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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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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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