Ulcerative colitis is an inflammatory
bowel disease (IBD) that causes long-lasting inflammation and ulcers (sores) in
your digestive tract. Ulcerative colitis affects the innermost lining
of your large intestine (colon) and rectum. Ulcerative colitis symptoms can vary, depending on the severity of
inflammation and where it occurs. Studies have shown that many patients with
ulcerative colitis are seen with nutrient deficiency; however, no specific diet
is recommended. The aim of this study was to obtain knowledge on whether
restriction or addition of specific food items might contribute to malnutrition
in these patients.
A semi-structured
qualitative interview based on an interview guide was used to allow an in-depth
exploration of patient experience with diet in relation to UC. The interview
guide was used in an unstructured format to guide the patient and the
interviewer through the interview. A structured
analysis of the transcribed interviews was conducted. Patterns of meaning from
within and amongst the interview were observed, and themes were identified. The
data was collated and organized initially under headings corresponding to the
identified themes.
The study included
25 patients (12 M, 13 F), average age 46.7 years old (SD 15.6). Duration of
disease ranged from 1 to 35 years, average duration 15
years (SD 13). Restriction of food items was mainly due to discomfort associated
with bowel symptoms, e.g. diarrhoea caused by sugar, dairies, alcohol, spices,
red meat, and bread. Restrictions were based mainly on personal experience
rather than professional guidance or knowledge search. Addition of specific
food items most often included vitamin supplements. Only 20% took supplementary
calcium, although many restricted the consumption of dairies from their diet.
In conclusion, many patients with ulcerative colitis restrict consumption of dairy
products from their diet. This may lead to calcium deficiency. No other dietary
restrictions, which might explain specific nutrient deficiencies, were identified.
In any case, patients should be tested for lactose intolerance before milk is
restricted.
Article by U.
Bach, et al, from Denmark.
Full access: http://mrw.so/4FwA2a
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