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Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease

1
Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia
2
Department of Endocrinology, Diabetes and Metabolic Diseases, University Hospital of Split, 21000 Split, Croatia
3
Department of Gastroenterology, University Hospital of Split, 21000 Split, Croatia
4
Department of Pharmacy, University of Split School of Medicine, 21000 Split, Croatia
5
Institute of Emergency Medicine of Split-Dalmatia County, 21000 Split, Croatia
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(11), 3429; https://doi.org/10.3390/nu12113429
Received: 21 September 2020 / Revised: 3 November 2020 / Accepted: 6 November 2020 / Published: 8 November 2020
(This article belongs to the Special Issue Advance in Diet and Chronic Inflammation)
A specific diet regimen is a promising way of managing inflammatory bowel disease (IBD), with the Mediterranean diet (MD) being a likely candidate due to its potential to modulate gut inflammation. Therefore, the aim of this study was to investigate nutritional habits and dietary attitudes of IBD patients, and to assess their adherence to the Mediterranean diet. The study enrolled 50 Crohn’s disease and 44 ulcerative colitis patients, with clinical and laboratory parameters taken. Dietary attitudes were examined, and adherence to MD was assessed using the Mediterranean Diet Service Score (MDSS). Average MDSS score was 6.0 (5.0–7.0), while only nine participants fulfilled criteria for Mediterranean diet adherence. Moreover, all of them were men (p = 0.021). Low percentage of adherence to recommended guidelines was observed for eating olive oil (25.5%), fresh fruit (14.9%), and vegetables (10.6%). Significant positive correlation was observed between total MDSS points and high-density lipoprotein (HDL) cholesterol levels (p = 0.002). The majority of the patients (86.2%) considered that a more controlled diet could reduce their IBD symptoms, while 17% visited a nutritionist for diet advice. The majority of patients (84%) would visit educational programs regarding nutrition. In conclusion, adherence to MD was very low, while IBD patients were willing to extend their nutritional knowledge if proper educational programs were organized. View Full-Text
Keywords: Mediterranean diet; inflammatory bowel disease; Mediterranean Diet Service Score (MDSS); nutrition Mediterranean diet; inflammatory bowel disease; Mediterranean Diet Service Score (MDSS); nutrition
MDPI and ACS Style

Vrdoljak, J.; Vilović, M.; Živković, P.M.; Tadin Hadjina, I.; Rušić, D.; Bukić, J.; Borovac, J.A.; Božić, J. Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease. Nutrients 2020, 12, 3429. https://doi.org/10.3390/nu12113429

AMA Style

Vrdoljak J, Vilović M, Živković PM, Tadin Hadjina I, Rušić D, Bukić J, Borovac JA, Božić J. Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease. Nutrients. 2020; 12(11):3429. https://doi.org/10.3390/nu12113429

Chicago/Turabian Style

Vrdoljak, Josip, Marino Vilović, Piero M. Živković, Ivana Tadin Hadjina, Doris Rušić, Josipa Bukić, Josip A. Borovac, and Joško Božić. 2020. "Mediterranean Diet Adherence and Dietary Attitudes in Patients with Inflammatory Bowel Disease" Nutrients 12, no. 11: 3429. https://doi.org/10.3390/nu12113429

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