Diet is suspected to play a key role in IBD natural history. IBD patients often believe that diet is associated with symptoms and flares, leading to restrictive diets avoiding dietary components considered as potentially harmful. The risk factors of this restrictive eating disorder are now reported and result from disease activity, from patients' psychological health and from confusing dietary advice. These restrictive diets are at risk of undernutrition, nutritional deficiencies and of mixed anxiety-depressive disorders. Epidemiological studies have highlighted the role of dietary factors in IBD risk. Mediterranean diets tend to reduce the risk of developing IBD. Conversely, the "Western" diet (high intakes of fat, sugar, salt, animal protein and ultra-processed foods) increases the risk of developing IBD. Experimental studies demonstrate the ability of nutrients to modulate the intestinal inflammatory response by influencing the composition of the intestinal microbiota, the function of the intestinal barrier or various actors of immunity. The level of scientific evidence is currently insufficient to propose an anti-inflammatory diet for IBD patients. Nevertheless, promising avenues of clinical research deserve to be investigated in the future through randomised interventional studies. As recommended by ESPEN statements with a strong consensus, every patient should benefit from dietary follow-up by a health professional as part of a multidisciplinary approach.(c) 2023 Publi-shed by Elsevier Masson SAS on behalf of Socie ' te ' francophone nutrition clinique et me ' tabolisme (SFNCM).
机构:
Univ Kebangsaan Malaysia, Fac Med, Dept Med, Kuala Lumpur, MalaysiaUniv Kebangsaan Malaysia, Fac Med, Dept Med, Kuala Lumpur, Malaysia
Shafiee, Nor Hamizah
Manaf, Zahara Abdul
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Univ Kebangsaan Malaysia, Fac Hlth Sci, Dietet Programme, Kuala Lumpur, MalaysiaUniv Kebangsaan Malaysia, Fac Med, Dept Med, Kuala Lumpur, Malaysia
Manaf, Zahara Abdul
Mokhtar, Norfilza M.
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Univ Kebangsaan Malaysia, Fac Med, Dept Physiol, Kuala Lumpur, Malaysia
Univ Kebangsaan Malaysia, Fac Med, GUT Res Grp, Kuala Lumpur, MalaysiaUniv Kebangsaan Malaysia, Fac Med, Dept Med, Kuala Lumpur, Malaysia
Mokhtar, Norfilza M.
Ali, Raja Affendi Raja
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Univ Kebangsaan Malaysia, Fac Med, GUT Res Grp, Kuala Lumpur, Malaysia
UKM Med Ctr, Dept Med, Gastroenterol Unit, Kuala Lumpur, MalaysiaUniv Kebangsaan Malaysia, Fac Med, Dept Med, Kuala Lumpur, Malaysia
机构:
Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Obih, Chinonyelum
Wahbeh, Ghassan
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Wahbeh, Ghassan
Lee, Dale
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Lee, Dale
Braly, Kim
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Braly, Kim
Giefer, Matthew
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Giefer, Matthew
Shaffer, Michele L.
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USA
Seattle Childrens Res Inst, Ctr Clin & Translat Res, Seattle, WA USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Shaffer, Michele L.
Nielson, Heather
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Nielson, Heather
Suskind, David L.
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Seattle Childrens Hosp, Dept Pediat, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat, Seattle, WA USA
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Seattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Univ Washington, Diabet Inst, Seattle, WA 98109 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Francis, Kendra L.
Alonge, Kimberly M.
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Univ Washington, Diabet Inst, Seattle, WA 98109 USA
Univ Washington, Dept Med Chem, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Alonge, Kimberly M.
Pacheco, Maria Cristina
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Seattle Childrens Hosp, Dept Lab Med & Pathol, Seattle, WA 98105 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Pacheco, Maria Cristina
Hu, Shannon J.
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Univ Washington, Diabet Inst, Seattle, WA 98109 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Hu, Shannon J.
Krutzsch, Cody A.
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Univ Washington, Diabet Inst, Seattle, WA 98109 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Krutzsch, Cody A.
Morton, Gregory J.
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Univ Washington, Diabet Inst, Seattle, WA 98109 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Morton, Gregory J.
Schwartz, Michael W.
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Univ Washington, Diabet Inst, Seattle, WA 98109 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Schwartz, Michael W.
Scarlett, Jarrad M.
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Seattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
Univ Washington, Diabet Inst, Seattle, WA 98109 USA
Seattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, 750 East Republican St F770, Seattle, WA 98195 USASeattle Childrens Hosp, Dept Pediat Gastroenterol & Hepatol, Seattle, WA 98105 USA
机构:
Fdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Univ Cattolica Sacro Cuore, Dipartimento Med & Chirurg Traslaz, I-00168 Rome, ItalyFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Deleu, Sara
Becherucci, Guia
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Univ Cattolica Sacro Cuore, Dipartimento Med & Chirurg Traslaz, I-00168 Rome, ItalyFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Becherucci, Guia
Godny, Lihi
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Rabin Med Ctr, Div Gastroenterol, IL-49100 Petah Tiqwa, Israel
Rabin Med Ctr, Nutr Unit, IL-49100 Petah Tiqwa, IsraelFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Godny, Lihi
Mentella, Maria Chiara
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Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Sci Med & Chirurg Addominali Endocrin, UOC Nutr Clin, I-00168 Rome, ItalyFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Mentella, Maria Chiara
Petito, Valentina
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Fdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, ItalyFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Petito, Valentina
Scaldaferri, Franco
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Fdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy
Univ Cattolica Sacro Cuore, Dipartimento Med & Chirurg Traslaz, I-00168 Rome, ItalyFdn Policlin Univ Agostino Gemelli IRCCS, Dipartimento Sci Med & Chirurg, CEMAD Translat Res Labs, I-00168 Rome, Italy