Andersen Vibeke, Liljensøe Anette, Gregersen Laura, Darbani Behrooz, Halldorsson Thorhallur Ingi, Heitmann Berit Lilienthal
Molecular Diagnostics and Clinical Research Unit, Department of Internal Medicine, University Hospital of Southern Denmark, 6200 Åbenrå, Denmark.
Institute of Regional Health Research, University of Southern Denmark, 5000 Odense, Denmark.
Nutrients. 2025 Jan 10;17(2):245. doi: 10.3390/nu17020245.
Diet significantly impacts the onset and progression of inflammatory bowel disease (IBD), and diet offers unique opportunities for treatment and preventative purposes. However, despite growing interest, no diet has been conclusively associated with improved long-term clinical and endoscopic outcomes in IBD, and evidence-based dietary guidelines for IBD remain scarce. This narrative review critically examines dietary assessment methods tailored to the unique needs of IBD, highlighting opportunities for precision and inclusivity.
We conducted a comprehensive literature review using search terms related to diet, diet assessment, nutrition, food, sex, gender, equity, and IBD.
The identified dietary assessment tools evaluated nutritional quality, dietary patterns, food processing, lifestyle interactions, inflammatory potential, and effects of specific nutrients. Advanced methods, including biomarkers, multi-omics approaches, and digital tools, were highlighted as being complementary to traditional approaches, offering enhanced precision and real-time monitoring. Women remain under-represented in dietary research but face unique nutritional needs due to hormonal cycles, pregnancy, and higher malnutrition risks in IBD.
Traditional diet assessment methods remain valuable but are often limited by misreporting biases. Advanced approaches may provide greater precision, enabling real-time monitoring and personalised dietary tracking. Incorporating considerations of sex, gender, age, ethnicity, socioeconomic, and sustainability enhances the relevance and applicability of these methods. Addressing these multifaceted aspects of dietary assessment in IBD can facilitate robust interventional trials.
Diet assessment tools are essential for developing personalised dietary interventions in IBD, informing evidence-based guidelines, and improving health outcomes and quality of life in IBD.
饮食对炎症性肠病（IBD）的发病和进展有显著影响，并且饮食为治疗和预防目的提供了独特的机会。然而，尽管关注度不断提高，但尚无饮食与IBD长期临床和内镜改善结果有确凿关联，且针对IBD的循证饮食指南仍然匮乏。本叙述性综述批判性地审视了针对IBD独特需求的饮食评估方法，强调了精准性和包容性的机会。
我们使用与饮食、饮食评估、营养、食物、性别、公平性和IBD相关的检索词进行了全面的文献综述。
所确定的饮食评估工具评估了营养质量、饮食模式、食物加工、生活方式相互作用、炎症潜力以及特定营养素的影响。包括生物标志物、多组学方法和数字工具在内的先进方法被强调为传统方法的补充，可提供更高的精准性和实时监测。女性在饮食研究中的代表性仍然不足，但由于激素周期、怀孕以及IBD中更高的营养不良风险，她们面临独特的营养需求。
传统饮食评估方法仍然有价值，但往往受到误报偏差的限制。先进方法可能提供更高的精准性，实现实时监测和个性化饮食跟踪。纳入对性别、年龄、种族、社会经济和可持续性的考虑可增强这些方法的相关性和适用性。解决IBD饮食评估的这些多方面问题有助于开展有力 的干预试验。
饮食评估工具对于制定IBD个性化饮食干预措施、为循证指南提供信息以及改善IBD患者的健康结果和生活质量至关重要。
