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Indian J Gastroenterol. 2019 Jun;38(3):220-246. doi: 10.1007/s12664-019-00976-1. Epub 2019 Jul 27.

Diet and inflammatory bowel disease: The Asian Working Group guidelines.

Author information

1
Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, 141 001, India. ajitsood10@gmail.com.
2
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 023, India.
3
Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, 141 001, India.
4
Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, 141 001, India.
5
Department of Dietetics, Dayanand Medical College and Hospital, Ludhiana, 141 001, India.
6
BLK Super Speciality Hospital, New Delhi, 110 005, India.
7
Department of Gastroenterology, GB Pant Hospital, New Delhi, 110 002, India.
8
Department of Gastroenterology, Kasturba Medical College, Mangalore, 575 001, India.
9
Department of Gastroenterology Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
10
Department of Gastroenterology, Gauhati Medical College, Guwahati, 781 032, India.
11
Department of Dietetics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
12
Department of Gastroenterology, Asan Medical Center, Seoul, South Korea.
13
Consultant Gastroenterology, Bathinda, 151 001, India.
14
P. D. Hinduja Hospital and Medical Research Centre, Mumbai, 400 016, India.
15
Department of Gastroenterology, Kasturba Medical College, Manipal, 576 104, India.
16
Sher-I-Kashmir Institute of Medical Sciences, Srinagar, 190 011, India.
17
Colombo North Teaching Hospital, Ragama, Sri Lanka.
18
Dr Kamakshi Memorial Hospital, Chennai, 600 100, India.
19
Department of Gastroenterology, Sree Gokulum Medical College and Research Foundation, Trivandrum, 695 011, India.
20
Department of Gastroenterology, Moti Lal Nehru Medical College, Allahabad, 211 001, India.
21
Department of Gastroenterology, IMS and Sum Hospital, Bhubaneswar, 756 001, India.
22
Dietician, Kilpauk, Chennai, 600 010, India.
23
Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
24
Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, 110 023, India.
25
Dietician, Pushpawati Singhania Research Institute, New Delhi, 110 001, India.
26
P D Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Cadel Road, Mahim, Mumbai, 400 016, India.
27
Max Super Speciality Hospital, Saket, New Delhi, 110 017, India.
28
Pushpawati Singhania Research Institute, New Delhi, 110 001, India.
29
Department of Gastroenterology, SMS Medical College, Jaipur, 302 004, India.
30
Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
31
Fortis Hospital, Vasant Kunj, New Delhi, 110 070, India.
32
Dietician, Bengaluru, 560 001, India.
33
Dietician, Mumbai Diet and Health Centre, Mumbai, 400 001, India.
34
Department of Gastroenterology, Sriram Chandra Bhanj Medical College and Hospital, Cuttack, 753 001, India.
35
Department of Gastroenterology, King Edward Memorial Hospital, Mumbai, 400 012, India.
36
Shubham Gastroenterology Centre, Nagpur, 440 001, India.
37
Consultant Gastroenterology, Medanta The Medicity, Gurgaon, 122 001, India.
38
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India.

Abstract

INTRODUCTION:

These Asian Working Group guidelines on diet in inflammatory bowel disease (IBD) present a multidisciplinary focus on clinical nutrition in IBD in Asian countries.

METHODOLOGY:

The guidelines are based on evidence from existing published literature; however, if objective data were lacking or inconclusive, expert opinion was considered. The conclusions and 38 recommendations have been subject to full peer review and a Delphi process in which uniformly positive responses (agree or strongly agree) were required.

RESULTS:

Diet has an important role in IBD pathogenesis, and an increase in the incidence of IBD in Asian countries has paralleled changes in the dietary patterns. The present consensus endeavors to address the following topics in relation to IBD: (i) role of diet in the pathogenesis; (ii) diet as a therapy; (iii) malnutrition and nutritional assessment of the patients; (iv) dietary recommendations; (v) nutritional rehabilitation; and (vi) nutrition in special situations like surgery, pregnancy, and lactation.

CONCLUSIONS:

Available objective data to guide nutritional support and primary nutritional therapy in IBD are presented as 38 recommendations.

KEYWORDS:

Diet; Dietary practices; Guidelines; Inflammatory bowel disease

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