A food pyramid, based on a review of the emerging literature, for subjects with inflammatory bowel disease
Endocrinol Diabetes Nutr (Engl Ed). 2021 Jan;68(1):17-46.
doi: 10.1016/j.endinu.2020.01.004.
Epub 2020 Jun 1.
[Article in
English,
Spanish]
Authors
Mariangela Rondanelli
1
, Silvia Lamburghini
2
, Milena A Faliva
2
, Gabriella Peroni
2
, Antonella Riva
3
, Pietro Allegrini
3
, Daniele Spadaccini
2
, Clara Gasparri
2
, Giancarlo Iannello
4
, Vittoria Infantino
5
, Tariq A Alalwan
6
, Simone Perna
6
, Alessandra Miccono
2
Affiliations
- 1 IRCCS Mondino Foundation, Pavia, Department of Public Health, Experimental and Forensic Medicine, Unit of Human and Clinical Nutrition, University of Pavia, Pavia 27100, Italy.
- 2 University of Pavia, Department of Public Health, Experimental and Forensic Medicine, Section of Human Nutrition, Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona, Pavia 27100, Italy.
- 3 Research and Development Unit, Indena, Milan 20146, Italy.
- 4 General Management, Azienda di Servizi alla Persona "Istituto Santa Margherita", Pavia 27100, Italy.
- 5 University of Bari Aldo Moro, Department of Biomedical Science and Human Oncology, Section of Human Nutrition, Endocrinology and Nutrition Unit, Azienda di Servizi alla Persona, Pavia 27100, Italy. Electronic address: v.infantino@studenti.uniba.it.
- 6 Department of Biology, College of Science, University of Bahrain, Sakhir Campus, P.O. Box 32038, Bahrain.
Abstract
Emerging literature suggests that diet plays an important modulatory role in inflammatory bowel disease (IBD) through the management of inflammation and oxidative stress. The aim of this narrative review is to evaluate the evidence collected up till now regarding optimum diet therapy for IBD and to design a food pyramid for these patients. The pyramid shows that carbohydrates should be consumed every day (3 portions), together with tolerated fruits and vegetables (5 portions), yogurt (125ml), and extra virgin olive oil; weekly, fish (4 portions), white meat (3 portions), eggs (3 portions), pureed legumes (2 portions), seasoned cheeses (2 portions), and red or processed meats (once a week). At the top of the pyramid, there are two pennants: the red one means that subjects with IBD need some personalized supplementation and the black one means that there are some foods that are banned. The food pyramid makes it easier for patients to decide what they should eat.
Keywords:
Enfermedad inflamatoria intestinal; Inflamación; Inflammation; Inflammatory bowel disease; Intestino grueso; Large intestine.
Copyright © 2020 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.