📢🖥️ We're excited to share that our new website is now live! Head to and discover the new design, features, and evidence-based information on nutrition and
#IBD
you expect from us. Our new website is designed to better serve patients & HCPs.
#Gitwitter
Australian study shows adults with Crohn's benefit from EEN:
- Adult patients who adhere to EEN achieve high rates of clinical remission
- EEN can be started inpatient or outpatient
- Non-adherence remains high. Primary reason: patients miss food
Dr. James Lewis highlights key considerations when speaking with IBD patients about diet at
#DDW2022
. It is crucial to select the right patients, and understand the patients goals when considering which dietary therapy to recommend!
On
#WorldIBDDay
we raise awareness for those living with the burden of Crohn's and Colitis. We look to halt the progression of this condition and the rising rates of occurrence.
#ECCO24
Nestle Health Science Symposium Nutritional Management of Crohn’s Disease Present & Future Approaches.
Prof Eytan Wine opens with “Nutritional Therapy What Why and How? Nutritional Therapy is more than just guidance or support goal is to impact disease &improve outcomes
Happy
#WorldIBDDay
from NTforIBD!
Today we renew our commitment to advocating for safe, evidence based use of dietary therapy in
#IBD
Nutrition is one more way we can level up in the fight to say
#GameOverIBD
🌍
#WorldIBDDay
unites the global community in the fight against
#IBD
, fostering hope & support for those affected by
#Crohn
's disease &
#ulcerativecolitis
. Join us this day in spreading awareness & advocating for a future free of IBD. Together, we can make a difference.💜
The first case report of long-term use of
#EEN
in a patient with complicated fibrotic
#Crohns
disease.
Interesting to review the rapid response and report at 12 months of “no indication of surgical intervention”
and self-report of “life is good.”
"Mistakes in Nutrition in
#IBD
and how to avoid them" clarifies important misunderstandings surrounding the use of nutrition, providing helpful guidance to clinicians.
@my_ueg
Joseph Meredith, Konstantinos Gerasimidis & Richard K Russell,
#GITwitter
Did you miss any nutrition-related sessions during
#ECCO24
#ECCO2024
or do you want to review the latest research on the role of nutrition in IBD?
We summarized the most relevant nutritional highlights of this leading conference for you
[🧵 inside]
How important is compliance for patients on EEN?
Poster P326 presented at
#ECCO2022
looked to answer this by measuring FCalpro and Feacal GIP in 45 peds pts on EEN.
The results?
FCalpro sig. ⬇️ from baseline in pts with a ➖ GIP, but not in pts with a ➕ GIP.
#Crohns
#EEN
1/3
A “must-read” article on the psychosocial challenges of food/eating faced by patients with IBD.
Highlights what happens when there are gaps in professional dietary support and how patients with
#IBD
develop acceptance and hope over time.
Link:
Dr. Aline Charabaty
@DCharabaty
discusses the treatment of mild
#Crohn
's disease at
#AIBD2022
, including the role of evidence-based dietary therapies in this setting.
IBD is a disease often not visible from the outside, but impacts the life of patients in many ways. Nutritional therapy can improve QOL. Help increase awareness about
#IBD
and help improve patients' lives by sharing our website & resources.
#Crohns
#UC
Thank you
@Iris_Dotan
for stopping by our exhibit today so we could finally meet in person! We appreciate your support of our organization and its work to improve the lives of patients through evidence-based nutrition!
#CCCongress24
@GIdietitian
presents “Dietitians: Not Just for the Malnourished”. “All patients with
#IBD
should undergo individual counseling with a
#dietitian
”. Many ways to integrate a dietitian into your practice!
#CCCongress24
Dr Lindsey Albenberg
@LinnyAlb
in Shark Tank series is here to convince “Exclusive enteral nutrition should be used for all patients” and we should “unlock the potential for
#EEN
for all including adults”! “irrefutably effective”
Living with Crohn's or Colitis can make you wonder what you did to cause your disease. This is a reminder to be gentle with yourself and remember that IBD is not your fault. No matter what people around you may say, you did nothing wrong.
