Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease

Vrdoljak, Josip; Vilović, Marino; Živković, Piero Marin; Hadjina, Ivana Tadin; Rušić, Doris; Bukic, Josipa; Borovac, Josip Anđelo; Božić, Joško

doi:10.3390/nu12113429

Cited by 47 publications

(45 citation statements)

References 61 publications

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“…Dalmatian kidney transplant recipients showed adherence to the Mediterranean Diet by only 25% despite living in the area where it has been traditionally consumed for centuries and is a part of UNESCO Intangible Cultural Heritage of Humanity [ 19 ]. Other research from the same geographical region show the similar adherence to the MeDi (23%) in a healthy population [ 20 ] and even lower adherence in patients with inflammatory bowel disease, another chronic non-communicable disease [ 21 ]. Other studies with KTRs used a different kind of questionnaire which uses nine food groups to assess adherence to the MeDi.…”

Section: Discussionmentioning

confidence: 92%

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

et al. 2021

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The aim of this study was to evaluate adherence to Mediterranean diet (MeDi) and possible correlation of MeDi adherence and nutritional status parameters in Dalmatian kidney transplant recipients (KTRs). One hundred and sixteen KTRs were included in this study. Data about Mediterranean Diet Serving Score (MDSS), body mass composition, anthropometric parameters, clinical and laboratory parameters were collected for each study participant. The results showed 25% adherence to the MeDi in Dalmatian KTRs. MDSS showed association with higher serum albumin and phosphorus level and higher skeletal muscle mass. Also, significant association between diabetic status and MDSS was found. Adherence to olive oil intake suggested by the MeDi showed significant association with lower level of triglycerides and adherence to nuts suggestions was associated with lower level of fat mass. Following MeDi recommendations for consumption of other foods (cereals, potato, eggs, vegetables, fruits and dairy) were also associated with body mass composition parameters and laboratory findings. In conclusion, low adherence to the MeDi in Dalmatian KTRs raises high concerns. The results showed that MeDi can have favorable effects on nutritional status in KTRs. A structured nutritional approach is needed to enhance adherence to the MeDi and prevent possible adverse effects in this patient population.

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Section: Discussionmentioning

confidence: 92%

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

et al. 2021

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“…This could be even more important, as patients with IBD are more frequently assessed with invasive gastrointestinal procedures such as esophagogastroduodenoscopy and ileocolonoscopy compared with the non-IBD population, subsequently exposing both the patient and the examiner to a higher risk of infection[ 34 ]. Finally, the use of IBD immunosuppressive therapies has been associated with an increased risk of infections[ 13 , 14 ]. All of these findings suggest that patients with IBD should be the "perfect" host for SARS-CoV-2 viral infection (Figure 1 ).…”

Section: The Risk Of Covid-19 Infection Among Patients With Ibdmentioning

confidence: 99%

Impact of the COVID-19 pandemic on inflammatory bowel disease patients: A review of the current evidence

Kumrić

Kurir

Martinović

et al. 2021

WJG

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Since the initial coronavirus disease 2019 (COVID-19) outbreak in China in December 2019, the infection has now become the biggest medical issue of modern medicine. Two major contributors that amplified the impact of the disease and subsequently increased the burden on health care systems were high mortality among patients with multiple co-morbidities and overcapacity of intensive care units. Within the gastroenterology-related community, particular concern was raised with respect to patients with inflammatory bowel disease (IBD), as those patients are prone to opportunistic infections mainly owing to their immunosuppressive-based therapies. Hence, we sought to summarize current knowledge regarding COVID-19 infection in patients with IBD. Overall, it seems that IBD is not a comorbidity that poses an increased risk for COVID-19 acquisition, except in patients treated with 5-aminosalicylates. Furthermore, outcomes of the infected patients are largely dependent on therapeutic modality by which they are treated, as some worsen the clinical course of COVID-19 infection, whereas others seem to dampen the detrimental effects of COVID-19. Finally, we discussed the present and the future impact of COVID-19 pandemic and concomitantly increased health care burden on IBD-management.

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“…Moreover, the MD seems to be most beneficial for elderly patients. Overall, the MD is considered to have a high potential to modulate gut inflammation and to be a therapeutic and preventive tool for intestinal chronic inflammatory disease [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

A Cumulative Effect of Food and Viruses to Trigger Celiac Disease (CD): A Commentary on the Recent Literature

Barone

Auricchio²

2021

IJMS

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Celiac disease (CD) is a type of inflammatory chronic disease caused by nutrients such as gliadin that induce a TC (T cell)-mediated response in a partially known genetical background in an environment predisposed to inflammation, including viruses and food. Various experimental and clinical observations suggest that multiple agents such as viruses and bacteria have some common, inflammatory pathways predisposing individuals to chronic inflammatory diseases including celiac disease (CD). More recently, a Western diet and lifestyle have been linked to tissue inflammation and increase in chronic inflammatory diseases. In CD, the gliadin protein itself has been shown to be able to induce inflammation. A cooperation between viruses and gliadin is present in vitro and in vivo with common mechanisms to induce inflammation. Nutrients could have also a protective effect on CD, and in fact the anti-inflammatory Mediterranean diet has a protective effect on the development of CD in children. The possible impact of these observations on clinical practice is discussed.

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Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease

Cited by 47 publications

References 61 publications

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

Impact of the COVID-19 pandemic on inflammatory bowel disease patients: A review of the current evidence

A Cumulative Effect of Food and Viruses to Trigger Celiac Disease (CD): A Commentary on the Recent Literature

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