{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T14:11:32Z","timestamp":1788617492581,"version":"build-2803163510"},"reference-count":38,"publisher":"Akademiai Kiado Zrt.","issue":"35","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,8,30]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A gyullad\u00e1sos b\u00e9lbetegs\u00e9gek (IBD-k) incidenci\u00e1ja\n vil\u00e1gszerte n\u00f6vekszik, kialakul\u00e1sukban \u00e9s lefoly\u00e1sukban a t\u00e1pl\u00e1lkoz\u00e1si t\u00e9nyez\u0151k\n is szerepet j\u00e1tszanak. A mediterr\u00e1n \u00e9trend protekt\u00edv hat\u00e1s\u00e1t t\u00f6bb klinikai\n kutat\u00e1s is igazolta, azonban a betegek val\u00f3s t\u00e1pl\u00e1lkoz\u00e1si szok\u00e1sair\u00f3l \u2013\n k\u00fcl\u00f6n\u00f6sen remisszi\u00f3 idej\u00e9n \u2013 korl\u00e1tozott adat \u00e1ll rendelkez\u00e9sre.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Vizsg\u00e1latunk c\u00e9lja a remisszi\u00f3ban l\u00e9v\u0151,\n serd\u00fcl\u0151kori IBD-betegek mediterr\u00e1n di\u00e9t\u00e1hoz val\u00f3 adherenci\u00e1j\u00e1nak \u00e9s a nyugati\n t\u00edpus\u00fa \u00e9trendhez k\u00f6thet\u0151 t\u00e1pl\u00e1lkoz\u00e1si szok\u00e1sainak felm\u00e9r\u00e9se volt.\n M\u00f3dszer:<\/jats:italic>\n Keresztmetszeti vizsg\u00e1latban 24, biol\u00f3giai\n ter\u00e1pi\u00e1ban r\u00e9szes\u00fcl\u0151 IBD-beteg (\u00e1tlag\u00e9letkor: 15,71 \u00b1 2,31 \u00e9v) vett r\u00e9szt. A\n mediterr\u00e1n di\u00e9t\u00e1hoz val\u00f3 adherenci\u00e1t a KIDMED-k\u00e9rd\u0151\u00edvvel, m\u00edg a nyugati \u00e9trendi\n elemek fogyaszt\u00e1s\u00e1t 23 t\u00e9teles speci\u00e1lis \u00e9lelmiszerfogyaszt\u00e1s-gyakoris\u00e1gi\n k\u00e9rd\u0151\u00edvvel \u00e9rt\u00e9kelt\u00fck.\n Eredm\u00e9nyek:<\/jats:italic>\n A KIDMED alapj\u00e1n a\n r\u00e9sztvev\u0151k t\u00f6bbs\u00e9ge alacsony (n = 16) vagy k\u00f6zepes (n = 8) adherenci\u00e1t mutatott,\n nagym\u00e9rt\u00e9k\u0171 adherencia nem fordult el\u0151 (KIDMED-pontsz\u00e1m-\u00e1tlag: 2,75 \u00b1 1,78). Az\n \u00e9lelmiszerfogyaszt\u00e1s-gyakoris\u00e1gi k\u00e9rd\u0151\u00edv alapj\u00e1n valamennyi beteg rendszeresen\n fogyasztott nyugati t\u00edpus\u00fa \u00e9trendre jellemz\u0151 \u00e9lelmiszereket; a leggyakrabban\n fogyasztott term\u00e9kek a csokol\u00e1d\u00e9, a zs\u00edros felv\u00e1gottak, a p\u00e9ks\u00fctem\u00e9nyek, a\n cukrozott gabonapelyhek voltak. A k\u00e9rd\u0151\u00edvben szerepl\u0151 23 \u00e9lelmiszercsoport k\u00f6z\u00fcl\n \u00e1tlagosan 7,75 szerepelt a r\u00e9sztvev\u0151k \u00e9trendj\u00e9ben legal\u00e1bb heti 1\u20133-szor. A\n t\u00e1pl\u00e1lkoz\u00e1si szok\u00e1sok \u00e9s a diagn\u00f3zisok (Crohn-betegs\u00e9g, colitis ulcerosa),\n illetve a nemek k\u00f6z\u00f6tt nem mutatkozott szignifik\u00e1ns kapcsolat, ugyanakkor a\n r\u00e9sztvev\u0151k egyharmad\u00e1n\u00e1l kedvez\u0151tlen \u00e9trendi mint\u00e1zat volt megfigyelhet\u0151. A k\u00e9t\n k\u00e9rd\u0151\u00edv k\u00f6z\u00f6tti kapcsolat vizsg\u00e1lata sor\u00e1n nem tal\u00e1ltunk szignifik\u00e1ns\n \u00f6sszef\u00fcgg\u00e9st.