Dietary Strategies for Maintenance of Clinical Remission in Inflammatory Bowel Diseases: Are We There Yet?

The etiopathogenesis of Inflammatory bowel disease (IBD) is a result of a complex interaction between host immune response, the gut microbiome and environmental factors, such as diet. Although scientific advances, with the use of biological medications, have revolutionized IBD treatment, the challen...

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Bibliographic Details
Published in:Nutrients 2020-07, Vol.12 (7), p.2018
Main Authors: Gkikas, Konstantinos, Gerasimidis, Konstantinos, Milling, Simon, Ijaz, Umer Z, Hansen, Richard, Russell, Richard K
Format: Article
Language:English
Subjects:
Adult
Child
Colitis, Ulcerative - diet therapy
Crohn Disease - diet therapy
Crohn's disease
Diet
Diet - methods
dietary therapy
dietary triggers
Enteral nutrition
Enteral Nutrition - methods
Environmental factors
Food
Gastrointestinal Microbiome
Health services
Humans
Immune response
Inflammation
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - diet therapy
Intestinal microflora
Intestine
maintenance enteral nutrition
Microbiomes
Nutrition
Nutrition research
Parenteral nutrition
Pediatrics
Recurrence
Remission
Remission (Medicine)
Remission Induction
Review
Ulcerative colitis
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Summary:The etiopathogenesis of Inflammatory bowel disease (IBD) is a result of a complex interaction between host immune response, the gut microbiome and environmental factors, such as diet. Although scientific advances, with the use of biological medications, have revolutionized IBD treatment, the challenge for maintaining clinical remission and delaying clinical relapse is still present. As exclusive enteral nutrition has become a well-established treatment for the induction of remission in pediatric Crohn's disease, the scientific interest regarding diet in IBD is now focused on the development of follow-on dietary strategies, which aim to suppress colonic inflammation and delay a disease flare. The objective of this review is to present an extensive overview of the dietary strategies, which have been used in the literature to maintain clinical remission in both Crohn's disease and Ulcerative colitis, and the evidence surrounding the association of dietary components with clinical relapse. We also aim to provide study-related recommendations to be encompassed in future research studies aiming to investigate the role of diet during remission periods in IBD.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu12072018