Diet as a Therapeutic Option for Adult Inflammatory Bowel Disease

Gastroenterol Clin North Am. 2017 Dec;46(4):745-767. doi: 10.1016/j.gtc.2017.08.016.

Abstract

There are many mechanisms to explain how food may drive and ameliorate inflammation. Although there are no consistent macronutrient associations inflammatory bowel disease (IBD) development, many exclusion diets have been described: IgG-4 guided exclusion diet; semivegetarian diet; low-fat, fiber-limited exclusion diet; Paleolithic diet; Maker's diet; vegan diet; Life without Bread diet; exclusive enteral nutrition (EEN), the Specific Carbohydrate Diet (SCD) and the low FODMAP diet. The literature on diet and IBD is reviewed with a particular focus on EEN, SCD, and low FODMAP diets. Lessons learned from the existing observations and strengths and shortcomings of existing data are presented.

Keywords: Crohn’s disease; Diet; Exclusive enteral nutrition; Inflammatory bowel disease; Low FODMAP diet; Specific carbohydrate diet; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Adult
  • Diet* / adverse effects
  • Dietary Carbohydrates / administration & dosage*
  • Dietary Fats
  • Dietary Fiber
  • Dietary Proteins
  • Enteral Nutrition
  • Food Additives
  • Humans
  • Inflammatory Bowel Diseases / diet therapy*
  • Inflammatory Bowel Diseases / etiology*
  • Micronutrients
  • Vitamin D Deficiency / complications

Substances

  • Dietary Carbohydrates
  • Dietary Fats
  • Dietary Fiber
  • Dietary Proteins
  • Food Additives
  • Micronutrients