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n Eredm\u00e9nyeink a nyugati t\u00edpus\u00fa \u00e9trend\n tekintet\u00e9ben \u00f6sszhangban vannak a hazai, eg\u00e9szs\u00e9ges popul\u00e1ci\u00f3n v\u00e9gzett\n felm\u00e9r\u00e9sek meg\u00e1llap\u00edt\u00e1saival, amelyek alacsony szint\u0171 z\u00f6lds\u00e9g-, gy\u00fcm\u00f6lcs- \u00e9s\n rostfogyaszt\u00e1st jeleznek. A mediterr\u00e1n \u00e9trenddel kapcsolatos eredm\u00e9nyeink a\n nemzetk\u00f6zi adatokhoz k\u00e9pest kedvez\u0151tlenebb k\u00e9pet mutatnak. A vizsg\u00e1lat r\u00e1mutat\n arra, hogy a remisszi\u00f3 idej\u00e9n a t\u00e1pl\u00e1lkoz\u00e1si aj\u00e1nl\u00e1sok k\u00f6vet\u00e9se h\u00e1tt\u00e9rbe\n szorulhat.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Az IBD-betegek k\u00f6r\u00e9ben kedvez\u0151tlen\n t\u00e1pl\u00e1lkoz\u00e1si mint\u00e1zat figyelhet\u0151 meg, amely indokoltt\u00e1 teszi a rendszeres \u00e9s\n c\u00e9lzott dietetikai intervenci\u00f3t. A hossz\u00fa t\u00e1von fenntarthat\u00f3, kiegyens\u00falyozott\n \u00e9trend hangs\u00falyoz\u00e1sa \u2013 k\u00fcl\u00f6n\u00f6sen remisszi\u00f3 idej\u00e9n \u2013 kulcsfontoss\u00e1g\u00fa a\n betegs\u00e9gmenedzsment szempontj\u00e1b\u00f3l. Orv Hetil. 2026; 167(35): 1394\u20131401.\n <\/jats:p>","DOI":"10.1556\/650.2026.33638","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T13:15:29Z","timestamp":1788614129000},"page":"1394-1401","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Gyullad\u00e1sos b\u00e9lbetegs\u00e9ggel \u00e9l\u0151 serd\u00fcl\u0151k t\u00e1pl\u00e1lkoz\u00e1si szok\u00e1sainak felm\u00e9r\u00e9se"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6574-7963","authenticated-orcid":true,"given":"Hajnalka Krisztina","family":"Pint\u00e9r","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Dietetikai \u00e9s T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi Tansz\u00e9k Budapest, \u00dcll\u0151i 26., 1085 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viola Anna","family":"Nagy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Dietetikai \u00e9s T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi Tansz\u00e9k Budapest, \u00dcll\u0151i 26., 1085 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9va","family":"Csajb\u00f3kn\u00e9 Csobod","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Dietetikai \u00e9s T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi Tansz\u00e9k Budapest, \u00dcll\u0151i 26., 1085 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra Judit","family":"B\u00e9res","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay Utcai R\u00e9szleg Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bence","family":"Prehoda","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay Utcai R\u00e9szleg Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ron","family":"Cseh","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay Utcai R\u00e9szleg Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antal","family":"Dezs\u0151fi-Gottl","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, B\u00f3kay Utcai R\u00e9szleg Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1d\u00e1m","family":"Pint\u00e9r","sequence":"additional","affiliation":[{"name":"\u00d3budai Egyetem, Neumann J\u00e1nos Informatikai Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erzs\u00e9bet","family":"P\u00e1lfi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Dietetikai \u00e9s T\u00e1pl\u00e1lkoz\u00e1studom\u00e1nyi Tansz\u00e9k Budapest, \u00dcll\u0151i 26., 1085 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Khan R, Kuenzig ME, Benchimol EI. Epidemiology of pediatric\n inflammatory bowel disease. Gastroenterol Clin North Am. 2023; 52: 483-496.