{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T22:44:49Z","timestamp":1776379489798,"version":"3.51.2"},"reference-count":26,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Croatian Science Foundation","award":["IP-201ly-09-3788"],"award-info":[{"award-number":["IP-201ly-09-3788"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background and aims: From the patients\u2019 perspective, diet has a relevant role in triggering symptoms of inflammatory bowel disease (IBD). There is a lack of prospective studies regarding the diet of children with IBD. The aim of this study was to assess the frequency and impact of self-imposed elimination diets on the nutritional status and clinical course of disease in the pediatric population. Methods: This was a prospective case-control study that included newly diagnosed patients with IBD and healthy controls (age\/sex-matched peers and siblings) over a one-year period. The participants were examined in three categories: (1) anthropometric data and nutritional status; (2) dietary intake, as obtained by a Food Frequency Questionnaire (FFQ); and (3) dietary beliefs and elimination diets, as obtained by a structured questionnaire. Results: Overall, one-hundred and thirty-seven participants were included (twenty-eight with Crohn\u2019s disease, sixteen with ulcerative colitis, three with IBD-unclassified, and seventy healthy controls). Only 15% of patients followed the self-imposed elimination diet upon the diagnosis, which increased to 47.6% by the end of the follow-up. The elimination diet did not influence the nutritional status and quality of the diet. Self-imposed elimination diets were not a risk factor for disease relapse. Most of the patients received nutritional counseling during the follow-up. Conclusions: The number of patients following self-imposed elimination diets had increased during the disease course but with no influence on nutritional status or relapse risk.<\/jats:p>","DOI":"10.3390\/nu15224712","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T11:25:31Z","timestamp":1699356331000},"page":"4712","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Frequency and Impact of Self-Imposed Elimination Diets on the Nutritional Status and Clinical Course of Disease in Children with Inflammatory Bowel Disease"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8240-9544","authenticated-orcid":false,"given":"Ana","family":"Mocic Pavic","sequence":"first","affiliation":[{"name":"Referral Center for Pediatric Gastroenterology and Nutrition, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5998-5586","authenticated-orcid":false,"given":"Sara","family":"Sila","sequence":"additional","affiliation":[{"name":"Referral Center for Pediatric Gastroenterology and Nutrition, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1944-3536","authenticated-orcid":false,"given":"Zrinjka","family":"Misak","sequence":"additional","affiliation":[{"name":"Referral Center for Pediatric Gastroenterology and Nutrition, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanja","family":"Kola\u010dek","sequence":"additional","affiliation":[{"name":"Referral Center for Pediatric Gastroenterology and Nutrition, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iva","family":"Hojsak","sequence":"additional","affiliation":[{"name":"Referral Center for Pediatric Gastroenterology and Nutrition, Children\u2019s Hospital Zagreb, 10000 Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, 10000 Zagreb, Croatia"},{"name":"Department of Pediatrics, University J.J. Strossmayer School of Medicine, 31000 Osijek, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1056\/NEJMra020831","article-title":"Inflammatory bowel disease","volume":"347","author":"Podolsky","year":"2002","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"112","DOI":"10.4292\/wjgpt.v7.i1.112","article-title":"Influence of environmental factors in the development of inflammatory bowel diseases","volume":"7","author":"Legaki","year":"2016","journal-title":"World J. Gastrointest. Pharmacol. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/MIB.0000000000000585","article-title":"Dietary Practices and Beliefs in Patients with Inflammatory Bowel Disease","volume":"22","author":"Limdi","year":"2016","journal-title":"Inflamm. 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