Differences in Nutrient Intake with Homemade versus Chef-Prepared Specific Carbohydrate Diet Therapy in Inflammatory Bowel Disease: Insights into Dietary Research

Alex Morrison; Kimberly Braly; Namita Singh; David L. Suskind; Dale Lee

doi:10.5223/pghn.2021.24.5.432

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저자정보: Alex Morrison (University of Washington) Kimberly Braly (University of Washington) Namita Singh (University of Washington) David L. Suskind (University of Washington) Dale Lee (University of Washington)

저널정보: 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제24권 제5호

발행연도: 2021.9

수록면: 432 - 442 (11page)

DOI: 10.5223/pghn.2021.24.5.432

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Purpose: The aim of this study was to evaluate the nutrient content consumed by children and adolescents on home-prepared versus chef-prepared specific carbohydrate diets (SCD) as therapy for inflammatory bowel disease (IBD). Methods: Dietary intake of two cohorts with active IBD initiating the SCD over 12 weeks was assessed. The home-prepared cohort received detailed guidance from dietitians on implementation of the SCD. The chef in the other cohort was knowledgeable in the SCD and prepared meals from a fixed set of recipes. Data from 3-day diet diaries at 4 different time points were collected. US Recommended Daily Allowances (RDA) were calculated for macronutrients, vitamins, and minerals. Results: Eight participants on the homemade SCD and 5 participants on the chef-prepared SCD were included in analysis. Mean % RDA for energy intake was 115% and 87% for homemade and chef-prepared groups (p<0.01). Mean % RDA for protein intake was 337% for homemade SCD and 216% for chef-prepared SCD (p<0.01). The homemade SCD group had higher mean % RDA values for vitamin A and iron, while the chef-prepared SCD group had higher intake of vitamins B1, B2, D, phosphorus and zinc (p<0.01 for all). Conclusion: The SCD implemented homemade versus chef-prepared can result in significantly different intake of nutrients and this may influence efficacy of this dietary therapy. Meal preparation dynamics and the motivation of families who pursue dietary treatment may play an important role on the foods consumed and the outcomes on dietary therapy with the SCD.

#Diet #Inflammatory bowel diseases #Child #Nutritional therapy

참고문헌 (26)

참고문헌 신청

Hwang C / 2014 / Popular exclusionary diets for inflammatory bowel disease : the search for a dietary culprit / Inflamm Bowel Dis 20:732~741

Braly K / 2017 / Nutritional adequacy of the specific carbohydrate diet in pediatric inflammatory bowel disease / J Pediatr Gastroenterol Nutr 65:533~538

Walton M / 2014 / Do patients living with ulcerative colitis adhere to healthy eating guidelines? A cross-sectional study / Br J Nutr 112:1628~1635

Borrelli O / 2016 / Polymeric diet alone versus corticosteroids in the treatment of active pediatric Crohn's disease : a randomized controlled open-label trial / Clin Gastroenterol Hepatol 4:744~753

Critch J / 2012 / Use of enteral nutrition for the control of intestinal inflammation in pediatric Crohn disease / J Pediatr Gastroenterol Nutr 54:298~305

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