The dietary practices and beliefs of British South Asian people living with inflammatory bowel disease: a multicenter study from the United Kingdom
Abstract
Background/Aims: Epidemiological associations have implicated factors associated with Westernization, including the Western diet, in the development of inflammatory bowel disease (IBD). The role of diet in IBD etiopathogenesis, disease control and symptom management remains incompletely understood. Few studies have collected data on the dietary habits of immigrant populations living with IBD. Our aim was to describe the dietary practices and beliefs of British South Asians with IBD. Methods: A 30-item questionnaire was developed and consecutively administered to 255 British South Asians with IBD attending gastroenterology clinics in the United Kingdom. Results: Fifty-one percent of participants believed diet was the initiating factor for their IBD and 63% felt diet had previously triggered disease relapse. Eighty-nine percent avoided certain dietary items in the belief that this would prevent relapse. The most commonly avoided foods and drinks were spicy and fatty foods, carbonated drinks, milk products, alcohol, coffee, and red meat. A third of patients had tried a whole food exclusion diet, most commonly lactose or gluten-free, and this was most frequently reported amongst those with clinically active IBD (P=0.02). Almost 60% of participants avoided eating the same menu as their family, or eating out, at least sometimes, to prevent IBD relapse. Conclusions: British South Asians with IBD demonstrate significant dietary beliefs and food avoidance behaviors with increased frequency compared to those reported in Caucasian IBD populations. Studies in immigrant populations may offer valuable insights into the interaction between diet, Westernization and cultural drift in IBD pathogenesis and symptomatology.Citation
Crooks, B., Misra, R., Arebi, N., Kok, K., Brookes, M.J., McLaughlin, J. and Limdi, J.K. (2021) The dietary practices and beliefs of British South Asian people living with inflammatory bowel disease: a multicenter study from the United Kingdom. Intestinal Research, 20(1), pp. 53-63.Journal
Intestinal ResearchPubMed ID
33396977 (pubmed)Type
Journal articleLanguage
enDescription
© 2022 Korean Association for the Study of Intestinal Diseases. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.5217/ir.2020.00079ISSN
1598-9100EISSN
2288-1956Sponsors
This work was supported by an investigator-initiated research grant from Takeda (Grant ID ISSR-2018-102453).ae974a485f413a2113503eed53cd6c53
10.5217/ir.2020.00079
Scopus Count
Collections
Except where otherwise noted, this item's license is described as Licence for published version: Creative Commons Attribution-NonCommercial 4.0 International
Related articles
- The dietary practices and beliefs of British South Asian people living with inflammatory bowel disease: a multicenter study from the United Kingdom.
- Authors: Crooks B, Misra R, Arebi N, Kok K, Brookes MJ, McLaughlin J, Limdi JK
- Issue date: 2022 Jan
- The dietary practices and beliefs of people living with older-onset inflammatory bowel disease.
- Authors: Crooks B, Misra R, Arebi N, Kok K, Brookes MJ, McLaughlin J, Limdi JK
- Issue date: 2021 Dec 1
- The dietary practices and beliefs of people living with inactive ulcerative colitis.
- Authors: Crooks B, McLaughlin J, Matsuoka K, Kobayashi T, Yamazaki H, Limdi JK
- Issue date: 2021 Mar 1
- Dietary practices, beliefs and behaviours of adults with inflammatory bowel disease: a cross-sectional study.
- Authors: Murtagh A, Cooney L, Higginbotham C, Heavey P
- Issue date: 2023 Jun