Eating habits in patients with inflammatory bowel disease

Wstęp : Wrzodziejące zapalenie jelita grubego i choroba Leśniowskiego-Crohna są najczęstszymi chorobami zapalnymi jelit. Farmakoterapia odgrywa dużą rolę w leczeniu zarówno zaostrzeń, jak i remisji, jednak ważna jest również dieta, którą należy dobierać indywidualnie do potrzeb pacjenta, zwłaszcza biorąc pod uwagę potrzeby pacjenta. reakcja na pokarm i objawy, których obecnie doświadczasz. Celem wprowadzenia diety jest m.in. ułatwienie regeneracji jelit, przyspieszenie i wydłużenie okresu remisji choroby oraz zapobieganie niedożywieniu u pacjentów.Cel: Celem pracy jest analiza nawyków żywieniowych i diety pacjentów z IBD w okresie remisji.Materials and methods: The results were obtained on the basis of a questionnaire survey.Results: 95 people took part in the survey, 56.4% of them suffer from UC and 43.6% from CDI, 48.5% of respondents admit that they smoke more than 10 cigarettes a day. As many as 43.6% do not do any sports More than half of respondents eat white bread and exclude blue cheese from the diet. 24.5% of respondents are mostly meat products and 13.8% - vegetables. Only 27% of respondents use probiotics, only 40% consume pickled products regularly. Almost 6% do not eat fish and 35 people do it sporadically, unlike poultry, which is eaten several times a week by less than half of the respondents, 27 of the respondents excluded smoked meats from their diets. Only 25% of the respondents do not consume NSAIDs, while for 6% their consumption is everyday life.Wnioski: Z przeprowadzonych badań wynika, że istnieje ciągła potrzeba edukowania pacjentów w zakresie zdrowego stylu życia, w tym promowania aktywności fizycznej oraz przestrzegania szkodliwego wpływu palenia na ich zdrowie, życie i przebieg chorób poprzez podkreślanie CDD, ponieważ palenie tytoniu pogłębia tę chorobę , podobnie jak zażywanie NLPZ. Analizując uzyskane wyniki należy zwrócić uwagę na małe zainteresowanie spożywaniem probiotyków, które mają pozytywny wpływ na mikroflorę jelitową oraz podkreślić korzyści płynące ze spożywania produktów marynowanych. Wydaje się, że dobór produktów spożywczych i stosowanej przez respondentów diety jest wyrazem indywidualnych potrzeb, subiektywnych przekonań i preferencji

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Eating disorder or disordered eating: undiagnosed inflammatory bowel disease mimicking eating disorder

Archives of Disease in Childhood ◽

10.1136/archdischild-2018-316324 ◽

2018 ◽

Vol 104 (10) ◽

pp. 1004-1006

Author(s):

Rachel Elizabeth Harris ◽

Rachel Tayler ◽

Richard K Russell

Keyword(s):

Inflammatory Bowel Disease ◽

Eating Disorder ◽

Disordered Eating ◽

Bowel Disease ◽

Eating Habits ◽

Delayed Diagnosis ◽

Important Differential Diagnosis ◽

Gi Symptoms ◽

Incorrect Diagnosis ◽

Inflammatory Bowel

We describe the case of a patient with ongoing weight loss, low mood and previously undisclosed gastrointestinal (GI) symptoms initially diagnosed with an eating disorder and subsequently diagnosed with ulcerative colitis over a year following initial presentation. This patient exhibited disordered eating secondary to the worsening symptoms of undiagnosed inflammatory bowel disease (IBD) and had altered her eating habits to reduce the diarrhoea and rectal bleeding she was experiencing, contributing to significant weight loss.The implications of a delayed diagnosis of IBD or incorrect diagnosis of eating disorder are severe both physically and psychologically. We discuss factors in the assessment of patients which may raise suspicion of organic GI disease such as IBD—an important differential diagnosis in those with non-specific GI symptoms and suspected eating disorder—and highlight baseline investigations which should be performed to ensure a diagnosis of IBD is not missed in these patients.

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Olfactory Function in Patients with Inflammatory Bowel Disease (IBD) Is Associated with Their Body Mass Index and Polymorphism in the Odor Binding-Protein (OBPIIa) Gene

Nutrients ◽

10.3390/nu13020703 ◽

2021 ◽

Vol 13 (2) ◽

pp. 703

Author(s):

Giorgia Sollai ◽

Melania Melis ◽

Mariano Mastinu ◽

Danilo Paduano ◽

Fabio Chicco ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Body Weight ◽

Bowel Disease ◽

Eating Habits ◽

Olfactory Function ◽

Olfactory Threshold ◽

Identification Score ◽

Healthy Control ◽

Inflammatory Bowel ◽

Specific Disorders

Smell strongly contributes to food choice and intake, influencing energy balance and body weight; its reduction or loss has been related to malnutrition problems. Some patients with inflammatory bowel disease (IBD), mainly Crohn’s disease (CD) and ulcerative colitis (UC), are underweight, while others are overweight. Some studies suggest that changes in eating habits could be linked to specific disorders of the olfactory functions. We assessed the olfactory performance in 199 subjects (healthy control (HC) n = 99, IBD n = 100), based on the olfactory Threshold, Discrimination and Identification score (TDI score), measured with the “Sniffin’ Sticks” test. Subjects were genotyped for the rs2590498 polymorphism of the OBPIIa gene. IBD patients showed both a slightly, but significantly, lower olfactory function and a higher BMI compared to HC subjects. Threshold (in both population) and Discrimination (in IBD patients) olfactory score were affected by the OBPIIa genotype. BMI was influenced by both health status and OBPIIa genotype. A lower olfactory function may delay the satiety sensation and thus increase meal duration and body weight in IBD patients. However, the AA genotype of the OBPIIa seems to “protect” IBD patients from more severe olfactory dysfunction.

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