{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:07:07Z","timestamp":1790168827348,"version":"4.1.0"},"reference-count":84,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"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>Inflammatory bowel disease (IBD) arises from the interplay between genetic susceptibility, immune dysregulation, microbiota, and environmental exposures, with diet potentially contributing to both pathogenesis and management. Patients frequently modify their diet independently, often using different strategies during remission and active symptoms. This narrative review synthesises evidence on patient-accessible dietary patterns and selected structured nutritional therapies across five domains: incident IBD, objective intestinal inflammation, gastrointestinal symptoms and quality of life, nutritional safety, and real-world feasibility. Mediterranean and other minimally processed plant-forward patterns are associated with higher diet quality and potentially favourable microbial and metabolic profiles; however, current trials do not demonstrate consistent superiority for objective remission or mucosal healing. Western and ultra-processed food-rich patterns are associated with incident IBD, whereas evidence for relapse in established disease is less consistent. Low-FODMAP approaches may improve selected symptoms but should not be interpreted as anti-inflammatory therapy. Evidence for ketogenic and intentional carnivore diets remains insufficient for routine use. Exclusive enteral nutrition and the Crohn\u2019s Disease Exclusion Diet have distinct, protocolised therapeutic roles, particularly in Crohn\u2019s disease. Across strategies, affordability, food security, cooking resources, disease phenotype, nutritional risk, and access to specialist dietetic care determine safe and equitable implementation.<\/jats:p>","DOI":"10.3390\/nu18193133","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:36:07Z","timestamp":1790166967000},"page":"3133","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trendy, but Are They Safe? Current Popular Diets and Their Use in Inflammatory Bowel Diseases: Narrative Review"],"prefix":"10.3390","volume":"18","author":[{"given":"Klara","family":"Szwarc","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kacper Kamil","family":"Zagaja","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7731-6965","authenticated-orcid":false,"given":"Alicja","family":"Ratajczak-Paw\u0142owska","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"},{"name":"Laboratory of Nutrigenetics, Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagmara","family":"Mahadea","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Dobrowolska","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"\u0141ykowska-Szuber","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poland, Przybyszewskiego 49, 60-355 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"jjag066","DOI":"10.1093\/ecco-jcc\/jjag066","article-title":"ECCO Guidelines on Therapeutics in Ulcerative Colitis: Medical Treatment","volume":"20","author":"Gisbert","year":"2026","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1093\/ecco-jcc\/jjae091","article-title":"ECCO Guidelines on Therapeutics in Crohn\u2019s Disease: Medical Treatment","volume":"18","author":"Gordon","year":"2024","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"jjag071","DOI":"10.1093\/ecco-jcc\/jjag071","article-title":"ECCO Guidelines on the Prevention, Diagnosis, and Management of Infections in Inflammatory Bowel Disease","volume":"20","author":"Yanai","year":"2026","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/apt.16445","article-title":"Systematic review: Societal cost of illness of inflammatory bowel disease is increasing due to biologics and varies between continents","volume":"54","author":"Visser","year":"2021","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Rizzello, F., Gionchetti, P., Spisni, E., Saracino, I.M., Bellocchio, I., Spigarelli, R., Collini, N., Imbesi, V., Dervieux, T., and Alvisi, P. (2023). Dietary Habits and Nutrient Deficiencies in a Cohort of European Crohn\u2019s Disease Adult Patients. Int. J. Mol. Sci., 24.","DOI":"10.3390\/ijms24021494"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Keewan, E., Narasimhulu, C.A., Rohr, M., Hamid, S., and Parthasarathy, S. (2020). Are