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Current recommendations on the role of diet in the aetiology and management of IBD

Authors :
Lihi Godny
Emma P. Halmos
Rotem Sigall-Boneh
Vaios Svolos
Konstantinos Gerasimidis
Catherine L. Wall
Source :
Frontline Gastroenterol
Publication Year :
2021
Publisher :
BMJ, 2021.

Abstract

Diet is a key modifier of risk of inflammatory bowel disease development and potentially a treatment option in patients with established disease. International organisations in gastroenterology and inflammatory bowel disease have published guidelines for the role of diet in disease onset and its management. Here, we discuss the major overarching themes arising from these guidelines and appraise recent literature on the role of diet for inflammatory bowel disease prevention, treatment of active disease and maintenance of remission, considering these themes. Except for exclusive enteral nutrition in active Crohn’s disease, we currently possess very little evidence to make any further dietary recommendations for the management of inflammatory bowel disease. There is also currently uncertainty on the extrapolation of epidemiological dietary signals on risk of disease development and preclinical experiments in animal models to management, once disease is established. Until high-quality evidence from clinical research becomes available, the only specific recommendations for inflammatory bowel disease we might safely give are those of healthy eating which apply for the general population for overall health and well-being.

Details

ISSN :
20414145 and 20414137
Volume :
13
Database :
OpenAIRE
Journal :
Frontline Gastroenterology
Accession number :
edsair.doi.dedup.....b5de1f1221fec0f1ac7c1c5cbe203908
Full Text :
https://doi.org/10.1136/flgastro-2020-101429