Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients

Wrong dietary habits, such as the Western-style diet, are considered important risk factors for the development of Inflammatory Bowel Diseases (IBDs). Nevertheless, the role of dietary patterns in the clinical management of IBD patients has not been fully investigated yet. Fifty-four patients diagno...

Full description

Bibliographic Details
Main Authors: Fernando Rizzello, Paolo Gionchetti, Enzo Spisni, Ilaria Maria Saracino, Irene Bellocchio, Renato Spigarelli, Noemi Collini, Veronica Imbesi, Thierry Dervieux, Patrizia Alvisi, Maria Chiara Valerii
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/2/1494
_version_ 1797441214893522944
author Fernando Rizzello
Paolo Gionchetti
Enzo Spisni
Ilaria Maria Saracino
Irene Bellocchio
Renato Spigarelli
Noemi Collini
Veronica Imbesi
Thierry Dervieux
Patrizia Alvisi
Maria Chiara Valerii
author_facet Fernando Rizzello
Paolo Gionchetti
Enzo Spisni
Ilaria Maria Saracino
Irene Bellocchio
Renato Spigarelli
Noemi Collini
Veronica Imbesi
Thierry Dervieux
Patrizia Alvisi
Maria Chiara Valerii
author_sort Fernando Rizzello
collection DOAJ
description Wrong dietary habits, such as the Western-style diet, are considered important risk factors for the development of Inflammatory Bowel Diseases (IBDs). Nevertheless, the role of dietary patterns in the clinical management of IBD patients has not been fully investigated yet. Fifty-four patients diagnosed with active Crohn’s disease (CD) were enrolled and subjected to nutritional intake analysis through a weekly food diary. Nutritional patterns were analyzed, and nutrient intake was compared with those of 30 healthy subjects (HS). Blood levels of cholesterol, folic acid, minerals (K, Mg, Fe) and amino acids, were measured in CD patients to assess the presence of nutritional deficiencies. CD patients, with respect to HS, consumed significantly lower amounts of fiber, vitamins (A, E, C, B6, folic acid) and β-carotene. Their calcium, potassium, phosphorus, iron, magnesium, copper and iodine intake were also found to be significantly lower. In blood, CD patients had significantly lower concentrations of total cholesterol, potassium, iron, and amino acids. Active CD patient diet was significantly different from those of HS and may contribute to the establishment of nutritional deficiencies. Intestinal malabsorption was evidenced in these patients. Correction of the diet with specific nutritional plans is a necessary therapeutic step for these patients. ClinicalTrials.gov: NCT02580864.
first_indexed 2024-03-09T12:20:50Z
format Article
id doaj.art-6991b3fc3d8b41c4bb0fca4d30f13e5a
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T12:20:50Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-6991b3fc3d8b41c4bb0fca4d30f13e5a2023-11-30T22:41:16ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-01242149410.3390/ijms24021494Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult PatientsFernando Rizzello0Paolo Gionchetti1Enzo Spisni2Ilaria Maria Saracino3Irene Bellocchio4Renato Spigarelli5Noemi Collini6Veronica Imbesi7Thierry Dervieux8Patrizia Alvisi9Maria Chiara Valerii10IBD Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyIBD Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Via Selmi 3, 40126 Bologna, ItalyMicrobiology Unit, Department of Specialized, Experimental and Diagnostic Medicine, St. Orsola Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Via Selmi 3, 40126 Bologna, ItalyDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Via Selmi 3, 40126 Bologna, ItalyDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Via Selmi 3, 40126 Bologna, ItalyIBD Unit, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyPrometheus Laboratories, 9410 Carroll Park Dr., San Diego, CA 92121, USAPediatric Gastroenterology Unit, Maggiore Hospital, Largo Nigrisoli, 2, 40133 Bologna, ItalyDepartment of Biological, Geological and Environmental Sciences, University of Bologna, Via Selmi 3, 40126 Bologna, ItalyWrong dietary habits, such as the Western-style diet, are considered important risk factors for the development of Inflammatory Bowel Diseases (IBDs). Nevertheless, the role of dietary patterns in the clinical management of IBD patients has not been fully investigated yet. Fifty-four patients diagnosed with active Crohn’s disease (CD) were enrolled and subjected to nutritional intake analysis through a weekly food diary. Nutritional patterns were analyzed, and nutrient intake was compared with those of 30 healthy subjects (HS). Blood levels of cholesterol, folic acid, minerals (K, Mg, Fe) and amino acids, were measured in CD patients to assess the presence of nutritional deficiencies. CD patients, with respect to HS, consumed significantly lower amounts of fiber, vitamins (A, E, C, B6, folic acid) and β-carotene. Their calcium, potassium, phosphorus, iron, magnesium, copper and iodine intake were also found to be significantly lower. In blood, CD patients had significantly lower concentrations of total cholesterol, potassium, iron, and amino acids. Active CD patient diet was significantly different from those of HS and may contribute to the establishment of nutritional deficiencies. Intestinal malabsorption was evidenced in these patients. Correction of the diet with specific nutritional plans is a necessary therapeutic step for these patients. ClinicalTrials.gov: NCT02580864.https://www.mdpi.com/1422-0067/24/2/1494Crohn’s diseasevitaminsmineralnutrient deficiencyintestinal malabsorption
spellingShingle Fernando Rizzello
Paolo Gionchetti
Enzo Spisni
Ilaria Maria Saracino
Irene Bellocchio
Renato Spigarelli
Noemi Collini
Veronica Imbesi
Thierry Dervieux
Patrizia Alvisi
Maria Chiara Valerii
Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
International Journal of Molecular Sciences
Crohn’s disease
vitamins
mineral
nutrient deficiency
intestinal malabsorption
title Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
title_full Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
title_fullStr Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
title_full_unstemmed Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
title_short Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn’s Disease Adult Patients
title_sort dietary habits and nutrient deficiencies in a cohort of european crohn s disease adult patients
topic Crohn’s disease
vitamins
mineral
nutrient deficiency
intestinal malabsorption
url https://www.mdpi.com/1422-0067/24/2/1494
work_keys_str_mv AT fernandorizzello dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT paologionchetti dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT enzospisni dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT ilariamariasaracino dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT irenebellocchio dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT renatospigarelli dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT noemicollini dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT veronicaimbesi dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT thierrydervieux dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT patriziaalvisi dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients
AT mariachiaravalerii dietaryhabitsandnutrientdeficienciesinacohortofeuropeancrohnsdiseaseadultpatients