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Dietary Guidance From the International Organization for the Study of Inflammatory Bowel Diseases
Abstract
Recent evidence points to a plausible role of diet and the microbiome in the pathogenesis of both Crohn's disease (CD) and Ulcerative Colitis (UC). Dietary therapies based on exclusion of table foods and replacement with nutritional formulas and/or a combination of nutritional formulas and specific table foods may induce remission in CD. In UC, specific dietary components have also been associated with flare of disease. While evidence of varying quality has identified potential harmful or beneficial dietary components, physicians and patients at the present time do not have guidance as to which foods are safe, may be protective or deleterious for these diseases. The current document has been compiled by the nutrition cluster of the International Organization for the Study of Inflammatory Bowel Diseases (IOIBD) based on the best current evidence to provide expert opinion regarding specific dietary components, food groups and food additives that may be prudent to increase or decrease in the diet of patients with inflammatory bowel diseases to control and prevent relapse of inflammatory bowel diseases.
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“This interest and use of CAM is common in pediatric IBD, despite being limited evidence for the role of diet and other types of CAMs in inducing and maintaining disease remission in IBD (excluding exclusive enteral nutrition in pediatric Crohn’s disease) [22,23,24].”
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“Notably, the International Organization for the Study of Inflammatory Bowel Diseases (IOIBD) [6], the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines on Clinical Nutrition in IBD (2023) [7], and the British Dietetic Association (BDA) consensus statement (2022) [8] provide…”
Dietary Responses to Non-Communicable Chronic Disease Diagnoses—A Scoping Review
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“Specifically, the IOIBD establishes critical exclusionary benchmarks by emphasizing a reduced intake of red/processed meats, saturated/ trans fats, dairy fats, and specific food additives tailored to mitigate UC flare-ups (114).”
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“However, given the established dietary guidelines for IBD, which significantly limit the consumption of HPFs [50,51], causes, and bidirectional relationships between HPF% intake and IBD, randomized controlled trials are needed for in-depth investigation with the goal of further specific nutritional…”
Navas‐López, V. M., Herrador‐López, M., Torcuato‐Rubio, E., Shabat, C. S., & Martín‐Masot, R. (2025) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1002/jpn3.70146 · Cited by 2
Dietary and Lifestyle Cardiometabolic Risk Reduction Strategies in Pro-inflammatory Diseases
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“The differential diagnosis of UC and CD is crucial mainly because the treatment of the two conditions is different [3, 4], and the dietary guidance provided to patients with CD and UC varies, according to the International Organization for the Study of Inflammatory Bowel Disease [5].”
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Vasudevan, J., DiVincenzo, C., & Feagins, L. A. (2022) · PubMed Central · Cited by 2
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Towards dietary assessment and interventions for patients with Inflammatory Bowel Disease
Peters, V. (2021) · University of Groningen research database (University of Groningen / Centre for Information Technology) · doi:10.33612/diss.159023461 · Cited by 2
Stepanov, Y. М., Tarasova, T. S., & Stoikevych, M. V. (2021) · GASTROENTEROLOGY · doi:10.22141/2308-2097.55.1.2021.229437 · Cited by 2
Obesity and Weight Loss Diets in Inflammatory Bowel Disease Patients: What Physicians Should Know
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“Several dietary approaches have been explored for their potential to induce and maintain remission, including exclusive enteral nutrition, low-residue diets, the Crohn’s Disease Exclusion Diet, and anti-inflammatory dietary patterns [12,14,15,19,20].”
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Pharmacoequity for Older Adults With Inflammatory Bowel Diseases
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“The International Organization for the Study of Inflammatory Bowel Diseases (IOIBD) Nutrition Cluster [9] created a guideline for specific dietary components, food groups, and food additives that may affect the nutritional requirements of patients with IBD, for better control and possible…”
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Metadata
- Authors
- Levine, A., Rhodes, J. M., Lindsay, J. O., Abreu, M. T., Kamm, M. A., Gibson, P. R., Gasche, C., Silverberg, M. S., Mahadevan, U., Boneh, R. S., Wine, E., Damas, O. M., Syme, G., Trakman, G. L., Yao, C. K., Stockhamer, S., Hammami, M. B., Garces, L. C., Rogler, G., Koutroubakis, I. E., Ananthakrishnan, A. N., McKeever, L., & Lewis, J. D.
- Affiliations
- Tel Aviv University (IL)
- University of Liverpool (GB)
- Queen Mary University of London (GB)
- University of Miami (US)
- The University of Melbourne (AU)
- Alfred Health (AU)
- Mount Sinai Hospital (CA)
- University of California, San Francisco (US)
- Barts Health NHS Trust (GB)
- University Hospital Zurich (CH)
- Massachusetts General Hospital (US)
- University of Pennsylvania (US)
- Corresponding author
- Lewis, James D.
- ORCID
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2020-05
- Volume
- 18
- Issue
- 6
- Pages
- 1381-1392
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W3005828812
- Cited by
- 297
- References
- 105
- Citations by year
- 2026: 36 · 2025: 48 · 2024: 53 · 2023: 54 · 2022: 37 · 2021: 44 · 2020: 24
- FWCI
- 5.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- inflammatory bowel disease, Crohn's disease, ulcerative colitis, dietary recommendations, gut microbiota, dietary therapy, nutritional formula, food additives, disease flares, remission, relapse prevention, food safety
- MeSH terms
- Colitis, Ulcerative, Crohn Disease, Diet, Humans, Inflammatory Bowel Diseases, Microbiota
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