#IBD
#Crohns
#colitis
Transmural healing (TH), correlated with the deepest levels of remission, is difficult to achieve with current therapies. Limited data suggest the potential for EEN to induce TH assessed by IUS.
Thank you
@Alice_APD
,
@DocKateLynch
& colleagues.
#IBD
#Gitwitter
#IUS
#EEN
#Crohns
Using diet to treat inflammation isn't "a dichotomous choice between medications and diet". Utilizing evidence-based nutritional therapy alongside medications empowers every patient to achieve optimal outcomes!
1/3
How does the food additive carrageenan cause inflammation/colitis? This review reviews the science and describes the controversy over carrageenan safety from 1959 to the present day.
#IBD
#Crohns
#colitis
Dr. Ng presents on the dietary patterns associated with IBD development at
#DDW2022
. Multiple factors are associated with risk of Crohn's, while animal protein intake was the primary factor associated with increased risk of UC.
Awareness of malnutrition by both
#IBD
pts and clinicians is important to prevent unnecessary complications and improve outcomes.
In support of
#ASPEN
's Malnutrition Awareness Week, we look forward to highlighting the research on the role of malnutrition in IBD.
#ASPENMAW22
Updated ESPEN Guidelines include screening & trt of malnutrition and micronutrient def, peri-operative nutrition and CDED+PEN in mild-mod ped CD to induce remission and CDED +/-PEN in adults w/ mild-mod CD with active CD
Read here. Now published! A review article on “Exclusive Enteral Nutrition in Inflammatory Bowel Disease” (for adults) in Practical Gastroenterology by
@GIdietitian
&
@DrV_IBD
@LGodny
#DDW2024
presents prospective cohort study in 271 newly diagnosed with
#Crohns
following MED diet over 24 months. Adherence to MED associated with non-complicated course, decreasing calprotectin, improved dysbiosis and enhanced beneficial immunometabolites.
What is the link between ultra-processed foods & foods additives and
#IBD
?
.
@ProfWhelan
,
@AaronBancil
, Lindsay &
@BenoitChassaing
's summary:
✅A causal role isn't clear
✅UPF associated with risk of
#Crohns
✅UPF & additives-free diet is challenging
👉
What is involved in a nutritional assessment in IBD?
@GIdietitian
presents at
#CCCongress22
the key factors to look for, including anthropometric measurements, biochemical markers, symptoms, and body composition.
Some
#IBD
Therapeutic Diets like SCD & IBD-AID contain both high fiber and fermented foods like yogurt and sauerkraut which may partially explain their effects.
Fermented foods merit proper investigation in Crohn’s disease & UC
They perform better than high fibre diets in a randomised study
@CellCellPress
⬇️ inflammatory cytokines
⬆️ microbial diversity
Unexpected finding: demonstrates the importance of research to test assumptions
A review of the latest evidence for the use of therapeutic diets and supplements in
#IBD
was recently published by
@frank_cusimano
and
@oridamas
in
@CO_Gastro
. We are glad to be listed in the review as a resource to provide pts for nutrition information!
EEN is one of the best treatment options available to people with
#CrohnsDisease
.
.
@DaleLeeMD
,
@kimbralyRD
& colleagues found a whole-foods smoothie mimics commercial oral milkshakes for inducing clinical & biochemical remission in children with active CD.
[🧵 inside]
Thank you
@propelacure
for sharing our work and highlighting the importance of nutrition in IBD! Together, we are stronger. We will continuously work toward a world where evidence-based nutritional therapy becomes a part of IBD treatment.
For years
#IBD
patients were told diet doesn't matter. We now know that diet plays a unique role & can even be used therapeutically to improve symptoms & reduce inflammation.
@NTforIBD
is a great resource for patients, caregivers & clinicians to navigate different diets.
#crohns
As authors note, "Diet has a key role in the prevention and treatment of
#IBD
," dietary therapies are indeed an important part of
#IBD
management to improve the lives and outcomes of patients.
