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Is Dairy Foods Restriction Mandatory for Inflammatory Bowel Disease Patients: A Multinational Cross-Sectional Study; [Restricao De Alimentos Lacteos E Obrigatoria Para Pacientes Com Doenca Inflamatoria Intestinal? Estudo Transversal Multinacio-Nal. Arq Gastroenterol.] Publisher Pubmed



Alavinejad P1, 15 ; Nayebi M2 ; Parsi A1 ; Farsi F3 ; Maghool F4 ; Alipour Z5 ; Alimadadi M6 ; Ahmed MH7 ; Cheraghian B1 ; Hang DV8 ; Shahrokh S9 ; Emami MH4 ; Hashemi SJ1 ; Alboraie M10, 15 Show All Authors
Authors
  1. Alavinejad P1, 15
  2. Nayebi M2
  3. Parsi A1
  4. Farsi F3
  5. Maghool F4
  6. Alipour Z5
  7. Alimadadi M6
  8. Ahmed MH7
  9. Cheraghian B1
  10. Hang DV8
  11. Shahrokh S9
  12. Emami MH4
  13. Hashemi SJ1
  14. Alboraie M10, 15
  15. Dehnavi D1
  16. Riazi M1
  17. Seyedian SS1
  18. Emara MH7, 15
  19. Lenz L11, 15
  20. Tran QT12, 15
  21. Shahinzadeh S1
  22. Daryani NE13
  23. Hajiani E1
  24. Moghaddam EK1
  25. Shahi MM1
  26. Rezvanifar M1
  27. Azimi T14

Source: Arquivos de Gastroenterologia Published:2022


Abstract

Background – The role of dairy foods in inflammatory bowel disease (IBD) has been controversial and it is debatable if patients with IBD should avoid milk and dairy products or not, as well as the relationship between these foods and symptoms among those population. Objective – This multi centric cross-sectional study designed to evaluate if it is really necessary to deprive IBD patients from consumption of dairy foods. Methods – A multicenter study with 12 gastroenterology referral centers in four countries was designed to evaluate gastrointestinal (GI) symptoms after consumption of dairy foods from all outpatients with IBD during 6 months and to compare patients treated at the same centers without IBD (non IBD cases). Results – Overall 1888 cases included (872 IBD patients and 1016 non IBD cases). 56.6% of participants were female with average age of 40.1 years. Racially 79.8% participants were Caucasians and originally they were citizens of 10 countries. Relative prevalence of IBD was higher in Africans and Indians and the most frequent prevalence of dairy foods intolerance was seen in Asians. Among IBD patients, 571 cases diagnosed as ulcerative colitis and 189 participants as Crohn’s disease. Average duration of diagnosis as IBD was 6.8 years (from 2 months to 35 years). The most prevalent GI symptoms after consumption of all the dairy foods were bloating and abdominal pain. Totally, intolerance of dairy foods and lactase deficiency was more prevalent among IBD patients in comparison with non IBD cases (65.5% vs 46.1%, P=0.0001). But the rate of GI complains among IBD patients who had not any family history of lactase deficiency, history of food sensitivity or both were 59.91%, 52.87% & 50.33% respectively and similar to non IBD cases (P=0.68, 0.98 & 0.99 respectively). Conclusion – The rate of dairy foods intolerance among IBD patients without family history of lactase deficiency or history of food sensitivity is similar to non IBD cases and probably there is no reason to deprive them from this important source of dietary calcium, vitamin D and other nutrients. © 2022, IBEPEGE - Inst. Bras. Estudos Pesquisas Gastroent.. All rights reserved.
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