Fried Foods Unhealthy? The Dietary Peroxidized Fatty Acid, 13-HPODE, Induces Intestinal Inflammation In Vitro and In Vivo. Antioxidants, 9.","DOI":"10.3390\/antiox9100926"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1093\/ecco-jcc\/jjaa254","article-title":"Food Additive Emulsifiers and Their Impact on Gut Microbiome, Permeability, and Inflammation: Mechanistic Insights in Inflammatory Bowel Disease","volume":"15","author":"Bancil","year":"2021","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Basson, A.R., Chen, C., Sagl, F., Trotter, A., Bederman, I., Gomez-Nguyen, A., Sundrud, M.S., Ilic, S., Cominelli, F., and Rodriguez-Palacios, A. (2021). Regulation of Intestinal Inflammation by Dietary Fats. Front. Immunol., 11.","DOI":"10.3389\/fimmu.2020.604989"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"jjaf122","DOI":"10.1093\/ecco-jcc\/jjaf122","article-title":"European Crohn\u2019s and Colitis Organisation Consensus on Dietary Management of Inflammatory Bowel Disease","volume":"19","author":"Svolos","year":"2025","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"102818","DOI":"10.1016\/j.clnesp.2025.11.133","article-title":"Understanding Dietary Beliefs, Behaviors, and Barriers in Inflammatory Bowel Disease: A Scoping Review","volume":"71","author":"Noejovich","year":"2026","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Ribaudi, E., Amato, S., Becherucci, G., Carillo, S., Covello, C., Mora, V., Mentella, M.C., Scaldaferri, F., Gasbarrini, A., and Fanali, C. (2025). Addressing Nutritional Knowledge Gaps in Inflammatory Bowel Disease: A Scoping Review. Nutrients, 17.","DOI":"10.3390\/nu17050833"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Sasson, G., Hosmer, C., and Korzenik, J. (2026). Dietary Therapies in Inflammatory Bowel Disease and Their Effects on Disease Activity and the Gut Microbiome. Nutrients, 18.","DOI":"10.3390\/nu18142240"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11894-025-00975-7","article-title":"The Evolving Guidelines on Fiber Intake for Patients with Inflammatory Bowel Disease; From Exclusion to Texture Modification","volume":"27","author":"Gold","year":"2025","journal-title":"Curr. Gastroenterol. Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1093\/ibd\/izaf289","article-title":"Nationwide Analysis of Food Insecurity among Individuals with Inflammatory Bowel Disease in the United States","volume":"32","author":"Baniqued","year":"2026","journal-title":"Inflamm. Bowel Dis."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1017\/S1368980025101316","article-title":"How expensive is a healthy diet in Europe? Using Linear Programming as a standardised method for calculating European Food Reference Budgets","volume":"29","author":"Taeger","year":"2025","journal-title":"Public Health Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1007\/s10198-022-01536-9","article-title":"Out-of-pocket expenses of patients with inflammatory bowel disease: A comparison of patient-reported outcomes across 12 European countries","volume":"24","author":"Holko","year":"2023","journal-title":"Eur. J. Health Econ."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"jjaf105","DOI":"10.1093\/ecco-jcc\/jjaf105","article-title":"Gaps between European Crohn\u2019s and Colitis Organisation quality standards of care and the real world on diagnosis and monitoring inflammatory bowel disease across Europe: Results from the E-QUALITY survey","volume":"19","author":"Fiorino","year":"2025","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Portmann, L.J., Fitzpatrick, J.A., Halmos, E.P., Bryant, R.V., and Day, A.S. (2025). Looking Beyond Nutrients, How to Assess Diet Quality in an Inflammatory Bowel Disease Population\u2014A Narrative Review. Nutrients, 17.","DOI":"10.3390\/nu17142343"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2574","DOI":"10.1136\/gutjnl-2021-326575","article-title":"Diet fuelling inflammatory bowel diseases: Preclinical and clinical concepts","volume":"71","author":"Adolph","year":"2022","journal-title":"Gut"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1017\/S1368980013002115","article-title":"Designing and Developing a Literature-Derived, Population-Based Dietary Inflammatory Index","volume":"17","author":"Shivappa","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Lamers, C.R., de Roos, N.M., and