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Published in: Irish Journal of Medical Science (1971 -) 3/2023

16-07-2022 | Ulcerative Colitis | Original Article

Dietary practices, beliefs and behaviours of adults with inflammatory bowel disease: a cross-sectional study

Authors: Aoife Murtagh, Lorraine Cooney, Clement Higginbotham, Patricia Heavey

Published in: Irish Journal of Medical Science (1971 -) | Issue 3/2023

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Abstract

Background

It is widely accepted that there is an association between diet and inflammatory bowel disease (IBD). Diet may play a role in disease pathogenesis but also in treatment and management of IBD. There is an increased interest in dietary aspects of people with IBD.

Aims

To investigate dietary practices, beliefs and behaviours of adults with IBD in Ireland.

Methods

An online questionnaire was adapted to explore dietary practices, beliefs and behaviours of people with IBD, and to identify any dietary modifications made due to their IBD.

Results

A total of 475 participants (female n = 354, male n = 121) took part in this study, 62% had Crohn’s disease and 38% had ulcerative colitis. Dietary restrictions were imposed in the hope of preventing a relapse by 85% of participants. The most reported foods avoided included fatty foods (68%), spicy foods (64%) and raw vegetables or fruit (58%). Low fibre white plain foods (74%) appeared to improve symptoms during a relapse. Participant’s appetites were higher during remission (8.36, SD =  ± 1.95), compared to during relapse (3.71, SD =  ± 2.32) (P ≤ 0.001). Almost three-quarters (73%) avoided the same menu as others living in their household and 56% avoided eating out to prevent or for fear of causing a relapse. Additionally, 70% avoided food or drink they liked to try prevent a relapse.

Conclusion

These findings provide important insights into the dietary practices, beliefs and behaviours of adults with IBD. Its evident diet plays an important role, and our findings reiterate the importance of patient education and support.
Literature
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Metadata
Title
Dietary practices, beliefs and behaviours of adults with inflammatory bowel disease: a cross-sectional study
Authors
Aoife Murtagh
Lorraine Cooney
Clement Higginbotham
Patricia Heavey
Publication date
16-07-2022
Publisher
Springer International Publishing
Published in
Irish Journal of Medical Science (1971 -) / Issue 3/2023
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-022-03097-5

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