Diet is usually the forgotten environmental factor in inflammatory bowel diseases. This review in
@Micro_MDPI
updates what we know on the impact of artificial sweeteners, emulsifiers, food colorants and preservatives on the gut microbiota and gut barrier
Food as Treatment of Inflammatory Bowel Disease, a review authored by Dr. Maldonado-Contreras.
This review covers:
🍎 Latest research
🍎 Mechanisms of action
🍎 Insights into future research
#IBD
#GITwitter
#nutrition
A nice table of current/recent evidence on diet and
#IBD
including the population in which the diet has shown efficacy.
Read the full review: Optimizing Nutrition to Enhance the Treatment of Inflammatory Bowel Disease
Rising incidence of
#IBD
globally, presented in phases by Dr. Gil Kaplan
@gilkaplan
@AIBD2021
with environmental exposures, including Western diet, central to increasing prevalence.
Intake and metabolism of dietary fiber are more complex in
#IBD
but play an essential role in immune responses. Patients should work with their HC providers and
#dietitians
to safely increase dietary fiber consumption.
Lacking dietary fibre is behind the current rise of western diseases.
This timely review article updates why fiber is important not only for improving gut microbiome health but also immune responses:
@LGodny
presents at D-ECCO
#ECCO2022
on the MED as an easy to follow option for patients with
#IBD
, reporting on an IBDMED approach under development with ongoing research in Israel and India
New Study: Eating Disorders and IBD
- May be the first study to identify independent risk factors for EDs in IBD
- From GI specialists at
@UMMC
and
@UMmedschool
incl/
@IBDdocUni
- See the highlights below (full text: )
#IBD
#Crohns
#UC
#cccongress24
IBD A-Z
@StaceyNellC_RD
presents “How do I talk to my patients with a J pouch or ileostomy”. More to the story than “stay hydrated” or “avoid fiber”.
Diet is investigated as a risk factor for
#IBD
onset and development and as a therapy for active disease.
.
@charlie_lees
has elegantly summarized what we know and don't know about the role of
#diet
in IBD:
✅ IBD is an illness of modern living and is increasing worldwide in
New from Atomic IBD: "Is Diet the Cause of IBD"
I don't believe diet is the primary cause of IBD.
There's no doubt that the incidence of IBD has increased worldwide in parallel with the adoption of a Western diet. This trend can be traced back to the post-war period across
In anticipation of
#WorldIBDday
, we extend a message of hope to parents of children with
#IBD
. You are not alone. Together, we stand as a community, advocating for awareness, support, and better treatments, united in our mission to improve the lives of those affected by IBD.
A presentation by Jen Smith RD on current evidence-based nutritional therapies in pediatric
#IBD
at
#NASPGHAN
. Nutrition can be an effective adjunctive therapy. Healthcare providers should consider patient and situation first. Involvement of a dietitian is key.
1/3
The important interaction between nutrition, the microbiome and
#IBD
is becoming an integral part of IBD research. Visit our extensive research database to learn more.
Link:
#Crohns
#colitis
#IBDnutrition
#Gitwitter
@PaedsRH
Dr Richard Hansen presents “The Changing Role of Diet in Paediatric Crohn’s Disease”
#ECCO24
P-ECCO, beginning w/ the hx of EEN in an 11 yo boy in 1973, describing it’s distinct MOA from all drugs, the increasing use of EN with biologics, the rising data of CDED
Mounting data supports the use of whole food diets in
#Crohns
and
#ulcerativecolitis
. Discover more nutritional science in
#IBD
at along with resources to help your patients leverage this science to improve their
#QOL
New research published in
@AGA_Gastro
on the link between IBD and C diff infection.
Researchers found IBD pts to be infected with a more virulent strain of C diff (ST54) that metabolizes sorbitol, and suggest that ⬇️ dietary sorbitol may protect from CDI
Excellent presentation by Chen Shabat on Ultra Processed Foods and IBD.
