دورية أكاديمية
أعرض في EDS

Self-reported food intolerance, dietary supplement use and malnutrition in chronic inflammatory bowel diseases: Findings from a cross-sectional study in Lebanon.

التفاصيل البيبلوغرافية
العنوان: Self-reported food intolerance, dietary supplement use and malnutrition in chronic inflammatory bowel diseases: Findings from a cross-sectional study in Lebanon.
المؤلفون: Hoteit M; Food Science Unit, National Council for Scientific Research-Lebanon (CNRS-Lebanon), Beirut, Lebanon.; Faculty of Public Health, Lebanese University, Beirut, Lebanon., Ftouni N; Faculty of Public Health, Lebanese University, Beirut, Lebanon., Olayan M; Faculty of Public Health, Lebanese University, Beirut, Lebanon., Hallit S; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.; Applied Science Research Center, Applied Science Private University, Amman, Jordan., Karam JM; Faculty of Medicine, Lebanese University, Beirut, Lebanon., Hallal M; Gastroenterology Department, Faculty of Medical Science, Lebanese University, Beirut, Lebanon.; Gastroenterology and Hepatology Department, Zahraa University Medical Center (ZHUMC), Beirut, Lebanon., Hotayt S; Anesthesia Department, Saint Joseph Hospital, Paris, France., Hotayt B; Gastroenterology Department, Sahel General Hospital, Beirut, Lebanon.
المصدر: PloS one [PLoS One] 2024 Jul 25; Vol. 19 (7), pp. e0305352. Date of Electronic Publication: 2024 Jul 25 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Malnutrition*/epidemiology , Dietary Supplements* , Inflammatory Bowel Diseases*/complications , Inflammatory Bowel Diseases*/epidemiology , Self Report* , Food Intolerance*/epidemiology, Humans ; Cross-Sectional Studies ; Male ; Female ; Adult ; Middle Aged ; Lebanon/epidemiology ; Nutritional Status ; Chronic Disease ; Aged ; Young Adult
مستخلص: Background/aims: Chronic inflammatory bowel diseases (IBDs), including Crohn's disease and ulcerative colitis are known for a combination of food intolerance, decreased oral intake, and malabsorption which all predispose patients to malnutrition and suboptimal dietary intake. The present study was conducted to 1) examine self-reported food intolerances and dietary supplement use 2) assess nutritional intake 3) assess the nutritional status and screen for malnutrition among patients with chronic inflammatory bowel disease (CIBD).
Methods: 48 patients with CIBDs (28 Crohn's disease, 15 ulcerative colitis and 7 with atypical forms of IBD) took part in this cross-sectional study. Participants completed a food frequency questionnaire targeting dietary intakes and food trends over time. A questionnaire about food intolerance was also used. The nutritional status of patients with CIBDs was evaluated by a detailed history (medical diagnosis and medications and supplements administered) and by using the subjective global assessment (SGA) tool. Anthropometric data including height, weight, and BMI with body composition assessment using automated scales and stadiometer, while Bio-impedancemetry was used to measure body fat and visceral fat. Statistical analysis was conducted using SPSS 27, employing mean values, standard deviations, absolute and relative frequencies and Pearson's chi-square test, with significance set at p ≤ 0.05.
Results: Food intolerance was equally common in all the types of CIBD specifically for dairy products, spicy foods, and high-fiber food items (beans and raw vegetables). Individuals with CIBD were also complaining about meat and chicken products (68%), followed by alcohol and soda (64%) and fish and sea foods (59%). 17% of the patients were malnourished. A significant percentage of malnourished patients with CIBD had to follow a diet outside the flare, had a nutritional follow up, were currently taking corticosteroids and had a severe form of the disease compared to patients who were well nourished.
Conclusions: This study has contributed valuable insights into the understanding that some food items could be associated to periods of increased disease activity in CIBD patients and that awareness/intervention regarding nutrition must be provided by healthcare professionals (dietitians, physicians…) to decrease the need for second line therapy. In addition, this self-reported food intolerance paper gives an insight for patients on food items usually avoided by CIBD patients during flares.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Hoteit et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20240725 Date Completed: 20240725 Latest Revision: 20240728
رمز التحديث: 20240728
مُعرف محوري في PubMed: PMC11271885
DOI: 10.1371/journal.pone.0305352
PMID: 39052612
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0305352