TY - JOUR
T1 - Dietary management of adults with IBD — the emerging role of dietary therapy
AU - Fitzpatrick, Jessica A.
AU - Melton, Sarah L.
AU - Yao, Chu Kion
AU - Gibson, Peter R.
AU - Halmos, Emma P.
N1 - Funding Information:
J.A.F. is supported by a Monash University Australian Postgraduate Award and Crohn’s & Colitis Australia PhD Scholarship, S.L.M. is supported by an Alfred Research Trusts Small Project Grant, C.K.Y. is supported by a Crohn’s & Colitis Australia Angela McAvoy Scholarship, E.P.H. is supported by the Crohn’s & Colitis Foundation Litwin IBD Pioneers Program and a National Health & Medical Research Council Investigator Grant. The authors thank M. Justice for help with designing the initial draft of the figures.
Publisher Copyright:
© 2022, Crown.
PY - 2022/10
Y1 - 2022/10
N2 - Historically, dietitians played a minor part in the management of inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis. Patients were commonly referred for consequences of uncontrolled disease, such as malnutrition and bowel obstruction risk. Today, dietitians are fundamental members of the multidisciplinary IBD team, from educating on the role of diet at diagnosis and throughout the lifespan of a patient with IBD to guiding primary induction therapy. This aspect is reflected in published guidelines for IBD management, which previously placed diet as only a minor factor, but now have diet-specific publications. This Review describes a four-step approach in a dietitian’s assessment and management of diet in patients with IBD: (1) identifying and correcting nutritional gaps and dietary imbalances; (2) considering diet to treat active disease with the use of exclusive enteral nutrition (EEN) or emerging diets that could replace EEN; (3) using therapeutic diets to control existing complications of IBD, such as reduced fibre to prevent bowel obstruction in stricturing disease or a fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet to manage co-existing functional gut symptoms; and (4) considering the role of diet in preventing IBD development in high-risk populations.
AB - Historically, dietitians played a minor part in the management of inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis. Patients were commonly referred for consequences of uncontrolled disease, such as malnutrition and bowel obstruction risk. Today, dietitians are fundamental members of the multidisciplinary IBD team, from educating on the role of diet at diagnosis and throughout the lifespan of a patient with IBD to guiding primary induction therapy. This aspect is reflected in published guidelines for IBD management, which previously placed diet as only a minor factor, but now have diet-specific publications. This Review describes a four-step approach in a dietitian’s assessment and management of diet in patients with IBD: (1) identifying and correcting nutritional gaps and dietary imbalances; (2) considering diet to treat active disease with the use of exclusive enteral nutrition (EEN) or emerging diets that could replace EEN; (3) using therapeutic diets to control existing complications of IBD, such as reduced fibre to prevent bowel obstruction in stricturing disease or a fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet to manage co-existing functional gut symptoms; and (4) considering the role of diet in preventing IBD development in high-risk populations.
UR - http://www.scopus.com/inward/record.url?scp=85130112172&partnerID=8YFLogxK
U2 - 10.1038/s41575-022-00619-5
DO - 10.1038/s41575-022-00619-5
M3 - Review Article
C2 - 35577903
AN - SCOPUS:85130112172
SN - 1759-5045
VL - 19
SP - 652
EP - 669
JO - Nature Reviews Gastroenterology and Hepatology
JF - Nature Reviews Gastroenterology and Hepatology
IS - 10
ER -