Patient Perceptions of Diet and its Role in IBD Flare Prevention: A Cross-sectional Survey

Laat Risco^*
*Correspondence: Laat Risco, Department of Veterinary Medicine, Oklahoma State University, Stillwater, USA, Email:

Introduction

Inflammatory Bowel Disease (IBD), which includes Crohn's disease and ulcerative colitis, is a chronic, relapsing condition marked by inflammation in the gastrointestinal tract. One of the most challenging aspects of managing IBD is the unpredictability of flare-ups, which are episodes of worsened symptoms such as abdominal pain, diarrhea, and fatigue. Although medications such as corticosteroids, immunosuppressants, and biologics are central to the management of IBD, many patients report that certain dietary patterns or specific foods influence the frequency and severity of their flare-ups. This has led to a growing interest in understanding the role of diet in IBD management, particularly in preventing disease flares. Despite the emerging evidence linking diet with disease activity, the perceptions of IBD patients regarding the role of diet in flare prevention remain underexplored. A cross-sectional survey study was conducted to investigate how patients with IBD perceive the impact of their diet on flare prevention and how these perceptions influence their dietary practices [1].

Description

The survey was designed to gather data on the dietary habits, knowledge, and attitudes of IBD patients, particularly focusing on their beliefs about the connection between food and disease flare-ups. It included questions about the types of foods patients associate with symptom exacerbation or relief, their frequency of dietary modifications, and the influence of healthcare providers on their dietary choices. Additionally, patients were asked to report on their understanding of the scientific evidence behind diet and IBD, as well as any resources they used to learn about the impact of food on their condition. The responses were collected from a diverse sample of IBD patients, including those in different stages of disease, with varying levels of disease activity and treatment regimens [2]. The results revealed a broad spectrum of patient perceptions about diet and its role in IBD flare prevention. A significant proportion of respondents reported that they believed certain foods directly triggered their flare-ups. Common culprits included dairy products, high-fat foods, spicy foods, and processed foods. Many patients also noted that food could have a soothing effect, with some claiming that specific diets—such as low-residue or gluten-free diets- helped reduce symptoms during flares. Despite these subjective associations, the majority of patients did not have a deep understanding of the scientific mechanisms linking diet to disease activity. This gap in knowledge was reflected in the fact that many patients relied on anecdotal evidence or advice from online forums and support groups rather than guidance from healthcare professionals. Interestingly, patients who had more frequent interactions with dietitians or gastroenterologists tended to report a greater awareness of the potential impact of diet on flare prevention, suggesting that professional input plays a key role in shaping patient perceptions.

The survey also highlighted the challenges IBD patients face in implementing dietary changes. While many patients made efforts to modify their diet, they often encountered obstacles such as lack of support from healthcare providers, confusion over which dietary guidelines to follow, and difficulty in adhering to restrictive diets. Moreover, patients often experienced frustration with the trial-and-error process of identifying trigger foods, as the relationship between diet and IBD symptoms can be highly individualized. Despite these challenges, patients who felt confident in their dietary choices reported better disease management and greater satisfaction with their treatment plans [3]. These findings underscore the complexity of diet’s role in IBD management. While patients generally perceive diet as an important factor in flare prevention, their understanding of the underlying mechanisms remains limited. This knowledge gap is significant because it affects the ability of patients to make informed decisions about their diet and the effectiveness of such dietary modifications in managing their condition. Additionally, the variability in individual responses to diet and the lack of standardized dietary recommendations for IBD patients contribute to confusion and frustration. The survey also suggests that healthcare providers, particularly dietitians and gastroenterologists, have an important role in educating patients about the potential benefits and limitations of dietary interventions, as well as in providing tailored guidance based on individual needs [4,5].

Conclusion

In conclusion, the survey reveals that IBD patients view diet as an important factor in preventing flare-ups, though their understanding of its role is often based more on personal experience and anecdotal evidence than on scientific knowledge. The findings highlight the need for increased education and communication between healthcare providers and patients regarding the role of diet in IBD management. Given the diverse responses to food among IBD patients, personalized dietary interventions are essential. Future research should aim to bridge the knowledge gap by providing clearer evidence on the relationship between diet and disease activity in IBD, and healthcare providers should be encouraged to incorporate nutritional counseling into routine care to help patients make informed dietary choices that support their disease management.

Acknowledgment

None.

Conflict of Interest

None.

References

1. Burisch, Johan, Tine Jess, Matteo Martinato and Peter L. Lakatos, et al. "The burden of inflammatory bowel disease in Europe." J Crohns Colitis7 (2013): 322-337.

Google Scholar Cross Ref Indexed at

2. Abegunde, Ayokunle T., Bashir H. Muhammad, Owais Bhatti and Tauseef Ali. "Environmental risk factors for inflammatory bowel diseases: Evidence based literature review." World J Gastroenterol 22 (2016): 6296.

Google Scholar Cross Ref Indexed at

3. Zallot, Camille, Didier Quilliot, Jean-Baptiste Chevaux and Carina Peyrin-Biroulet, et al. "Dietary beliefs and behavior among inflammatory bowel disease patients." Inflamm Bowel Dis 19 (2013): 66-72.

Google Scholar Cross Ref

4. Zallot, Camille, Didier Quilliot, Jean-Baptiste Chevaux and Carina Peyrin-Biroulet, et al. "Dietary beliefs and behavior among inflammatory bowel disease patients." Dig Dis 19 (2013): 66-72.

Google Scholar Cross Ref Indexed at

5. Czuber�Dochan, Wladyslawa, Myfanwy Morgan, Lyndsay D. Hughes and Miranda CE Lomer, et al. "Perceptions and psychosocial impact of food, nutrition, eating and drinking in people with inflammatory bowel disease: A qualitative investigation of food�related quality of life." J Hum Nutr Diet 33 (2020): 115-127.

Google Scholar Cross Ref Indexed at