Survey of UK and New Zealand gastroenterologists’ practice regarding dietary advice and food exclusion in irritable bowel syndrome and inflammatory bowel disease

Background This study aimed to assess the dietary advice practice of UK and New Zealand (NZ) adult gastroenterologists in inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Methods A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British...

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Published in:Frontline gastroenterology 2013-01, Vol.4 (1), p.44-50
Main Authors: Inns, Stephen James, Emmanuel, Anton V
Format: Article
Language:English
Subjects:
Colorectal
Crohn's disease
Diet
Food
Gastroenterology
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Maternity & paternity leaves
Questionnaires
Sensitivity analysis
Studies
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Emmanuel, Anton V
description Background This study aimed to assess the dietary advice practice of UK and New Zealand (NZ) adult gastroenterologists in inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Methods A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British Society of Gastroenterology (n=983) and the NZ Society of Gastroenterology (n=54). Results 363 questionnaires were returned in the UK (response rate 37%) and 51 in NZ (94%). More respondents gave specific dietary advice to more than 25% of their patients on IBS than IBD (84% vs 27% UK, 90% vs 55% NZ; p=0.001 for both) and gave advice about dietary exclusions to more than 25% of patients on IBS than IBD (61% vs 13% UK, 77% vs 14% NZ; p
doi_str_mv 10.1136/flgastro-2012-100178
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Methods A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British Society of Gastroenterology (n=983) and the NZ Society of Gastroenterology (n=54). Results 363 questionnaires were returned in the UK (response rate 37%) and 51 in NZ (94%). More respondents gave specific dietary advice to more than 25% of their patients on IBS than IBD (84% vs 27% UK, 90% vs 55% NZ; p=0.001 for both) and gave advice about dietary exclusions to more than 25% of patients on IBS than IBD (61% vs 13% UK, 77% vs 14% NZ; p&lt;0.001 for both). They were most likely to provide dietary advice to patients with small bowel Crohn's disease, difficult to control IBD, diarrhoea predominant IBS and difficult to control IBS. The majority of respondents agreed strongly or a little that dietary exclusion was effective in the treatment of IBS, compared to the minority in IBD (71% vs 39% UK, 84% vs 43% p&lt;0.05 for both). Conclusions UK and NZ gastroenterologists give dietary advice more commonly to IBS than IBD patients. The majority of gastroenterologists have some confidence in the use of dietary exclusion in IBS, the converse is true in IBD. However, the advice given is largely empiric and mostly comprises the exclusion of fibre, dairy and wheat.</description><identifier>ISSN: 2041-4137</identifier><identifier>EISSN: 2041-4145</identifier><identifier>DOI: 10.1136/flgastro-2012-100178</identifier><identifier>PMID: 28839699</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Colorectal ; Crohn's disease ; Diet ; Food ; Gastroenterology ; Inflammatory Bowel Disease ; Irritable Bowel Syndrome ; Maternity &amp; paternity leaves ; Questionnaires ; Sensitivity analysis ; Studies</subject><ispartof>Frontline gastroenterology, 2013-01, Vol.4 (1), p.44-50</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b514t-473893c28446c1c7231424df460b3e2b97d0e54f1e1e377f2cc40e23d86a24fa3</citedby><cites>FETCH-LOGICAL-b514t-473893c28446c1c7231424df460b3e2b97d0e54f1e1e377f2cc40e23d86a24fa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551968/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551968/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28839699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inns, Stephen James</creatorcontrib><creatorcontrib>Emmanuel, Anton V</creatorcontrib><title>Survey of UK and New Zealand gastroenterologists’ practice regarding dietary advice and food exclusion in irritable bowel syndrome and inflammatory bowel disease</title><title>Frontline gastroenterology</title><addtitle>Frontline Gastroenterol</addtitle><description>Background This study aimed to assess the dietary advice practice of UK and New Zealand (NZ) adult gastroenterologists in inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Methods A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British Society of Gastroenterology (n=983) and the NZ Society of Gastroenterology (n=54). Results 363 questionnaires were returned in the UK (response rate 37%) and 51 in NZ (94%). More respondents gave specific dietary advice to more than 25% of their patients on IBS than IBD (84% vs 27% UK, 90% vs 55% NZ; p=0.001 for both) and gave advice about dietary exclusions to more than 25% of patients on IBS than IBD (61% vs 13% UK, 77% vs 14% NZ; p&lt;0.001 for both). They were most likely to provide dietary advice to patients with small bowel Crohn's disease, difficult to control IBD, diarrhoea predominant IBS and difficult to control IBS. The majority of respondents agreed strongly or a little that dietary exclusion was effective in the treatment of IBS, compared to the minority in IBD (71% vs 39% UK, 84% vs 43% p&lt;0.05 for both). Conclusions UK and NZ gastroenterologists give dietary advice more commonly to IBS than IBD patients. The majority of gastroenterologists have some confidence in the use of dietary exclusion in IBS, the converse is true in IBD. However, the advice given is largely empiric and mostly comprises the exclusion of fibre, dairy and wheat.