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

Dietary Guidance From the International Organization for the Study of Inflammatory Bowel Diseases (2020)

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

​Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

​Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

​Evidence based on observational / cohort studies is written in CURSIVE font