#ECCO2024
. Showing various affects of emulsifiers and UPF relation to disease activity, relapse and surgery
Patients with IBD are advised to avoid food additives: maltodextrin, carrageenan, CMC, ps 80, titanium dioxide and artificial sweeteners. This review summarizes the effects of TiO2 on intestinal barrier function and induction of low grade inflammation.
Top 6 reasons why diet matters in
#IBD
:
✅ primary/adjunct therapy to induce & maintain remission
✅ ⬇ inflammation & symptoms
✅ ⬇ complications after surgery
✅ ⬆ response to medications
✅ improve malnutrition
✅ ⬇ use of steroids
🙋♂️ Would you add any other reason?
Canada has one of the highest rates of IBD worldwide. IBD is a disease often not visible from the outside, but it impacts the quality of life of the patients in many ways. Help increase awareness by sharing this post or your own IBD story.
#IBD
#Crohns
#UC
#AwarenessMonth
Thank you to all scientists, healthcare professionals, experts by experience, researchers & especially
#IBD
nutrition researchers for your hard work advancing knowledge!
More investment in research is essential to meet patients' needs.
#ResearchAppreciationDay
#Gitwitter
Discover the evidence-based nutritional options in the management of
#IBD
! Explore our resources to support clinicians and patients in leveraging the power of evidence-based nutrition.
#Crohns
#UC
#GITwitter
#nutritionaltherapy
EEN is an underutilized trt to induce remission in ped CD. Jenna Dowhaniuk, MD and Jillian Owens, RD from McMaster U
@McMasterU
present a poster at
#NASPGHAN21
of a QI project streamlining the process resulting in 3x ⬆️in use, ⬇️ steroids. Patients & parents appreciate use of EEN
Announcing the launch of our new patient resource, Patient Pathway, to assist patients with Crohn’s disease and ulcerative colitis in making healthy diet and lifestyle changes. Coming Wednesday, Oct 12th.
#IBD
#GITwitter
#crohns
#colitis
#nutritionaltherapy
Could micronutrients be an important part of inflammation and wound healing? A pilot RCT evaluates a diet rich in zinc and n-3 fatty acids in mild active ulcerative colitis.
#gitwitter
#crohns
#colitis
#ibd
Very nice review by
@BonehRotem
and
@IBD_Nutrition
of this new research showing superior results of FMT + AID compared to optimized standard therapy.
Thank you to the researchers, Prof Vineet Ahuja and team from
@aiims_newdelhi
and
@GUTJournal_BMJ
for this imp. contribution!
Live!
@BonehRotem
shares her video abstract on a recent RCT: (FMT-AID) followed by anti-inflammatory diet alone is effective in inducing & maintaining remission > 1 year in mild-mod UC
Article here:
Video abstract here:
1/
1/3
What happened when 24 pediatric patients used the Crohn's Disease Exclusion Diet (CDED) for 1 year?
- Clinical parameters significantly improved. (p < 0.05 C-reactive protein, erythrocyte sed rate, daily stools, and MINI index)
#EEN
six weeks before surgery is important "to tackle malnutrition, treat active disease, allow steroid withdrawal," and optimize patient outcomes. The medical team's support, particularly from dietitians, is needed to aid patients.
Link:
#IBD
#Crohns
Still time to register for our first ever NTforIBD webinar!
Join us over zoom at 7pm EST to learn about the the role for diet in
#IBD
from experts
@DocCohenIBD
and
@GGKonijeti
.
Genetics, gut microbes and diet work as a team to shape IBD risk.
New findings in mice show a fiber-rich diet and EEN have complementary protective actions on the gut microbiota and intestinal permeability.
