Original Article

Digestive Diseases and Sciences

, Volume 58, Issue 5, pp 1322-1328

Dietary Patterns and Self-Reported Associations of Diet with Symptoms of Inflammatory Bowel Disease

  • Aaron B. CohenAffiliated withHospital of the University of Pennsylvania
  • , Dale LeeAffiliated withGastroenterology, Hepatology, and Nutrition Division, Children’s Hospital of Philadelphia
  • , Millie D. LongAffiliated withDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill
  • , Michael D. KappelmanAffiliated withDivision of Gastroenterology and Hepatology, Department of Pediatrics, University of North Carolina at Chapel Hill
  • , Christopher F. MartinAffiliated withDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill
  • , Robert S. SandlerAffiliated withDivision of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina at Chapel Hill
  • , James D. LewisAffiliated withDepartment of Medicine, Perelman School of Medicine at the University of Pennsylvania Email author 

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Background

There are insufficient data to make firm dietary recommendations for patients with inflammatory bowel disease (IBD). Yet patients frequently report that specific food items influence their symptoms. In this study, we describe patients’ perceptions about the benefits and harms of selected foods and patients’ dietary patterns.

Methods

CCFA Partners is an ongoing internet-based cohort study of patients with IBD. We used a semi-quantitative food frequency questionnaire to measure dietary consumption patterns and open-ended questions to elicit responses from patients about food items they believe ameliorate or exacerbate IBD. We categorized patients into four mutually exclusive disease categories: CD without an ostomy or pouch (CD), UC without an ostomy or pouch (UC), CD with an ostomy (CD-ostomy), and UC with a pouch (UC-pouch).

Results

Yogurt, rice, and bananas were more frequently reported to improve symptoms whereas non-leafy vegetables, spicy foods, fruit, nuts, leafy vegetables, fried foods, milk, red meat, soda, popcorn, dairy, alcohol, high-fiber foods, corn, fatty foods, seeds, coffee, and beans were more frequently reported to worsen symptoms. Compared to CD patients, CD-ostomy patients reported significantly greater consumption of cheese (odds ratio [OR] 1.56, 95 % CI 1.03–2.36), sweetened beverages (OR 2.14, 95 % CI 1.02–1.03), milk (OR 1.84, 95 % CI 1.35–2.52), pizza (OR 1.57, 95 % CI 1.12–2.20), and processed meats (OR 1.40; 95 % CI 1.04–1.89).

Conclusions

Patients identified foods that they believe worsen symptoms and restricted their diet. Patients with ostomies ate a more liberal diet. Prospective studies are needed to determine whether diet influences disease course.

Keywords

Inflammatory bowel disease Crohn’s disease Ulcerative colitis Diet