Research gaps in diet and nutrition in inflammatory bowel disease. A topical review by D-ECCO Working Group (Dietitians of ECCO)
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Date
2017-08-10
Authors
Sigall-Boneh, Rotem
Levine, Arie
Lomer, Miranda
Wierdsma, Nicolette
Allan, Philip
Fiorino, Gionata
Gatti, Simona
Jonkers, Daisy
Kierkuś, Jarosław
Katsanos, Konstantinos H.
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Publisher
Oxford University Press on behalf of European Crohn’s and Colitis Organisation (ECCO)
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Abstract
Although the current doctrine of IBD pathogenesis proposes an interaction between environmental factors and gut microbiota in genetically susceptible individuals, dietary exposures have attracted recent interest and are, at least in part, likely to explain the rapid rise in disease incidence and prevalence. The D-ECCO working group along with other ECCO experts with expertise in nutrition, microbiology, physiology, and medicine reviewed the evidence investigating the role of diet and nutritional therapy in the onset, perpetuation, and management of IBD. A narrative topical review is presented where evidence pertinent to the topic is summarised collectively under three main thematic domains: i] the role of diet as an environmental factor in IBD aetiology; ii] the role of diet as induction and maintenance therapy in IBD; and iii] assessment of nutritional status and supportive nutritional therapy in IBD. A summary of research gaps for each of these thematic domains is proposed, which is anticipated to be agenda-setting for future research in the area of diet and nutrition in IBD.
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Keywords
Diet , Nutrition , Inflammatory bowel disease , Ulcerative colitis , Crohn's disease
Citation
Sigall-Boneh, R., Levine, A., Lomer, M., Wierdsma, N., Allan, P., Fiorino, G., Gatti, S., Jonkers, D., Kierkuś, J., Katsanos, K. H., Melgar, S., Yuksel, E. S., Whelan, K., Wine, E. and Gerasimidis, K. (2017) 'Research gaps in diet and nutrition in inflammatory bowel disease. A topical review by D-ECCO Working Group (Dietitians of ECCO)', Journal of Crohn's and Colitis, 11(12), pp. 1407-1419. doi:10.1093/ecco-jcc/jjx109
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© 2017, European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Crohn’s and Colitis following peer review. The version of record is available online at: https://doi.org/10.1093/ecco-jcc/jjx109