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Nutrients. 2018 Nov 14;10(11). pii: E1761. doi: 10.3390/nu10111761.

Cross-Sectional Analysis of Overall Dietary Intake and Mediterranean Dietary Pattern in Patients with Crohn's Disease.

Author information

1
Department of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada. lorian.taylor@ucalgary.ca.
2
Department of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada. abdulelah.almutairdi@ucalgary.ca.
3
Department of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada. nsshommu@ucalgary.ca.
4
Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2R7, Canada. richard.fedorak@ualberta.ca.
5
Institute of Translational Medicine, NIHR Biomedical Research Centre, University of Birmingham and Birmingham University Hospitals, Birmingham B15 2TT, UK. s.ghosh@bham.ac.uk.
6
Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 4N1, Canada. reimer@ucalgary.ca.
7
Department of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada. rpanacci@ucalgary.ca.
8
Department of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada. mkothand@ucalgary.ca.

Abstract

The primary objective of this study was to explore the macro- and micro-nutrient intakes and dietary patterns of patients with Crohn's disease (CD). Secondary objectives were to (a) compare the micronutrient intakes of CD patients with a representative sample of individuals, (b) describe the macro- and micronutrient intakes of male and female CD patients, and (c) describe Mediterranean diet scores (P-MDS) of male and female CD patients in remission that were recruited from an inflammatory bowel disease (IBD) clinic in Calgary, AB. Consecutive patients with ileal and/or colonic CD in endoscopic remission were recruited for participation in this cross-sectional study. Sixty-seven patients were enrolled with a mean age of 45, and a Body Mass Index (BMI) ≥ 25. Compared with the representative sample, patients with CD had similar energy, protein, carbohydrate, and total fat intake. However, polyunsaturated fats (PUFA), omega-6 and 3, and monounsaturated fats (MUFA) were lower in CD patients and dietary fiber intake was higher (p < 0.05). Vitamins C, D, thiamin, niacin, magnesium, phosphorus, zinc, and potassium were all significantly lower in all CD patients when compared to the representative sample (p < 0.05). Few patients with CD met the P-MDS criteria and overall scores were low (mean 4.5, Standard Deviation (SD) = 1.1 in males and 4.7, SD = 1.8 in females). The CD patients in this study had suboptimal dietary intakes and patterns and these data may be used to inform future dietary interventions in this population to improve intake.

KEYWORDS:

Crohn’s disease; Mediterranean diet; dietary intake; malnutrition

PMID:
30441814
PMCID:
PMC6266729
DOI:
10.3390/nu10111761
[Indexed for MEDLINE]
Free PMC Article

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