A High-Fiber Diet May Improve Bowel Function and Health-Related Quality of Life in Patients With Crohn Disease
Open accessAbstract
Crohn disease is a chronic disorder characterized by episodes of epithelial inflammation in the gastrointestinal tract for which there is no cure. The prevalence of Crohn disease increased in civilized nations during the time period in which food sources were industrialized in those nations. A characteristic of industrialized diets is the conspicuous absence of cereal fiber. The purpose of this 2-group, randomized, controlled study was to investigate the effects of fiber-related dietary instructions specifying wheat bran consumption on health-related quality of life and gastrointestinal function in individuals diagnosed with Crohn disease, as measured by the Inflammatory Bowel Disease Questionnaire and the partial Harvey Bradshaw Index, respectively. Results demonstrated that consuming a wheat bran-inclusive diet was feasible and caused no adverse effects, and participants consuming whole wheat bran in the diet reported improved health-related quality of life (p = .028) and gastrointestinal function (p = .008) compared to the attention control group. The results of a secondary aim, to investigate differences in measures of systemic inflammation, found no group differences in C-reactive protein or erythrocyte sedimentation rates. This study suggests that diet modification may be a welcomed complementary therapy for individuals suffering gastrointestinal disruption associated with Crohn disease.
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Several studies report beneficial effects of these nutrients against chronic diseases such as type 2 diabetes, hypertension, and Crohn's disease.
“Several studies found in the literature report the beneficial effects of these nutrients against several chronic diseases, such as type 2 diabetes, hypertension, and Crohn’s disease [139,140].”
From From Industrial Food Waste to Bioactive Ingredients: A Review on the Sustainable Management and Transformation of Plant-Derived Food Waste (2023) · cites this paper as [139]
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Towards dietary assessment and interventions for patients with Inflammatory Bowel Disease
Peters, V. (2021) · doi:10.33612/diss.159023461 · Cited by 2 · see citing works
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Clashing paradigms: low fibre or high fibre diets for non-infectious gut inflammation?
Brotherton, C., & Taylor, A. G. (2014)
Biological markers demonstrate utility and predictive value in inflammatory bowel disease
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Doença de Crohn – novas tecnologias
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- Authors
- Brotherton, C. S., Taylor, A. G., Bourguignon, C., & Anderson, J. G.
- Affiliations
- University of Virginia (US)
- Corresponding author
- Brotherton, Carol S.
- ORCID
- Anderson, Joel G.
- Venue
- Gastroenterology Nursing
- Published
- 2014
- Volume
- 37
- Issue
- 3
- Pages
- 206-216
- ISSN
- 1042-895X (ISSN-L)
- PMC
- PMC4260718
- OpenAlex
- W2075570032
- Cited by
- 78
- References
- 29
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 11 · 2022: 7 · 2021: 13 · 2020: 7 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 3 · 2015: 7 · 2014: 1
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Gastroenterology Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (F31NR011121)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- Crohn's disease, dietary fiber, wheat bran, high-fiber diet, bowel function, health-related quality of life, dietary change, complementary therapy, inflammatory bowel disease, Harvey-Bradshaw Index, C-reactive protein, erythrocyte sedimentation rate, systemic inflammation
- MeSH terms
- Adolescent, Adult, C-Reactive Protein, Crohn Disease, Dietary Fiber, Feasibility Studies, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Reproducibility of Results, Biomarkers, Single-Blind Method, Treatment Outcome
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