</description><subject>Colorectal</subject><subject>Crohn's disease</subject><subject>Diet</subject><subject>Food</subject><subject>Gastroenterology</subject><subject>Inflammatory Bowel Disease</subject><subject>Irritable Bowel Syndrome</subject><subject>Maternity &amp; paternity leaves</subject><subject>Questionnaires</subject><subject>Sensitivity analysis</subject><subject>Studies</subject><issn>2041-4137</issn><issn>2041-4145</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqNks1u1DAQxyMEolXpGyBkiQuXtP5MnAsSWvGlrsoByoGL5diT4CWJFzvZdm99Dc68GU-Co7Qr4IRlyZb-v_l7xjNZ9pTgM0JYcd50rY5j8DnFhOYEY1LKB9kxxZzknHDx8HBn5VF2GuMGp8UYEYI_zo6olKwqquo4-_lxCjvYI9-gqwukB4su4Rp9Ad3N9-URGEYIvvOti2P8dfsDbYM2ozOAArQ6WDe0yDoYddgjbXezMAc33lsEN6abovMDcmmH4EZdd4Bqfw0divvBBt8vuBuaTve9Hn2yWXTrIugIT7JHje4inN6dJ9nVm9efVu_y9Ye371ev1nktCB9zXjJZMUMl54UhpqSMcMptwwtcM6B1VVoMgjcECLCybKgxHANlVhaa8kazk-zl4rud6h6sSXUH3altcH0qTXnt1N_K4L6q1u-UEIJUhUwGL-4Mgv8-QRxV76KBLv0l-CkqUrGUnagkTujzf9CNn8KQylOplRxjiXGVKL5QJvgYAzSHZAhW8yCo-0FQ8yCoZRBS2LM_CzkE3bc9AfkCpI7CzUHX4ZsqSlYKdfl5pcr1BS64ZIon_nzh637zfyn8Bo9406Q</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Inns, Stephen James</creator><creator>Emmanuel, Anton V</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>BSCLL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130101</creationdate><title>Survey of UK and New Zealand gastroenterologists’ practice regarding dietary advice and food exclusion in irritable bowel syndrome and inflammatory bowel disease</title><author>Inns, Stephen James ; Emmanuel, Anton V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b514t-473893c28446c1c7231424df460b3e2b97d0e54f1e1e377f2cc40e23d86a24fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Colorectal</topic><topic>Crohn's disease</topic><topic>Diet</topic><topic>Food</topic><topic>Gastroenterology</topic><topic>Inflammatory Bowel Disease</topic><topic>Irritable Bowel Syndrome</topic><topic>Maternity &amp; paternity leaves</topic><topic>Questionnaires</topic><topic>Sensitivity analysis</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inns, Stephen James</creatorcontrib><creatorcontrib>Emmanuel, Anton V</creatorcontrib><collection>Istex</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Frontline gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inns, Stephen James</au><au>Emmanuel, Anton V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survey of UK and New Zealand gastroenterologists’ practice regarding dietary advice and food exclusion in irritable bowel syndrome and inflammatory bowel disease</atitle><jtitle>Frontline gastroenterology</jtitle><addtitle>Frontline Gastroenterol</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>4</volume><issue>1</issue><spage>44</spage><epage>50</epage><pages>44-50</pages><issn>2041-4137</issn><eissn>2041-4145</eissn><abstract>Background This study aimed to assess the dietary advice practice of UK and New Zealand (NZ) adult gastroenterologists in inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Methods A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British Society of Gastroenterology (n=983) and the NZ Society of Gastroenterology (n=54). Results 363 questionnaires were returned in the UK (response rate 37%) and 51 in NZ (94%). More respondents gave specific dietary advice to more than 25% of their patients on IBS than IBD (84% vs 27% UK, 90% vs 55% NZ; p=0.001 for both) and gave advice about dietary exclusions to more than 25% of patients on IBS than IBD (61% vs 13% UK, 77% vs 14% NZ; p&lt;0.001 for both). They were most likely to provide dietary advice to patients with small bowel Crohn's disease, difficult to control IBD, diarrhoea predominant IBS and difficult to control IBS. The majority of respondents agreed strongly or a little that dietary exclusion was effective in the treatment of IBS, compared to the minority in IBD (71% vs 39% UK, 84% vs 43% p&lt;0.05 for both). Conclusions UK and NZ gastroenterologists give dietary advice more commonly to IBS than IBD patients. The majority of gastroenterologists have some confidence in the use of dietary exclusion in IBS, the converse is true in IBD. However, the advice given is largely empiric and mostly comprises the exclusion of fibre, dairy and wheat.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>28839699</pmid><doi>10.1136/flgastro-2012-100178</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Colorectal
Crohn's disease
Diet
Food
Gastroenterology
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Maternity & paternity leaves
Questionnaires
Sensitivity analysis
Studies
title Survey of UK and New Zealand gastroenterologists’ practice regarding dietary advice and food exclusion in irritable bowel syndrome and inflammatory bowel disease
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