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

Background: Diet has a relevant role in triggering symptoms in inflammatory bowel disease (IBD) from the patients’ perspective, but there is gap the between patients’ and doctors’ perceptions. Few studies have addressed this topic. The aim of this study was to evaluate food habits and nutrition know...

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Autores principales: Guida, Laura, Di Giorgio, Francesca Maria, Busacca, Anita, Carrozza, Lucio, Ciminnisi, Stefania, Almasio, Piero Luigi, Di Marco, Vito, Cappello, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996868/
https://www.ncbi.nlm.nih.gov/pubmed/33652848
http://dx.doi.org/10.3390/nu13030759
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author Guida, Laura
Di Giorgio, Francesca Maria
Busacca, Anita
Carrozza, Lucio
Ciminnisi, Stefania
Almasio, Piero Luigi
Di Marco, Vito
Cappello, Maria
author_facet Guida, Laura
Di Giorgio, Francesca Maria
Busacca, Anita
Carrozza, Lucio
Ciminnisi, Stefania
Almasio, Piero Luigi
Di Marco, Vito
Cappello, Maria
author_sort Guida, Laura
collection PubMed
description Background: Diet has a relevant role in triggering symptoms in inflammatory bowel disease (IBD) from the patients’ perspective, but there is gap the between patients’ and doctors’ perceptions. Few studies have addressed this topic. The aim of this study was to evaluate food habits and nutrition knowledge in a homogeneous cohort of patients with IBD from southern Italy. Methods: 167 consecutive patients with IBD were recruited. The survey was based on the administration of a semi-structured questionnaire assessing demographics, disease features, dietary behavior, and food intolerance. Results: The majority of patients did not consider food a cause of their disease. However more than 80% changed their diet after the diagnosis and most report an improvement in symptoms. Spiced and seasoned foods, dairy products, vegetables, and fruit were often avoided. A dairy-free diet was adopted by 33.7%. Food choices were based on self-experience and not on medical counselling. Dietary modifications deeply impact on lifestyle. Conclusions: Most of the patients with IBD set diet and lifestyle on self-experience and give up many foods. This has an impact on psychosocial functioning and can lead to nutritional deficiencies. High quality studies are warranted to assess evidence-based dietary strategies and develop patient-targeted dietary recommendations.
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spelling pubmed-79968682021-03-27 Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle Guida, Laura Di Giorgio, Francesca Maria Busacca, Anita Carrozza, Lucio Ciminnisi, Stefania Almasio, Piero Luigi Di Marco, Vito Cappello, Maria Nutrients Article Background: Diet has a relevant role in triggering symptoms in inflammatory bowel disease (IBD) from the patients’ perspective, but there is gap the between patients’ and doctors’ perceptions. Few studies have addressed this topic. The aim of this study was to evaluate food habits and nutrition knowledge in a homogeneous cohort of patients with IBD from southern Italy. Methods: 167 consecutive patients with IBD were recruited. The survey was based on the administration of a semi-structured questionnaire assessing demographics, disease features, dietary behavior, and food intolerance. Results: The majority of patients did not consider food a cause of their disease. However more than 80% changed their diet after the diagnosis and most report an improvement in symptoms. Spiced and seasoned foods, dairy products, vegetables, and fruit were often avoided. A dairy-free diet was adopted by 33.7%. Food choices were based on self-experience and not on medical counselling. Dietary modifications deeply impact on lifestyle. Conclusions: Most of the patients with IBD set diet and lifestyle on self-experience and give up many foods. This has an impact on psychosocial functioning and can lead to nutritional deficiencies. High quality studies are warranted to assess evidence-based dietary strategies and develop patient-targeted dietary recommendations. MDPI 2021-02-26 /pmc/articles/PMC7996868/ /pubmed/33652848 http://dx.doi.org/10.3390/nu13030759 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Guida, Laura
Di Giorgio, Francesca Maria
Busacca, Anita
Carrozza, Lucio
Ciminnisi, Stefania
Almasio, Piero Luigi
Di Marco, Vito
Cappello, Maria
Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title_full Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title_fullStr Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title_full_unstemmed Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title_short Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
title_sort perception of the role of food and dietary modifications in patients with inflammatory bowel disease: impact on lifestyle
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996868/
https://www.ncbi.nlm.nih.gov/pubmed/33652848
http://dx.doi.org/10.3390/nu13030759
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