Patients' diets and preferences in a pediatric population with inflammatory bowel disease

PURPOSE: To determine the dietary practices of the pediatric inflammatory b owel disease population at the Children's Hospital of the Hamilton Health S ciences Corporation and the reported effectiveness of those diets. PATIENTS AND METHODS: A questionnaire mailed to 153 pediatric patients was returned by 125 patients (76 Crohn's disease [CD] and 49 ulcerative colitis [UC] patients) - an 82% response rate. RESULTS: The median age of respondents was 13 years, and 62% were male. Nin ety per cent and 71% of CD and UC patients, respectively, had changed their diets since diagnosis. Caloric supplements leg, BOOST [Mead Johnson Nutrit ionals]), sole source nutrition, low fibre and lactose-free diets were used by more than 15% of CD patients, whereas lactose-free, nonspicy, low acid, additive-free, caloric supplement and low fibre diets were used by more th an 15% of UC patients. A diet supplement was more commonly used in CD patie nts (P<0.05) and an additive-free diet in UC patients. Corn and corn produc ts, nuts, milk and bran were avoided by more than 20% of CD and UC patients ; however, more CD than UC patients avoided corn and corn products. In addi tion, UC patients (more than 20%) also avoided tomato, other dairy (nonflui d milk-based products and foods containing milk products), chocolate, chees e, wheat, tomato sauces and fruit juice. A benefit was reported for 103 of 141 reported diets, with the most commonly alleviated symptoms being abdomi nal pain, diarrhea and flatulence. CONCLUSION: Many children with inflammatory bower disease have altered thei r diets to manage their disease and have attributed symptomatic relief to t hese diets.