Postgraduate Course at DDW: Complete Clinical Updates for Today's Practice

BO_Scarlata- From Plate to Gut

Pdf Summary

The document provides an in-depth exploration of diet interventions and their implications for gut health, particularly focusing on conditions like Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD). Key objectives include understanding the primary and secondary effects of food on the gut, detailing the benefits and risks of specific diets, and advocating for patient-centered dietary approaches to maximize benefits while minimizing risks.<br /><br />Notably, patients often value nutrition in managing their conditions, such as IBS, where dietary triggers are a significant concern. Despite 84% of IBS patients identifying food as a trigger, referrals to registered dietitians (RDs) are low, partly because many gastrointestinal (GI) providers feel inadequately trained or spend limited time on nutritional counseling.<br /><br />Various diets are evaluated, including low FODMAP, Mediterranean, and gluten-free diets, noting their impacts and evidence of efficacy in managing symptoms. While the low FODMAP diet has robust evidence for symptom improvement in IBS, it is costly and complex, requiring a specialized RD's guidance. Conversely, the Mediterranean diet is preferred by many and is easier to integrate into daily life.<br /><br />The document also highlights potential risks of restrictive diets in both IBS and IBD, such as nutrient deficiencies, psychological impacts like food fear, and disordered eating patterns. It emphasizes the need for careful screening for disordered eating before recommending dietary restrictions.<br /><br />In managing IBD, diet is recognized as potentially influencing disease pathophysiology, with various diet interventions like exclusive enteral nutrition and the Mediterranean diet showing promise in inducing remission, although rigorous evidence is still needed.<br /><br />Patient-centered care, incorporating shared decision-making and teamwork between patients, GI specialists, dietitians, and psychologists, is advocated to tailor dietary interventions effectively. Continuous communication and regular screening for nutritional status and eating behaviors are essential components of successful dietary management in GI disorders.

Keywords

diet interventions

gut health

Irritable Bowel Syndrome

Inflammatory Bowel Disease

nutrition

low FODMAP diet

Mediterranean diet

dietary triggers

patient-centered care

disordered eating