{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:03:35Z","timestamp":1790708615089,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dietary interventions can serve as an alternative or adjunct to pharmacological intervention in inflammatory bowel disease (IBD). This study aimed to investigate various dietary beliefs, barriers and acceptability of diet among IBD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicenter, cross\u2010sectional survey was conducted across four Asia\u2010Pacific countries. An anonymized online questionnaire was distributed through 10 participating IBD centers. Respondents rated the acceptability of IBD\u2010related diets using a five\u2010point Likert scale, with a score of 4 or more indicating acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 567 responses were received from 56.2% patients with Crohn's disease, and 42.5% with disease duration exceeding 10 years. While only 40.6% believed diet contributes to IBD causation, 80.2% avoided certain food during disease relapse. Respondents receiving advice from friends, family or acquaintances were more likely to avoid certain food during relapse (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01) and attempt therapeutic diets (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01) than those who were advised by healthcare professionals. Although many respondents modified diet during flares (46.4%), long term adherence remained low across most dietary patterns (24.4%). Key barriers included difficulties in meal preparation (46.0%) and social interference (42.9%). Respondents prioritized dietary effectiveness in symptom control (77.2%) and ease of meal preparation (69.6%). Low\u2010fiber and Mediterranean diets were most acceptable, whereas exclusive enteral nutrition was least acceptable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dietary choices are influenced by ease of preparation and social factors. A reliance on non\u2010professional advice highlights an opportunity to strengthen clinician\u2010patient communication around dietary modifications. Tailored, culturally sensitive dietary strategies may enhance adherence and acceptability in a diverse population, factors that are important when evaluating the role of dietary interventions in IBD management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70158","type":"journal-article","created":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T03:27:40Z","timestamp":1785036460000},"page":"1375-1384","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary beliefs, barriers, and acceptability of diet in adult patients with inflammatory bowel disease\u2014A multicenter survey of the Asia\u2010Pacific region"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6390-4101","authenticated-orcid":false,"given":"Shu Wen","family":"Tay","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010Chen","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine National Taiwan University Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilmi","family":"Ida","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Nasyitah Binte Mohamed","family":"Salim","sequence":"additional","affiliation":[{"name":"Health Services Research Unit SingHealth Institute Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupert","family":"Leong","sequence":"additional","affiliation":[{"name":"Gastroenterology and Liver Services Concord Repatriation General Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Webber Pak Wo","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin Wen Hao","family":"Leong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohui","family":"Xin","sequence":"additional","affiliation":[{"name":"Health Services Research Unit SingHealth Institute Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khoon Lin","family":"Ling","sequence":"additional","affiliation":[{"name":"Mount Elizabeth Medical Center Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wee Chian","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tan Tock Seng Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamah","family":"Al\u2010Obaidi","sequence":"additional","affiliation":[{"name":"Gastroenterology and Liver Services Concord Repatriation General Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin Kimg","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Changi General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tze Tong","family":"Tey","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Sengkang General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Yuan","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi Hao","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Sengkang General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomson Chong Teik","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Singapore General Hospital Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choon Jin","family":"Ooi","sequence":"additional","affiliation":[{"name":"Duke\u2010NUS medical School Gleneagle Medical Center Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelvin","family":"Thia","sequence":"additional","affiliation":[{"name":"Mount 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