Bramuzzo Matteo, Grazian Federica, Grigoletto Veronica, Daidone Alessandro, Martelossi Stefano, Mario Federica, Maurel Eleonora, Lega Sara, Giudici Fabiola, Di Leo Grazia, Barbi Egidio
From the Gastroenterology, Digestive Endoscopy and Clinical Nutrition Unit, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.
University of Trieste, Trieste, Italy.
J Pediatr Gastroenterol Nutr. 2022 Sep 1;75(3):e43-e48. doi: 10.1097/MPG.0000000000003527. Epub 2022 Jun 16.
Patients with inflammatory bowel disease (IBD) may have diet-related beliefs that lead to restrictive dietary behaviours. This study aimed to evaluate dietary beliefs in young patients with IBD and their parents and the presence of restrictive behaviours.
A questionnaire regarding dietary beliefs was administered to IBD patients aged 8-17 years and their parents. A Food Frequency Questionnaire was administered to patients with IBD and a peer control group.
Seventy-five patients and 105 parents were interviewed. Twenty-seven (36%) patients and 39 (37.1%) parents believed that dietary modifications could control the IBD course.Twenty-five (33.0%) patients and 33 (33.0%) parents believe that some dietary components can prevent relapse or improve symptoms (mainly abdominal pain and diarrhoea), while 36 (48%) patients and 60 (60.0%) parents believe that some foods can induce or worsen symptoms during an IBD flare.Patients believe that milk, dairy, fried and spicy foods, sweets and carbonated drinks could have a negative effect on IBD while fruits, vegetables and rice could have a positive impact. Parents believe that fruits and vegetables have a negative effect.Responses did not differ among patients classified according to IBD phenotype, activity status, or current therapies.Compared to controls, young patients with IBD have reduced daily consumption of milk, lunch meat, raw and cooked vegetables.
About one-third of paediatric patients with IBD and their parents have dietary beliefs that lead to restrictive dietary behaviours.
炎症性肠病（IBD）患者可能存在与饮食相关的信念，从而导致限制性饮食行为。本研究旨在评估IBD年轻患者及其父母的饮食信念以及限制性行为的存在情况。
对8至17岁的IBD患者及其父母进行了关于饮食信念的问卷调查。对IBD患者和同龄对照组进行了食物频率问卷调查。
共访谈了75名患者和105名父母。27名（36%）患者和39名（37.1%）父母认为饮食调整可以控制IBD病程。25名（33.0%）患者和33名（33.0%）父母认为某些饮食成分可以预防复发或改善症状（主要是腹痛和腹泻），而36名（48%）患者和60名（60.0%）父母认为某些食物会在IBD发作期间诱发或加重症状。患者认为牛奶、乳制品、油炸和辛辣食物、甜食和碳酸饮料可能对IBD有负面影响，而水果、蔬菜和米饭可能有积极影响。父母认为水果和蔬菜有负面影响。根据IBD表型、活动状态或当前治疗分类的患者之间的回答没有差异。与对照组相比，IBD年轻患者的牛奶、午餐肉、生熟蔬菜的每日摄入量减少。
约三分之一的IBD儿科患者及其父母存在导致限制性饮食行为的饮食信念。