But a fiber-free diet is detrimental:
Dr. Svolos presents recent study on CD-TREAT at
#ECCO2022
:
🍏8 weeks catered CD-TREAT diet
🍏40 Ped + Adult CD pts completed study
🍏Overall remission rate of 78% at 8 weeks
🍏~70% ped. compliance, ~60% adult compliance
🍏Sig. FCalpro⬇️in patients who were compliant
1/2
P380
#ECCO2023
What happened when 40 people with active Crohn's tried the CD-TREAT diet? The 55% who fully adhered to the diet experienced:
- Significant ⬇️ in fecal calprotectin
- Positive changes in fecal SCFA, sulfide, fecal pH, and microbial load
Ultra processed foods have impact beyond
#IBD
. Promoting awareness to encourage healthful foods at social gatherings supports not only those with
#crohns
or
#UC
, but our wider family of loved ones ♥️
Ultra processed food consumption ⬆️ obesity, CVD, metabolic synd, cancer, IBD, IBS, childhood obes and more.. presenting a position paper at the 🇮🇱 Gastro & Nutrition national council.. 🇮🇱 nutritional guidelines recommend ⬇️
#UPF
intake. Much more education is needed..
#Diet
in intestinal health & inflammation. Andrew Gewirtz. A mouse model shows western diet induces microbial encroachment and intestinal atrophy.
#CCCongress24
A comprehensive review highlighting the importance and direction of nutritional therapy for the prevention and treatment of
#IBD
.
#nutrition
,
#crohns
#colitis
Analysis of 1074 📰🗞️ abt
Effect of Dietary Patterns on IBD
Related to colitis & crohns👇
🥗Mediterranean diet
🍭Carbohydrates
🍖Fatty acids
🥦Inulin-type Fructans
To 🎯focus on👇
NF-κB
#Oxidative
stress
Endoplasmic reticulum stress
Gut
#microbiota
🦠
Food intolerances are an important issue for people with IBD and may lead to malnutrition if improperly managed.
Understanding the roots is the first step for managing food intolerances 👇🏻
@KGerasimidis
presents on “Next Generation Enteral Nutrition Therapy” including expanding role of EEN in adults and complicated patients and use of PEN alongside biologics in BIOPIC study with preliminary data and ongoing OCEaN study of pre-pre surgical EEN
#ECCO2024
Great insight for HCPs, friends & family. Patients do not feel "loved, supported, or understood" in their difficulties eating with
#IBD
. HCPs, friends & family can support patients by recognizing their dietary needs & inviting them to choose a dining experience that may work best
It can be challenging for people with
#IBD
#Crohns
#Colitis
to eat out
Interviews in 16 patients in China show why
@PLOSONE
These themes are consistent with our interviews of food-related quality of life in IBD in the UK
The role of fiber in IBD and the metabolic byproducts produced according to individual microbiome is a cutting edge concept leading to personalized nutrition.
@nhaskeyRD
@jeremiahfaith1
@DrHArmstrong
@eytan_wine
Thank you for this work!
(1/3)
Can a homemade EEN smoothie work for Crohn’s Disease?
Watch GI Dr. Dale Lee from
@seattlechildren
:
Reverse-Engineering Exclusive Enteral Nutrition for Crohn’s Disease. New insights on dietary therapy
(from
@DietSpecific
)
#IBD
#Crohns
#EEN
Exclusive enteral nutrition is an effective and underutilized option in
#IBD
. Consider taking the challenge and supporting awareness. Read more of the latest research on EEN
May 19th aka World IBD day is right around the corner.
Each year I challenge providers to take the
#EENchallenge
to raise awareness on the role of nutrition/diet in IBD.
Hope you’ll join us!
1/n On behalf of co-authors, excited to share our new
@The_GEMProject
Study
@AGA_Gastro
, which shows evidence for the first time that gut microbiome composition is associated with future risk of Crohn’s disease in a prospective cohort following 3483 healthy first-degree relatives
In the most recent episode of Nutrition Pearls, co-hosts Jen Smith RD & Bailey Koch RD have an insightful conversation with Rotem Sigall Boneh RD, exploring the ins & outs of the
#CDED
. Listen here:
@cpnp_naspghan
@BonehRotem
1/2
#IBD
#Gitwitter
We partnered with
@southasianibd
for an education program titled "Eating During the Holidays with
#IBD
: A Cultural Focus." Our cofounder Kim Beall will moderate the discussion with clinicians Dr. Konijeti & Dr. Qazi, and patient advocates Sharan Khela & Basmah Ali. Join us!