{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:29:55Z","timestamp":1789000195463,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with inflammatory bowel disease (IBD) consider that their diet is important for controlling symptoms and frequently ask their physician for additional guidance on this matter. The objectives of the present study of patients with IBD were to characterize the prevalence of exclusion diets and fasting and to identify associated risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using an anonymous questionnaire, we screened patients attending our IBD nutrition clinic between November 2021 and April 2022 for exclusion diets. The avoidance of a food category completely was defined as total exclusion and avoidance most of the time was defined as partial exclusion. We also asked patients whether they fasted totally, intermittently, or partially.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>A total of 434 patients with IBD were included. On inclusion, 159 patients (36.6%) totally excluded at least one food category and 271 (62.4%) partially excluded at least one food. Intermittent, total, or partial fasting was reported by 30.8% of the patients. Disease activity (odds ratio (OR) [95% confidence interval]\u00a0=\u00a01.7 [1.1\u20132.7], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0130) and treatment with a small\u2010molecule or an investigational drug (OR\u00a0=\u00a04.0 [1.5\u201310.6], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0059) were independently associated with an exclusion diet. A history of stenosis (OR\u00a0=\u00a02.0 [1.2\u20133.2], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0063) and active disease (OR\u00a0=\u00a01.9 [1.2\u20133.1], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0059) were associated with fasting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this real\u2010world study, approximately two\u2010thirds of our patients with IBD reported the partial or total exclusion of at least one food category and one third reported fasting. A systematic nutritional evaluation might improve clinical management and quality of care for patients with IBD both Crohn's disease and ulcerative colitis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12385","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T15:52:34Z","timestamp":1682005954000},"page":"361-370","source":"Crossref","is-referenced-by-count":21,"title":["Food avoidance and fasting in patients with inflammatory bowel disease: Experience from the Nancy IBD nutrition clinic"],"prefix":"10.1002","volume":"11","author":[{"given":"Olivier","family":"Bonsack","sequence":"first","affiliation":[{"name":"Department of Gastroenterology University of Lorraine Nancy University Hospital  Nancy France"},{"name":"University of Lorraine INSERM NGERE  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9n\u00e9dicte","family":"Caron","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Lorraine Nancy University Hospital  Nancy France"},{"name":"University of Lorraine INSERM NGERE  Nancy France"},{"name":"DRCI Nancy University Hospital  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cedric","family":"Baumann","sequence":"additional","affiliation":[{"name":"Unit of Methodology, Data Management and Statistics Nancy University Hospital  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Charlotte","family":"Heba","sequence":"additional","affiliation":[{"name":"University of Lorraine INSERM NGERE  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-7146","authenticated-orcid":false,"given":"Sophie","family":"Vieujean","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology and Digestive Oncology University Hospital CHU of Li\u00e8ge  Li\u00e8ge Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Djesia","family":"Arnone","sequence":"additional","affiliation":[{"name":"University of Lorraine INSERM NGERE  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Netter","sequence":"additional","affiliation":[{"name":"Ing\u00e9nierie Mol\u00e9culaire et Ing\u00e9nierie Articulaire (IMoPA) UMR\u20107365 CNRS Facult\u00e9 de M\u00e9decine University of Lorraine and University Hospital of Nancy  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvio","family":"Danese","sequence":"additional","affiliation":[{"name":"Gastroenterology and Endoscopy IRCCS Ospedale San Raffaele and University Vita\u2010Salute San Raffaele  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Quilliot","sequence":"additional","affiliation":[{"name":"Transversal Nutrition Unit University of Lorraine Nancy University Hospital  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2536-6618","authenticated-orcid":false,"given":"Laurent","family":"Peyrin\u2010Biroulet","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Lorraine Nancy University Hospital  Nancy France"},{"name":"University of Lorraine INSERM NGERE  Nancy France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0804647"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261\u20105614(03)00132\u20108"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2016.57"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365529709025101"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.07.004"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.01.046"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00394\u2010019\u201002158\u20103"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20101253(21)00299\u20105"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.29.10.1309"},{"issue":"6","key":"e_1_2_10_11_1","first-page":"239","article-title":"Ramadan fasting and inflammatory bowel disease","volume":"27","author":"Tavakkoli H","year":"2008","journal-title":"Indian J Gastroenterol Off J Indian Soc Gastroenterol"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmaa179"},{"issue":"1","key":"e_1_2_10_13_1","first-page":"47","article-title":"Dietary habits as risk factors for inflammatory bowel disease","volume":"7","author":"Tragnone A","year":"1995","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2013.12.044"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2000.01942.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000000330"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000289"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000168"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.192"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2010.07.065"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1600556"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2013.07.050"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620\u2010012\u20102373\u20103"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11071532"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.22965"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.03.010"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2019.03.018"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izz268"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12102975"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000001911"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco\u2010jcc\/jjx073"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.260"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000585"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12937\u2010016\u20100183\u20108"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.12.027"}],"container-title":["United European Gastroenterology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ueg2.12385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T05:38:01Z","timestamp":1692682681000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ueg2.12385"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":34,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1002\/ueg2.12385"],"URL":"https:\/\/doi.org\/10.1002\/ueg2.12385","archive":["Portico"],"relation":{},"ISSN":["2050-6406","2050-6414"],"issn-type":[{"value":"2050-6406","type":"print"},{"value":"2050-6414","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]}}}