\n https:\/\/doi.org\/10.1016\/j.gtc.2023.05.001","DOI":"10.1016\/j.gtc.2023.05.001"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Kuenzig ME, Fung SG, Marderfeld L, et al. Twenty-first century\n trends in the global epidemiology of pediatric-onset inflammatory bowel disease:\n systematic review. Gastroenterology 2022; 162: 1147-1159.e4.\n https:\/\/doi.org\/10.1053\/j.gastro.2021.12.282","DOI":"10.1053\/j.gastro.2021.12.282"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Dos Santos GM, Silva LR, Santana GO. Nutritional impact of\n inflammatory bowel diseases on children and adolescents. [Repercuss\u00f5es\n nutricionais em crian\u00e7as e adolescentes na presen\u00e7a de doen\u00e7as inflamat\u00f3rias\n intestinais.] Rev Paul Pediatr. 2014; 32: 403-411. [Portuguese]\n https:\/\/doi.org\/10.1016\/j.rpped.2014.04.008","DOI":"10.1016\/j.rpped.2014.04.008"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"van Rheenen PF, Aloi M, Assa A, et al. The medical management of\n paediatric Crohn\u2019s disease: an ECCO-ESPGHAN guideline update. J Crohns Colitis\n 2021; 15: 171-194.\n https:\/\/doi.org\/10.1093\/ecco-jcc\/jjaa161","DOI":"10.1093\/ecco-jcc\/jjaa161"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Turner D, Ruemmele FM, Orlanski-Meyer E, et al. Management of\n paediatric ulcerative colitis. Part 1: ambulatory care. An evidence-based\n guideline from European Crohn\u1fbds and Colitis Organization and European Society of\n Paediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol\n Nutr. 2018; 67: 257-291. Erratum: J Pediatr Gastroenterol Nutr. 2020; 71: 794.\n https:\/\/doi.org\/10.1097\/MPG.0000000000002967","DOI":"10.1097\/MPG.0000000000002967"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Torres L, Moreno-\u00c1lvarez A, Fern\u00e1ndez-Lorenzo AE, et al.\n The role of partial enteral nutrition for induction of remission in Crohn\u2019s\n disease: a systematic review of controlled trials. Nutrients 2022; 14: 5263.\n https:\/\/doi.org\/10.3390\/nu14245263","DOI":"10.3390\/nu14245263"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Sigall Boneh R, Westoby C, Oseran I, et al. The Crohn\u2019s disease\n exclusion diet: a comprehensive review of evidence, implementation strategies,\n practical guidance, and future directions. Inflam Bowel Dis. 2024; 30:\n 1888-1902. https:\/\/doi.org\/10.1093\/ibd\/izad255","DOI":"10.1093\/ibd\/izad255"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Jatkowska A, White B, Gkikas K, et al. Partial enteral nutrition in\n the management of Crohn\u2019s disease: a systematic review and meta-analysis. J\n Crohns Colitis 2025; 19: jjae177.\n https:\/\/doi.org\/10.1093\/ecco-jcc\/jjae177","DOI":"10.1093\/ecco-jcc\/jjae177"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Bischoff SC, Bager P, Escher J, et al. ESPEN guideline on clinical\n nutrition in inflammatory bowel disease. Clin Nutr. 2023; 42: 352-379.