Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis
BackgroundThe Mediterranean diet pattern (MDP) is believed to improve health and promote balanced inflammation and metabolism. While unknown, compelling evidence suggests that MDP could benefit patients with inflammatory bowel disease (IBD). We aimed to evaluate the level of diet adherence, diet qua...
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.1080156/full |
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| author | Natasha Haskey Rachel C. K. Shim Alexander Davidson-Hunt Jiayu Ye Sunny Singh Levinus A. Dieleman Kevan Jacobson Sanjoy Ghosh Deanna L. Gibson Deanna L. Gibson |
| author_facet | Natasha Haskey Rachel C. K. Shim Alexander Davidson-Hunt Jiayu Ye Sunny Singh Levinus A. Dieleman Kevan Jacobson Sanjoy Ghosh Deanna L. Gibson Deanna L. Gibson |
| author_sort | Natasha Haskey |
| collection | DOAJ |
| description | BackgroundThe Mediterranean diet pattern (MDP) is believed to improve health and promote balanced inflammation and metabolism. While unknown, compelling evidence suggests that MDP could benefit patients with inflammatory bowel disease (IBD). We aimed to evaluate the level of diet adherence, diet quality, and nutritional adequacy of the MDP in patients with Ulcerative Colitis (UC).MethodsAdult participants (n = 32) with quiescent UC were randomized to follow a MDP (n = 18) or Canadian Habitual Diet (CHD) (n = 14) for 12 weeks. The MDP participants received tailored nutrition education from a Registered Dietitian. Demographic, clinical data, medical history, and quality of life were assessed with the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), dietary adherence with the Mediterranean Diet Serving Score (MDSS), diet quality via the Healthy Eating Index-2015 (HEI-2015), and dietary intake (ASA-24) were completed at baseline and week 12.ResultsParticipants’ diets were analyzed (MDP n = 15, CHD n = 13). The MDP (n = 10, 67%) achieved a high level of adherence (MDSS score between 16 and 24) vs. CHD (n = 3), (p = 0.030). HEI-2015 significantly increased from baseline to week 12 (p = 0.007) in the MDP and was significantly higher at week 12 compared to the CHD (p = 0.0001). The SIBDQ (bowel domain) showed reductions in the passage of large amounts of gas (p = 0.01) and improvements in tenesmus (p = 0.03) in the MDP. Despite enhanced diet quality and adherence in the MDP, females had inadequate intakes of calcium, iron, vitamin D, vitamin E, and choline and males had inadequate intakes of fiber, vitamin D, vitamin E, and choline. No adverse events were reported.ConclusionWith nutrition education, high adherence to the MDP was achieved without an increase in bowel symptoms. Following the MDP led to a higher diet quality; however, nutritional inadequacies were identified. Tailored dietary education focusing on nutrients of concern when following the MDP is recommended to ensure nutritional adequacy.Clinical trial registration[www.ClinicalTrials.gov], identifier [NCT03053713]. |
| first_indexed | 2024-04-12T00:46:15Z |
| format | Article |
| id | doaj.art-88b24532e4074a4bbcf1b8f26dddc1a7 |
| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-04-12T00:46:15Z |
| publishDate | 2022-12-01 |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-88b24532e4074a4bbcf1b8f26dddc1a72022-12-22T03:54:52ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-12-01910.3389/fnut.2022.10801561080156Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitisNatasha Haskey0Rachel C. K. Shim1Alexander Davidson-Hunt2Jiayu Ye3Sunny Singh4Levinus A. Dieleman5Kevan Jacobson6Sanjoy Ghosh7Deanna L. Gibson8Deanna L. Gibson9Department of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Public Health Sciences, The Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDiabetes Center, University of California, San Francisco, San Francisco, CA, United StatesDivision of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, BC, CanadaDivision of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB, CanadaDivision of Gastroenterology, Department of Pediatrics, Hepatology and Nutrition and British Columbia Children’s Hospital Research Institute, University of British Columbia, Vancouver, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaDepartment of Biology, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaFaculty of Medicine, University of British Columbia - Okanagan Campus, Kelowna, BC, CanadaBackgroundThe Mediterranean diet pattern (MDP) is believed to improve health and promote balanced inflammation and metabolism. While unknown, compelling evidence suggests that MDP could benefit patients with inflammatory bowel disease (IBD). We aimed to evaluate the level of diet adherence, diet quality, and nutritional adequacy of the MDP in patients with Ulcerative Colitis (UC).MethodsAdult participants (n = 32) with quiescent UC were randomized to follow a MDP (n = 18) or Canadian Habitual Diet (CHD) (n = 14) for 12 weeks. The MDP participants received tailored nutrition education from a Registered Dietitian. Demographic, clinical data, medical history, and quality of life were assessed with the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), dietary adherence with the Mediterranean Diet Serving Score (MDSS), diet quality via the Healthy Eating Index-2015 (HEI-2015), and dietary intake (ASA-24) were completed at baseline and week 12.ResultsParticipants’ diets were analyzed (MDP n = 15, CHD n = 13). The MDP (n = 10, 67%) achieved a high level of adherence (MDSS score between 16 and 24) vs. CHD (n = 3), (p = 0.030). HEI-2015 significantly increased from baseline to week 12 (p = 0.007) in the MDP and was significantly higher at week 12 compared to the CHD (p = 0.0001). The SIBDQ (bowel domain) showed reductions in the passage of large amounts of gas (p = 0.01) and improvements in tenesmus (p = 0.03) in the MDP. Despite enhanced diet quality and adherence in the MDP, females had inadequate intakes of calcium, iron, vitamin D, vitamin E, and choline and males had inadequate intakes of fiber, vitamin D, vitamin E, and choline. No adverse events were reported.ConclusionWith nutrition education, high adherence to the MDP was achieved without an increase in bowel symptoms. Following the MDP led to a higher diet quality; however, nutritional inadequacies were identified. Tailored dietary education focusing on nutrients of concern when following the MDP is recommended to ensure nutritional adequacy.Clinical trial registration[www.ClinicalTrials.gov], identifier [NCT03053713].https://www.frontiersin.org/articles/10.3389/fnut.2022.1080156/fulldietcomplianceMediterranean dietulcerative colitisHealthy Eating Index-2015Mediterranean diet serving score |
| spellingShingle | Natasha Haskey Rachel C. K. Shim Alexander Davidson-Hunt Jiayu Ye Sunny Singh Levinus A. Dieleman Kevan Jacobson Sanjoy Ghosh Deanna L. Gibson Deanna L. Gibson Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis Frontiers in Nutrition diet compliance Mediterranean diet ulcerative colitis Healthy Eating Index-2015 Mediterranean diet serving score |
| title | Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| title_full | Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| title_fullStr | Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| title_full_unstemmed | Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| title_short | Dietary adherence to the Mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| title_sort | dietary adherence to the mediterranean diet pattern in a randomized clinical trial of patients with quiescent ulcerative colitis |
| topic | diet compliance Mediterranean diet ulcerative colitis Healthy Eating Index-2015 Mediterranean diet serving score |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.1080156/full |
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