{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:47:07Z","timestamp":1782841627849,"version":"3.54.5"},"reference-count":39,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The Crohn\u2019s Disease Exclusion Diet (CDED) is a whole-foods regimen that has demonstrated efficacy in inducing remission among children and adults with mild-to-moderate disease. While initial studies predominantly originated from Israel, recent years have witnessed the expansion of experiences to diverse cultures, culminating in the recognition of CDED in the latest ESPEN guidelines. However, implementing dietary therapy poses significant challenges across various cultures, necessitating adaptations. Aim and Methods: This case-based study aims to present the collective experience from different cultures, shedding light on the encountered challenges and the corresponding solutions devised to surmount them by convening healthcare providers (dietitians and physicians across six countries and eight cultural settings) with extensive experience in utilizing the CDED. Results and Conclusions: Our findings underscore the efficacy of CDED across diverse cultural contexts and emphasize the pivotal role of dietitians in tailoring the diet to accommodate patients\u2019 cultural behaviors and traditions. We highlight challenges encountered and delineate strategies for overcoming them by customizing the diet and offering tailored guidance. Additionally, we provide insights into implementing CDED in various regions through adjusted recipes and personalized counseling from dietitians. This study contributes to the growing body of literature on CDED, and offers practical guidance for its effective adoption in diverse cultural settings.<\/jats:p>","DOI":"10.3390\/nu16183184","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T07:38:57Z","timestamp":1726817937000},"page":"3184","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Cultural Perspectives on the Efficacy and Adoption of the Crohn\u2019s Disease Exclusion Diet across Diverse Ethnicities: A Case-Based Overview"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5082-7634","authenticated-orcid":false,"given":"Rotem","family":"Sigall Boneh","sequence":"first","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition Unit, The E. Wolfson Medical Center, Holon 8820027, Israel"},{"name":"Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands"},{"name":"Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2498-8004","authenticated-orcid":false,"given":"Sowon","family":"Park","sequence":"additional","affiliation":[{"name":"Severance Pediatric IBD Research Group, Department of Pediatric Gastroenterology, Hepatology and Nutrition, Yonsei University College of Medicine, Severance Children\u2019s Hospital, Seoul 03722, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5699-8277","authenticated-orcid":false,"given":"Maria","family":"Soledad Arcucci","sequence":"additional","affiliation":[{"name":"Gastroenterology Service, Department of Pediatrics, Hospital de Ni\u00f1os Ricardo Gutierrez, Buenos Aires C1425EFD, Argentina"},{"name":"Pediatric Gastroenterology, Hepatology and Liver-Intestinal Transplantation Unit, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires C1199ABB, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Herrador-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition Unit, Hospital Regional Universitario de M\u00e1laga, 29011 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Sarbagili-Shabat","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Nutrition Unit, The E. Wolfson Medical Center, Holon 8820027, Israel"},{"name":"The Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitzan","family":"Kolonimos","sequence":"additional","affiliation":[{"name":"IBD Unit, Gastroenterology Institute, Haemek Medical Center, Afula 1834111, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0125-0680","authenticated-orcid":false,"given":"Nicolette","family":"Wierdsma","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, Amsterdam University Medical Centers, 1105 AZ Amsterdam, The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Department of Pediatrics, University of Alberta, 11405 87th Ave., Edmonton, AB T6G 1C9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Einat","family":"Hershkovitz","sequence":"additional","affiliation":[{"name":"IBD Unit, Gastroenterology Institute, Haemek Medical Center, Afula 1834111, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3458-4142","authenticated-orcid":false,"given":"Eytan","family":"Wine","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Department of Pediatrics, University of Alberta, 11405 87th Ave., Edmonton, AB T6G 1C9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5822-4371","authenticated-orcid":false,"given":"Johan","family":"Van Limbergen","sequence":"additional","affiliation":[{"name":"Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands"},{"name":"Amsterdam Public Health Research Institute, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands"},{"name":"Department of Paediatric Gastroenterology and Nutrition, Amsterdam University Medical Centers, Emma Children\u2019s Hospital, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"ref_1","first-page":"171","article-title":"The Medical Management of Paediatric Crohn\u2019s Disease: An ECCO-ESPGHAN Guideline Update","volume":"15","author":"Aloi","year":"2020","journal-title":"J. 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