjaśniane zwiększeniem konsumpcji węglowoda-nów podczas choroby, które są jednym z głównych czynników przyczynowych próchnicy [18][19][20]. Reif et al [21] na podstawie analizy jakościowej i ilościowej oraz historii diety nowo zdiagnozowanych pacjentów stwierdzili u nich dużą konsumpcję sacharozy przed rozpoznaniem choroby Crohna.…”

A review of associations between Crohn’s disease and consumption of sugars

“…Martini & Brandes (1976) used a postal questionnaire to examine intakes of confectionery, preserves, biscuits and cakes 1±3 y prior to the onset of disease in a group of 63 CD patients. A control group, matched for age, sex and social class, was asked to recall current rather than retrospective diet, which would have made the results more comparable.…”

“…Intakes of sugars vary considerably across countries and daily intakes of healthy adults are reported to be 64.3 g in Sweden (Jarnerot et al, 1983); 65 g in Britain (Thornton et al, 1979); 81.4 g in Italy (Tragnone et al, 1995); 91 g (Kasper & Sommer, 1979) and 74 g (Martini & Brandes, 1976) in Germany; 27.5 g in Japan (Matsui et al, 1990) and 207 g in Israel (Silkoff et al, 1980). Amongst CD sufferers, daily intakes of sugars are 88.9 g in Sweden (Jarnerot et al, 1983); 122 g in Britain (Thornton et al, 1979); 100.2 g in Italy (Tragnone et al, 1995); 156 g (Kasper & Sommer, 1979) and 177 g (Martini & Brandes, 1976) in Germany; 39.9 g in Japan (Matsui et al, 1990) and 314 g in Israel (Silkoff et al, 1980).…”

“…Amongst CD sufferers, daily intakes of sugars are 88.9 g in Sweden (Jarnerot et al, 1983); 122 g in Britain (Thornton et al, 1979); 100.2 g in Italy (Tragnone et al, 1995); 156 g (Kasper & Sommer, 1979) and 177 g (Martini & Brandes, 1976) in Germany; 39.9 g in Japan (Matsui et al, 1990) and 314 g in Israel (Silkoff et al, 1980). If intakes of sugars are of primary importance in CD onset, the incidence in Israel should be substantially greater than any of the other countries considered.…”

“…For many years, the in¯uence of diet has been considered and, as early as 1969, Burkitt postulated that`re®ned foods' could cause a wide spectrum of colonic diseases. The idea of speci®c macronutrients acting as an aetiological factor in CD was not raised until the mid-seventies when Miller et al (1976) and Martini & Brandes (1976) in Germany investigated observations that adolescent CD sufferers had eaten large quantities of sweets before diagnosis. In Britain, James (1977) was the ®rst to consider diet as a possible cause of CD when he investigated foods eaten on an empty stomach, ®nding that patients ate corn¯akes at breakfast more often than controls.…”