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New diet similar to SCD developed and tested in IBD patients

canstockphoto13235299Altered bacteria in the gut of IBD patients is thought to contribute to the uncontrolled intestinal inflammation seen in IBD patients. A recent study developed and tested what they called the IBD-Anti-Inflammatory Diet (IBD-AID) to address inflammation, nutrient deficiency, malabsorption and symptoms seen in IBD patients (Olendzki 2014).

The diet was derived from the Specific Carbohydrate Diet (SCD) and was based upon the understanding that certain carbohydrates in the diet allow harmful bacteria to proliferate.

The IBD-AID diet is not designed around avoidance of gluten, and strives to address other micro- and macronutrients not addressed in the SCD.

The diet was altered depending on whether or not the patient was in an active flare or in remission. The diet limited certain carbohydrates (lactose and processed complex carbohydrates) and contained foods high in pre- and probiotics.

The diet also addressed food texture. For example, patients in a flare or with a stricture had to eat softer or pureed food while also avoiding foods with stems.

Many patients require foods to be softened and textures mechanically altered by pureeing the foods, and avoiding foods with stems and seeds when starting the diet as intact fiber can be problematic for those with strictures and highly active mucosal inflammation.

The diet was tested in 27 patients. 60% self-reported a good or very good response and 7% had a mixed response. All patients who self-reported a good or very good response were able to discontinue at least one of their IBD medications and also reported a decrease in IBD symptoms.

My Thoughts: The IBD-AID diet seems difficult, very restrictive and it is unclear whether or not it has benefit in IBD patients as this study was small and subjectively based. It is also not clear if all or only certain components of the diet are beneficial. To better understand its benefit in IBD patients, more studies need to be conducted with control groups that also evaluate objective findings such as mucosal healing, remission rates and surgery rates.

Crohns disease medical expert bloggerAbout the writer: Brandon Wuerth is a 4th year medical student at the University of Louisville. He has Crohn’s Disease and plans on pursuing Gastroenterology after completing residency in Internal Medicine. He has done clinical rotations and research with various IBD docs including Dr. Dryden (Louisville), Dr. Rubin (UChicago) and Dr. Hanauer (Northwestern).

Brandon also operates a website for patients and physicians called IBDwatch.com which aims to keep people up-to-date on the latest research in the IBD field. He also has a Facebook page and a Twitter page.

Disclaimer: The views and opinions expressed are those of the contributing author and do not substitute for medical advice of a physician. You should not rely solely on any information presented and should consult a physician licensed in your state in all matters relating to your health.

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  1. IBD Research Roundup - Melatonin, Marijuana, New Diets | February 2014 - February 13, 2014

    […] New Anti-Inflammatory Diet being studied for IBD A new diet, derived from the SCD diet, is being called the IBD-Anti Inflammatory Diet (IBD-AID), and addresses micro- and macro-nutrients in the gut. The study addresses¬†inflammation, nutrient deficiency, malabsorption, and other symptoms, but is very restrictive for patients. So far results have been positive, but there is a lot more for researchers to learn. Learn more… […]

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