Display options
Share it on

Curr Treat Options Gastroenterol. 2019 Dec;17(4):564-576. doi: 10.1007/s11938-019-00248-z.

Popular Diet Trends for Inflammatory Bowel Diseases: Claims and Evidence.

Current treatment options in gastroenterology

Andrew T Weber, Neha D Shah, Jenny Sauk, Berkeley N Limketkai

Affiliations

  1. Center for Inflammatory Bowel Diseases, Vatche & Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, 10945 Le Conte Avenue, Suite 2114, Los Angeles, CA, 90095, USA. [email protected].
  2. Comprehensive Cancer Center, Stanford Health Care, Palo Alto, CA, USA.
  3. Center for Inflammatory Bowel Diseases, Vatche & Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, 10945 Le Conte Avenue, Suite 2114, Los Angeles, CA, 90095, USA.

PMID: 31705371 DOI: 10.1007/s11938-019-00248-z

Abstract

PURPOSE OF REVIEW: Patients with inflammatory bowel disease (IBD) frequently look to diet to improve symptoms. Although regularly asked for dietary guidance, gastroenterologists are often unprepared to provide evidence-based recommendations. This review will summarize popular diets claiming benefits in IBD, as well as current data evaluating their efficacies.

RECENT FINDINGS: The Specific Carbohydrate Diet has demonstrated symptom improvement and even mucosal healing; however, large trials and prospective data are lacking. The low FODMAP diet has shown benefit for functional symptoms in IBD, yet efficacy regarding inflammation is lacking. Large studies for the gluten-free diet yielded mixed results in IBD outcomes, while suggesting a negative impact on psychological well-being. Data on an "anti-inflammatory" diet were positive but remain severely limited. A currently planned large trial for the Mediterranean diet in IBD may provide much needed clinical data. We provide an overview of frequently utilized diets in IBD. The body of evidence does not currently support clear dietary recommendations in IBD, as larger, prospective studies are needed.

Keywords: Crohn’s disease; Diet; Inflammatory bowel disease; Nutrition; Ulcerative colitis

References

  1. Nutrients. 2018 Jan 10;10(1):null - PubMed
  2. Aliment Pharmacol Ther. 2010 Apr;31(8):874-82 - PubMed
  3. J Acad Nutr Diet. 2015 Aug;115(8):1226-32 - PubMed
  4. Am J Gastroenterol. 2015 Sep;110(9):1324-38 - PubMed
  5. Gastroenterol Clin North Am. 2018 Mar;47(1):155-177 - PubMed
  6. Lancet. 2018 Dec 23;390(10114):2769-2778 - PubMed
  7. Gastroenterology. 2013 Nov;145(5):970-7 - PubMed
  8. Am J Gastroenterol. 2018 Apr;113(4):481-517 - PubMed
  9. J Pediatr Gastroenterol Nutr. 2014 Oct;59(4):516-21 - PubMed
  10. Am J Gastroenterol. 2011 Apr;106(4):563-73 - PubMed
  11. Gastroenterology. 2004 May;126(6):1504-17 - PubMed
  12. Aliment Pharmacol Ther. 2005 Jun 15;21(12):1399-409 - PubMed
  13. Am J Gastroenterol. 1955 Apr;23(4):344-60 - PubMed
  14. Eur J Clin Nutr. 2018 Jan;72(1):30-43 - PubMed
  15. Nutr Clin Pract. 2017 Jun;32(3):318-325 - PubMed
  16. Gastroenterology. 2015 May;148(6):1195-204 - PubMed
  17. World J Gastroenterol. 2016 Feb 14;22(6):2111-7 - PubMed
  18. Circulation. 1999 Feb 16;99(6):779-85 - PubMed
  19. Toxicol Appl Pharmacol. 2009 Jun 1;237(2):146-53 - PubMed
  20. Nihon Shokakibyo Gakkai Zasshi. 1993 Nov;90(11):2882-8 - PubMed
  21. J Nutr. 1999 Jul;129(7 Suppl):1407S-11S - PubMed
  22. Nutrition. 2016 Apr;32(4):418-25 - PubMed
  23. J Gastroenterol Hepatol. 2017 Mar;32 Suppl 1:8-10 - PubMed
  24. Inflamm Bowel Dis. 2006 Jan;12(1):38-46 - PubMed
  25. Am J Gastroenterol. 2019 Mar;114(3):384-413 - PubMed
  26. Dig Dis Sci. 2016 Nov;61(11):3255-3260 - PubMed
  27. N Engl J Med. 2018 Jun 21;378(25):e34 - PubMed
  28. Dig Dis. 2019;37(2):131-139 - PubMed
  29. Am J Gastroenterol. 2012 Oct;107(10):1474-82 - PubMed
  30. Gastroenterol Hepatol (N Y). 2018 Feb;14(2):82-91 - PubMed
  31. JAMA. 2004 Sep 22;292(12):1440-6 - PubMed
  32. Am J Clin Nutr. 1995 Jun;61(6 Suppl):1402S-1406S - PubMed
  33. Hum Genomics. 2013 Nov 27;7:24 - PubMed
  34. Scand J Gastroenterol. 2006 Apr;41(4):408-19 - PubMed
  35. J Gastroenterol Hepatol. 2010 Aug;25(8):1366-73 - PubMed
  36. Nutr J. 2014 Jan 16;13:5 - PubMed
  37. Nutrients. 2018 Nov 14;10(11):null - PubMed
  38. Expert Rev Gastroenterol Hepatol. 2014 Feb;8(2):123-9 - PubMed
  39. Am J Gastroenterol. 2019 Feb;114(2):212-220 - PubMed
  40. Clin Transl Gastroenterol. 2016 Apr 14;7:e164 - PubMed
  41. Inflamm Bowel Dis. 2014 Jul;20(7):1194-7 - PubMed
  42. Metabolism. 2014 Jul;63(7):903-11 - PubMed
  43. Eur J Gastroenterol Hepatol. 2017 Sep;29(9):1091-1096 - PubMed
  44. Gastroenterology. 2019 Jul;157(1):128-136.e5 - PubMed
  45. World J Gastroenterol. 2017 May 14;23(18):3356-3366 - PubMed
  46. Nutrients. 2016 Feb 08;8(2):84 - PubMed
  47. Gastroenterol Hepatol (N Y). 2015 Aug;11(8):511-20 - PubMed
  48. J Crohns Colitis. 2017 Dec 4;11(12):1420-1429 - PubMed
  49. J Pediatr Gastroenterol Nutr. 2015 Sep;61(3):303-6 - PubMed
  50. United European Gastroenterol J. 2019 Jul;7(6):767-781 - PubMed
  51. Clin Gastroenterol Hepatol. 2019 Feb;17(3):380-390.e1 - PubMed
  52. Gastroenterology. 2012 Jan;142(1):46-54.e42; quiz e30 - PubMed
  53. Am J Med. 2015 Mar;128(3):229-38 - PubMed

Publication Types