\n https:\/\/doi.org\/10.1016\/j.clnu.2022.12.004","DOI":"10.1016\/j.clnu.2022.12.004"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Godos J, Guglielmetti M, Ferraris C, et al. Mediterranean diet and\n quality of life in adults: a systematic review. Nutrients 2025; 17: 577.\n https:\/\/doi.org\/10.3390\/nu17030577","DOI":"10.3390\/nu17030577"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"\u00c7elik K, G\u00fcveli H, Erzin Y, et al. 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J Dig Dis. 2020; 21: 362-371.\n https:\/\/doi.org\/10.1111\/1751-2980.12910","DOI":"10.1111\/1751-2980.12910"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Zhao M, Feng R, Ben-Horin S, et al. Systematic review with\n meta-analysis: environmental and dietary differences of inflammatory bowel\n disease in Eastern and Western populations. Aliment Pharmacol Ther. 2022; 55:\n 266-276. https:\/\/doi.org\/10.1111\/apt.16703","DOI":"10.1111\/apt.16703"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Konjar \u0160, Benedik E, \u0160estan M, et al. Systems biology to unravel\n Western diet-associated triggers in inflammatory bowel disease. Front Immunol.\n 2025; 16: 1621334.\n https:\/\/doi.org\/10.3389\/fimmu.2025.1621334","DOI":"10.3389\/fimmu.2025.1621334"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Hou JK, Abraham B, El-Serag H. Dietary intake and risk of developing\n inflammatory bowel disease: a systematic review of the literature. Am J\n Gastroenterol. 2011; 106: 563-573.\n https:\/\/doi.org\/10.1038\/ajg.2011.44","DOI":"10.1038\/ajg.2011.44"},{"key":"R21","unstructured":"Rakhra V, Galappaththy SL, Bulchandani S, et al. Obesity and the\n Western diet: how we got here. Mo Med. 2020; 117: 536-538."},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Manzel A, Muller DN, Hafler DA, et al. Role of \u201cWestern diet\u201d in\n inflammatory autoimmune diseases. Curr Allergy Asthma Rep. 2014; 14: 404.\n https:\/\/doi.org\/10.1007\/s11882-013-0404-6","DOI":"10.1007\/s11882-013-0404-6"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Clemente-Su\u00e1rez VJ, Beltr\u00e1n-Velasco AI, Redondo-Fl\u00f3rez L, et al.\n Global impacts of Western diet and its effects on metabolism and health: a\n narrative review. Nutrients 2023; 15: 2749.\n https:\/\/doi.org\/10.3390\/nu15122749","DOI":"10.3390\/nu15122749"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Kaszn\u00e1r E, Bajz\u00e1t D, Karoliny A, et al. Ultra-processed food intake\n in children with inflammatory bowel disease: a pilot case-control study.\n Nutrients 2025; 17: 3532.\n https:\/\/doi.org\/10.3390\/nu17223532","DOI":"10.3390\/nu17223532"},{"key":"R25","unstructured":"Varga A, Bakacs M, Ill\u00e9s \u00c9, et al. Consumption of fish, meat, meat\n products, fats based on the OT\u00c1P 2019 results. [Halak, h\u00fasok, h\u00fask\u00e9sz\u00edtm\u00e9nyek,\n zsirad\u00e9kok fogyaszt\u00e1sa az OT\u00c1P 2019-es eredm\u00e9nyek alapj\u00e1n.] Available from:\n https:\/\/ogyei.gov.hu\/dynamic\/5_halak_husok_huskeszitmenyek_zsiradekok_fogyasztasa_az_otap_2019_es_eredmenyek_alapjan.pdf\n [accessed: April 26, 2026]. [Hungarian]."},{"key":"R26","unstructured":"Feik B, Bakacs M, Ill\u00e9s \u00c9, et al. 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