Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle

Guida, Laura; Giorgio, F M Di; Busacca, Anita; Carrozza, Lucio; Ciminnisi, Stefania; Almasio, Piero Luigi; Marco, V. Di; Cappello, Maria

doi:10.3390/nu13030759

Cited by 22 publications

(15 citation statements)

References 31 publications

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“…Similar research from New Zealand revealed that 55% of patients with CD complained of exacerbation of symptoms after beer consumption. Similarly, in the recent study of Guida et al, almost 19% of patients perceived alcohol as a symptoms trigger [ 75 ].…”

Section: Alcoholmentioning

confidence: 82%

Emerging Comorbidities in Inflammatory Bowel Disease: Eating Disorders, Alcohol and Narcotics Misuse

Kuźnicki

Neubauer

2021

JCM

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Inflammatory bowel disease (IBD) is a chronic and potentially devastating condition of the digestive tract which is exemplified by increasing prevalence worldwide, byzantine pathogenesis with a poorly defined role of the environmental factors, and complex clinical demonstration. As a systemic disease, IBD may progress with a wide spectrum of extraintestinal manifestations (EMs) and comorbidities affecting different organs and systems, from anaemia, undernutrition, and cancer to those which are often neglected like anxiety and depression. Evolving IBD epidemiology and changing environment are reflected by an expanding list of IBD-related comorbidities. In contrast to the well-established role of smoking the connection between alcohol and IBD is still debatable on many levels, from pathogenesis to complications. Furthermore, little is known about narcotics use in IBD patients, even if there are obvious factors that may predispose them to narcotics as well as alcohol misuse. Last but not least, the question arises what is the prevalence of eating disorders in IBD. In our paper, we aimed to discuss the current knowledge on alcohol and drugs misuse and eating disorders as emerging extraintestinal comorbidities in IBD.

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Section: Alcoholmentioning

confidence: 82%

Emerging Comorbidities in Inflammatory Bowel Disease: Eating Disorders, Alcohol and Narcotics Misuse

Kuźnicki

Neubauer

2021

JCM

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“…Some studies have found that patients are also likely to follow an ‘unguided’ diet (meaning no guidance from a physician or dietitian), where daily dietary choices are based on patients’ perceptions of foods or on the experiences of others 18,19 . Knowledge from professionals may not be comprehensive and detailed enough, and patients will form the basis for their own dietary decisions after receiving expertise and combining it with their own dietary experience 20 . One participant described their decision‐making around dietary choices as ‘changing the foods I naturally eat, without even thinking about it, and then becoming more aware.’ This process can also be described as perceptual eating 17 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“… 18 , 19 Knowledge from professionals may not be comprehensive and detailed enough, and patients will form the basis for their own dietary decisions after receiving expertise and combining it with their own dietary experience. 20 One participant described their decision‐making around dietary choices as ‘changing the foods I naturally eat, without even thinking about it, and then becoming more aware.’ This process can also be described as perceptual eating. 17 When participants discover which foods help reduce their symptoms, they intuit which foods cause them to experience symptoms and which do not based on their knowledge or sense of knowledge.…”

Section: Discussionmentioning

confidence: 99%

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‘Eating is like experiencing a gamble’: A qualitative study exploring the dietary decision‐making process in adults with inflammatory bowel disease

Ting‐Ting,

Wen‐Jing,

Yi‐Ting

et al. 2023

Health Expectations

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BackgroundFor adults with inflammatory bowel disease (IBD), they experience many challenges in dietary decision‐making. Thus, this study examined the perspective and experiences of adults with IBD in dietary decision‐making.ObjectiveThis study aimed to explore the perception and consideration of people with IBD in their daily dietary decisions through monitoring, interpretation and action during the decision‐making process.DesignA qualitative study of individuals affected by IBD was conducted through semistructured interviews.ResultsTwenty patients were recruited from four tertiary hospitals in Nanjing, China, and each participant completed a semistructured interview. The majority of participants reported on the process and experience of dietary decision‐making. Key themes were categorised into three stages: (1) assessing needs, preferences and food cues (monitor); (2) moving from experience to expertise (interpret) and (3) balancing expectations amidst limitations (act). The majority of participants reported that their decisions were shaped by assessing current disease status and food cues. Those interviewed with IBD were willing to make tradeoffs for bowel stability, but their decisions were also influenced by past dietary experiences and traditional Chinese beliefs. The lack of awareness of dietary guidelines was a significant barrier to healthy eating decisions. Positive or negative feelings accompanied dietary decisions.ConclusionAlthough most people with IBD change their diet after diagnosis, the changes made are often inconsistent with existing dietary recommendations. Several factors can influence the dietary decision‐making process. This study will help assess the experiences of people with IBD in dietary decision‐making to encourage the formation of targeted dietary health and well‐being interventions. Knowledge of nutrition and diet should be provided in education and training programmes for IBD management.Patient or Public ContributionThe first three authors of this paper were the lead researchers in this study's design. These authors were mentored by patient researchers who also contributed to the manuscript, and the research process was co‐lead and directed by other patient participants and consultants. The results of this paper were directly obtained from patient participants.

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“…Among the environmental factors, diet might play a relevant role. Furthermore, patients with IBD often have the perception that food can worsen their disease, and their excessive focus on the quality, quantity, and type of food that they intake can lead to unhealthy habits and, in some cases, caloric–protein malnutrition [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Food Beliefs and the Risk of Orthorexia in Patients with Inflammatory Bowel Disease

Di Giorgio,

Modica,

Saladino

et al. 2024

Nutrients

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Patients with inflammatory bowel disease (IBD) believe that diet plays a significant role in the pathogenesis of their disease and the exacerbation of their symptoms. They often adopt restrictive diets that can lead to malnutrition, anxiety, and stress. Recent studies have found a correlation between IBD and eating disorders, such as anorexia nervosa and ARFID (Avoidant Restrictive Food Intake Disorder). None of these studies report an association with orthorexia nervosa, which is an obsession with healthy and natural foods. The aim of this study was to assess the risk of orthorexia nervosa in patients with IBD. A total of 158 consecutive subjects were recruited, including 113 patients with IBD and 45 controls. The standardized Donini questionnaire ORTO-15 was administered to assess the risk of orthorexia, and clinical and demographic data were collected. The results showed that patients with IBD had a risk of developing orthorexia nervosa of 77%. This was significantly higher than the 47% observed in the control group. In the patients with IBD, the risk of orthorexia was associated with a lower BMI, at least in patients older than 30 years, and it was also associated with marital status in patients younger than 30. In conclusion, many patients with IBD are at increased risk of developing orthorexia nervosa, which may have a negative impact on their psychological wellbeing and social sphere, expose them to a high risk of nutritional deficiencies, and affect their overall quality of life. Further high-quality studies are needed to assess the clinical impact of orthorexia and its correlation with clinical features and classified eating disorders.

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Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle

Cited by 22 publications

References 31 publications

Emerging Comorbidities in Inflammatory Bowel Disease: Eating Disorders, Alcohol and Narcotics Misuse

Emerging Comorbidities in Inflammatory Bowel Disease: Eating Disorders, Alcohol and Narcotics Misuse

‘Eating is like experiencing a gamble’: A qualitative study exploring the dietary decision‐making process in adults with inflammatory bowel disease

Food Beliefs and the Risk of Orthorexia in Patients with Inflammatory Bowel Disease

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