Crooks Benjamin, Misra Ravi, Arebi Naila, Kok Klaartje, Brookes Matthew J, McLaughlin John, Limdi Jimmy K
Division of Diabetes, Endocrinology and Gastroenterology, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Department of Gastroenterology, Salford Royal NHS Foundation Trust, Salford, UK.
Intest Res. 2022 Jan;20(1):53-63. doi: 10.5217/ir.2020.00079. Epub 2021 Jan 6.
BACKGROUND/AIMS: Epidemiological associations have implicated factors associated with Westernization, including the Western diet, in the development of inflammatory bowel disease (IBD). The role of diet in IBD etiopathogenesis, disease control and symptom management remains incompletely understood. Few studies have collected data on the dietary habits of immigrant populations living with IBD. Our aim was to describe the dietary practices and beliefs of British South Asians with IBD.
A 30-item questionnaire was developed and consecutively administered to 255 British South Asians with IBD attending gastroenterology clinics in the United Kingdom.
Fifty-one percent of participants believed diet was the initiating factor for their IBD and 63% felt diet had previously triggered disease relapse. Eighty-nine percent avoided certain dietary items in the belief that this would prevent relapse. The most commonly avoided foods and drinks were spicy and fatty foods, carbonated drinks, milk products, alcohol, coffee, and red meat. A third of patients had tried a whole food exclusion diet, most commonly lactose- or gluten-free, and this was most frequently reported amongst those with clinically active IBD (P= 0.02). Almost 60% of participants avoided eating the same menu as their family, or eating out, at least sometimes, to prevent IBD relapse.
British South Asians with IBD demonstrate significant dietary beliefs and food avoidance behaviors with increased frequency compared to those reported in Caucasian IBD populations. Studies in immigrant populations may offer valuable insights into the interaction between diet, Westernization and cultural drift in IBD pathogenesis and symptomatology.
背景/目的：流行病学关联研究表明，包括西方饮食在内的与西方化相关的因素与炎症性肠病（IBD）的发生有关。饮食在IBD发病机制、疾病控制和症状管理中的作用仍未完全明确。很少有研究收集患有IBD的移民人群的饮食习惯数据。我们的目的是描述患有IBD的英国南亚人的饮食习惯和观念。
设计了一份包含30个条目的问卷，并连续发放给在英国胃肠病诊所就诊的255名患有IBD的英国南亚人。
51%的参与者认为饮食是其IBD的起始因素，63%的人觉得饮食曾引发疾病复发。89%的人避免食用某些特定食物，认为这样可以预防复发。最常避免的食物和饮料有辛辣和油腻食物、碳酸饮料、奶制品、酒精、咖啡和红肉。三分之一的患者尝试过全食物排除饮食，最常见的是无乳糖或无麸质饮食，在临床活动期IBD患者中这种情况最为常见（P = 0.02）。近60%的参与者至少有时会避免与家人吃相同的饭菜或外出就餐，以防止IBD复发。
与白种人IBD人群相比，患有IBD的英国南亚人表现出更显著的饮食观念和食物回避行为。对移民人群的研究可能为饮食、西方化和文化变迁在IBD发病机制及症状学中的相互作用提供有价值的见解。
