How could diet affect Crohn’s Disease?

    Last Updated: October 25, 2023

    No specific dietary interventions are recommended for people with Crohn’s disease. The specific carbohydrate diet and Mediterranean diet were equally effective when comparing six-week remission rates, while the autoimmune protocol diet improved quality of life. However, these studies lacked control groups, and because Crohn’s disease can enter remission spontaneously, it’s unclear whether the diets caused remission.[1][2]

    A low-FODMAP diet may reduce some GI symptoms, but doesn’t reduce disease activity.[3] Other exclusion diets — like those that remove carrageenan or animal products or require the use of organic foods — have little to no effect on IBD disease activity or remission rates.[4]

    People with Crohn’s disease may have lower circulating levels of fat-soluble vitamins A, D, E, and K, and low vitamin A status was associated with higher levels of C-reactive protein in one meta-analysis.[5] Additionally, they might not be eating adequate calories, so supplementation may be recommended.[6]

    References

    1. ^James D Lewis, Robert Sandler, Carol Brotherton, Colleen Brensinger, Hongzhe Li, Michael D Kappelman, Scott G Daniel, Kyle Bittinger, Lindsey Albenberg, John F Valentine, John Hanson, David Suskind, Andrea Meyer, Charlene W Compher, Meenakshi Bewtra, Akriti Saxena, Angela Dobes, Benjamin Cohen, Ann D Flynn, Monika Fischer, Sumona Saha, Arun Swaminath, Bruce Yacyshyn, Ellen Scherl, Sara Horst, Jeffrey R Curtis, Kimberly Braly, Lisa Nessel, Maureen McCauley, Liam McKeever, Hans Herfarth, DINE-CD Study GroupA Randomized Trial Comparing the Specific Carbohydrate Diet to a Mediterranean Diet in Adults with Crohn's DiseaseGastroenterology.(2021 May 27)
    2. ^Anita Chandrasekaran, Shauna Groven, James D Lewis, Susan S Levy, Caroline Diamant, Emily Singh, Gauree Gupta KonijetiAn Autoimmune Protocol Diet Improves Patient-Reported Quality of Life in Inflammatory Bowel DiseaseCrohns Colitis 360.(2019 Oct)
    3. ^Peng Z, Yi J, Liu XA Low-FODMAP Diet Provides Benefits for Functional Gastrointestinal Symptoms but Not for Improving Stool Consistency and Mucosal Inflammation in IBD: A Systematic Review and Meta-Analysis.Nutrients.(2022-May-15)
    4. ^Limketkai BN, Iheozor-Ejiofor Z, Gjuladin-Hellon T, Parian A, Matarese LE, Bracewell K, MacDonald JK, Gordon M, Mullin GEDietary interventions for induction and maintenance of remission in inflammatory bowel disease.Cochrane Database Syst Rev.(2019-Feb-08)
    5. ^Fabisiak N, Fabisiak A, Watala C, Fichna JFat-soluble Vitamin Deficiencies and Inflammatory Bowel Disease: Systematic Review and Meta-Analysis.J Clin Gastroenterol.(2017)
    6. ^Kelly Lambert, Daniel Pappas, Chiara Miglioretto, Arefeh Javadpour, Hannah Reveley, Laura Frank, Michael C Grimm, Dorit Samocha-Bonet, Georgina L HoldSystematic review with meta-analysis: dietary intake in adults with inflammatory bowel diseaseAliment Pharmacol Ther.(2021 Sep)