Dietary patterns and risk for Crohn's disease in children.

[Lady Organic]

http://www.ncbi.nlm.nih.gov/pubmed/18092347

Abstract
BACKGROUND:

Some dietary foods are considered protective (vegetables and fruits), whereas others (fatty foods) are thought to enhance the risk for Crohn's disease (CD). The evidence, however, is inconsistent.
METHODS:

We postulated that specific dietary patterns may influence the risk for CD. A case-control study was carried out. Newly diagnosed CD cases with population and/or hospital-based controls < or =20 years were selected from 3 tertiary hospitals across Canada. Pre-disease diet was assessed using a validated food frequency questionnaire (FFQ) administered within 1 month of diagnosis. Factor analyses and unconditional logistic regression (adjusted) was used to determine gender-specific dietary patterns and assess associated risks for CD. Odds ratios (ORs) and corresponding 95% confidence intervals (95% CIs) were estimated.
RESULTS:

A total of 149 cases and 251 controls were included. The mean age (range) of the cases was 13.3 (2.6-20 years). There were more boys (61.1%). Four dietary patterns each were observed among both boys and girls. Pattern 1 in girls, characterized by meats, fatty foods, and desserts, was positively associated with CD (OR 4.7, 95% CI 1.6-14.2). Pattern 2, common to both boys and girls, was characterized by vegetables, fruits, olive oil, fish, grains, and nuts and was inversely associated with CD in both genders (girls: OR 0.3, 95% CI 0.1-0.9; boys: OR 0.2, 95% CI 0.1-0.5).
CONCLUSIONS:

Our results suggest that specific dietary patterns could be associated with higher or lower risks for CD in children. Larger prospective studies are required to confirm these findings.


I was unfortunately a Pattern 1... :thumbdown:

 

[SupportiveMom]

Oh my kid was definitely a 2. After CD she went towards a 1. Gotta love teens!

 

[Lady Organic]

im quite surprised pattern 2 still even exists in kids and teens in North America. In my surroundings, I mostly see Pattern 1.

 

[Clash]

My IBD kid(male) pattern 2 my non-IBD(female) kid pattern 1. My non-IBD kid has really come around to pattern 1 in the last year, which is awesome because she truly was a picky eater. I thought she was going to turn into a chicken finger for awhile since that was literally the scope of her dietary habits! LOL

 

[UnXmas]

Aren't olive oil and nuts "fatty foods"?

 

[Lady Organic]

they do have good fats. we dont see the full description of the ''fatty foods'' in the research abstract, but I tend to believe the type of fats they included in this category were not those found in olive oils, nuts of fatty fishes for instance. prolly more the types of fats found in processed foods, frying and baking, but thats just my opinion.

 

[UnXmas]

Yeah, I'm guessing that in the full text they give more specific definitions (e.g. of what they mean by "desserts" when there are many desserts that include Pattern 2 foods like fruit, nuts and grains), but it's a poorly worded abstract.

 

[Lady Organic]

they likely mean cakes, pies,cookies, chocolates, candies, etc, as typical desserts in our culture, all high in sugars and fats.

and the type 2 diet mostly depicts the Mediterranean style of diet which is considered pretty much the best diet nowadays.

I recently attended a nutrition conference at Crohns and colitis Canada and the presentator was a nutritionnist and the whole presentation was about the Mediterranean diet. Its been several years we hear about this diet and the benefits it may have for health.

 

[Jmrogers4]

Another Pattern 2 IBD kid here, did not like sweets and filled up veggies before eating the meat and starches. Favorite snacks were spinach with a little salt and pepper or brussel sprouts, his brother (non-IBD) is definitely a Pattern 1

 

[Lady Organic]

From the same authors:

Imbalances in dietary consumption of fatty acids, vegetables, and fruits are associated with risk for Crohn's disease in children:

http://www.ncbi.nlm.nih.gov/pubmed/17617201