Inflammatory bowel disease
Lifestyle modifications
NUTRITION
"Dietary management in IBD focuses on maximizing nutritional status, maintaining adequate intake, and avoiding foods that can exacerbate symptoms" (1)
Low FODMAP diet may improve symptoms in patients who have both irritable bowel syndrome and inflammatory bowel syndrome (1)
Lactose restriction may reduce symptoms of IBD in some people (1)
In remission: A diet composed of carbohydrates, fats and proteins. Limit intake of processed foods and artificial sweeteners (1)
With chronic stricturing: Low fiber intake (< 5g/day) (1)
Some low quality evidence show that plant based diets are associated with reduced risk, symptoms and prevention of relapse of IBD (3, 4, 5)
SMOKING
Smoking cessation reduces recurrence of Crohns disease (2)
References
1) https://www.uptodate.com/contents/nutrition-and-dietary-management-for-adults-with-inflammatory-bowel-disease
2) https://bestpractice.bmj.com/topics/en-gb/42/prevention
3) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877178/
4) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662242/
5) https://research-repository.uwa.edu.au/en/publications/the-role-of-a-plant-based-diet-in-the-pathogenesis-etiology-and-m
Resources
EXPLANATION TO EVIDENCE PRESENTATION
Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
Evidence based on randomized controlled trials is written in plain font
Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid