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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Main Authors: Laura Guida, Francesca Maria Di Giorgio, Anita Busacca, Lucio Carrozza, Stefania Ciminnisi, Piero Luigi Almasio, Vito Di Marco, Maria Cappello
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/3/759
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author Laura Guida
Francesca Maria Di Giorgio
Anita Busacca
Lucio Carrozza
Stefania Ciminnisi
Piero Luigi Almasio
Vito Di Marco
Maria Cappello
author_facet Laura Guida
Francesca Maria Di Giorgio
Anita Busacca
Lucio Carrozza
Stefania Ciminnisi
Piero Luigi Almasio
Vito Di Marco
Maria Cappello
author_sort Laura Guida
collection DOAJ
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 doaj.art-ee272b51d76b4f298902edca84a0b8fb2023-12-11T18:38:00ZengMDPI AGNutrients2072-66432021-02-0113375910.3390/nu13030759Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on LifestyleLaura Guida0Francesca Maria Di Giorgio1Anita Busacca2Lucio Carrozza3Stefania Ciminnisi4Piero Luigi Almasio5Vito Di Marco6Maria Cappello7Gastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyGastroenterology and Hepatology Section, PROMISE, University of Palermo, Piazza delle Cliniche, 2-90127 Palermo, ItalyBackground: 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.https://www.mdpi.com/2072-6643/13/3/759inflammatory bowel diseasedietary changesfood perception
spellingShingle Laura Guida
Francesca Maria Di Giorgio
Anita Busacca
Lucio Carrozza
Stefania Ciminnisi
Piero Luigi Almasio
Vito Di Marco
Maria Cappello
Perception of the Role of Food and Dietary Modifications in Patients with Inflammatory Bowel Disease: Impact on Lifestyle
Nutrients
inflammatory bowel disease
dietary changes
food perception
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 inflammatory bowel disease
dietary changes
food perception
url https://www.mdpi.com/2072-6643/13/3/759
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