Mixed-method Irish study exploring the role of diet in IBD based on an online questionnaire and a patient panel opinion.

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY BMJ Open Gastroenterology Pub Date : 2024-10-29 DOI:10.1136/bmjgast-2023-001251
Naomi Hanrahan, Victoria Spillane, Kevin Moore, Mick Dineen, Aoife Murphy, Ana Velikonja, Margot Hurley, Majella O'Keeffe, Silvia Melgar
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Abstract

Objective: Diet is a risk factor in inflammatory bowel diseases (IBD) pathogenesis. This study aims to examine the dietary patterns and beliefs of Irish patients living with IBD through an online questionnaire and subsequent open discussions with an IBD patient collaborator panel (PCP). All data presented here are selected and presented following the PCP's suggestions and views.

Design: This mixed-method study included an online questionnaire using a short food frequency questionnaire examining dietary patterns, dietary opinions, beliefs and behaviours (phase I). Six in-person PCP sessions were conducted, where findings from the online questionnaire, diet and lifestyle in the context of IBD were discussed in depth (phase II).

Results: The questionnaire revealed that respondents with active IBD are associated with the consumption of high-sugar, processed and meat-based foods while reducing their consumption of high-fibre foods. Individuals with active Crohn's disease have a decrease in overall daily energy consumption and a significant reduction in intake of fibre, non-starch polysaccharides, micronutrients [B vitamins (B1, B2, and B9), vitamin C, calcium] and trace elements (iron, zinc, copper and manganese). The PCP reported that food tolerability is limited during relapse, leading patients to prefer simple carbohydrates for energy, consistent with the dietary intake data. The PCP reported that most dietary advice was received during hospitalisation (relapse), focused on food avoidance, with little follow-up during remission. The consensus among the PCP was that factors, such as disease type, psychological aspects, dietary understanding and support, can influence peoples' dietary choices.

Conclusion: In summary, we show that dietary intake in people with IBD varies and may depend on several factors, not just the disease itself. This PCP desires more dietary information and professional support outside of hospitalisation to assist with disease management.

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基于在线问卷和患者小组意见的爱尔兰混合方法研究,探讨饮食在 IBD 中的作用。
目的:饮食是炎症性肠病(IBD)发病机制中的一个风险因素。本研究旨在通过在线问卷调查以及随后与 IBD 患者合作小组(PCP)的公开讨论,研究爱尔兰 IBD 患者的饮食模式和饮食观念。本文所展示的所有数据均根据 PCP 的建议和意见进行选择和展示:这项混合方法研究包括一份在线问卷,使用简短的食物频率问卷调查饮食模式、饮食观点、信仰和行为(第一阶段)。研究人员还与初级保健医生进行了六次面对面交流,深入讨论了在线问卷调查的结果、IBD 背景下的饮食和生活方式(第二阶段):调查问卷显示,患有活动性 IBD 的受访者与食用高糖、加工食品和肉类食品有关,同时减少了对高纤维食品的食用。活动性克罗恩病患者的每日总能量消耗减少,纤维、非淀粉多糖、微量营养素[B 族维生素(B1、B2 和 B9)、维生素 C、钙]和微量元素(铁、锌、铜和锰)的摄入量显著减少。初级保健医生报告说,复发期间患者对食物的耐受性受到限制,导致他们更喜欢简单的碳水化合物作为能量,这与饮食摄入数据一致。初级保健医生报告说,大多数饮食建议都是在住院(复发)期间接受的,重点是避免进食,而在缓解期很少进行跟踪。初级保健医生一致认为,疾病类型、心理因素、对饮食的理解和支持等因素都会影响患者的饮食选择:总之,我们的研究表明,IBD 患者的饮食摄入量各不相同,可能取决于多种因素,而不仅仅是疾病本身。这位初级保健医生希望在住院期间获得更多的饮食信息和专业支持,以协助疾病管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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