Witteman, B.J.M. (2020). The Association between Inflammatory Potential of Diet and Disease Activity: Results from a Cross-Sectional Study in Patients with Inflammatory Bowel Disease. BMC Gastroenterol., 20.","DOI":"10.1186\/s12876-020-01435-4"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"21679","DOI":"10.1038\/s41598-024-73073-9","article-title":"Association between Dietary Inflammatory Index and Disease Activity in Patients with Ulcerative Colitis","volume":"14","author":"Bakhtiari","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Rocha, I.M.G.d., Torrinhas, R., Fonseca, D., Lyra, C.d.O., de Sousa Alves Neri, J.L., Balmant, B.D., Callado, L., Charlton, K., Queiroz, N., and Waitzberg, D.L. (2023). Pro-Inflammatory Diet Is Correlated with High Veillonella Rogosae, Gut Inflammation and Clinical Relapse of Inflammatory Bowel Disease. Nutrients, 15.","DOI":"10.3390\/nu15194148"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2046244","DOI":"10.1080\/19490976.2022.2046244","article-title":"Dietary Manipulation of the Gut Microbiome in Inflammatory Bowel Disease Patients: Pilot Study","volume":"14","author":"Olendzki","year":"2022","journal-title":"Gut Microbes"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1136\/gutjnl-2020-322670","article-title":"Long-Term Dietary Patterns Are Associated with pro-Inflammatory and Anti-Inflammatory Features of the Gut Microbiome","volume":"70","author":"Bolte","year":"2021","journal-title":"Gut"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"155039","DOI":"10.1016\/j.phymed.2023.155039","article-title":"Liquiritin Apioside Alleviates Colonic Inflammation and Accompanying Depression-Like Symptoms in Colitis by Gut Metabolites and the Balance of Th17\/Treg","volume":"120","author":"Xia","year":"2023","journal-title":"Phytomedicine"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1136\/gutjnl-2025-337480","article-title":"Distinct Microbial Mediators Link Diet to Inflammation in Crohn\u2019s Disease and Ulcerative Colitis","volume":"75","author":"Mayorga","year":"2026","journal-title":"Gut"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Campmans-Kuijpers, M.J.E., and Dijkstra, G. (2021). Food and Food Groups in Inflammatory Bowel Disease (IBD): The Design of the Groningen Anti-Inflammatory Diet (GrAID). Nutrients, 13.","DOI":"10.3390\/nu13041067"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Keshteli, A.H., Valcheva, R., Nickurak, C., Park, H., Mandal, R., van Diepen, K., Kroeker, K.I., van Zanten, S.V., Halloran, B., and Wishart, D.S. (2022). Anti-Inflammatory Diet Prevents Subclinical Colonic Inflammation and Alters Metabolomic Profile of Ulcerative Colitis Patients in Clinical Remission. Nutrients, 14.","DOI":"10.3390\/nu14163294"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"184","DOI":"10.15403\/jgld-5482","article-title":"Diet Optimization in Inflammatory Bowel Disease: Impact on Disease Relapse and Inflammatory Markers. A 1-Year Prospective Trial","volume":"33","author":"Preda","year":"2024","journal-title":"J. Gastrointest. Liver Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1475-2891-13-5","article-title":"An Anti-Inflammatory Diet as Treatment for Inflammatory Bowel Disease: A Case Series Report","volume":"13","author":"Olendzki","year":"2014","journal-title":"Nutr. J."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Ratajczak, A.E., Festa, S., Aratari, A., Papi, C., Dobrowolska, A., and Krela-Ka\u017amierczak, I. (2023). Should the Mediterranean Diet Be Recommended for Inflammatory Bowel Diseases Patients? A Narrative Review. Front. Nutr., 9.","DOI":"10.3389\/fnut.2022.1088693"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"otad077","DOI":"10.1093\/crocol\/otad077","article-title":"Diet and Nutrition in Inflammatory Bowel Disease: A Review of the Literature","volume":"360 6","author":"Manski","year":"2024","journal-title":"Crohns Colitis"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"9139","DOI":"10.3390\/nu7115459","article-title":"Definition of the Mediterranean Diet: A Literature Review","volume":"7","author":"Davis","year":"2015","journal-title":"Nutrients"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"100219","DOI":"10.1016\/j.advnut.2024.100219","article-title":"Diet, Food, and Nutritional Exposures and Inflammatory Bowel Disease or Progression of Disease: An Umbrella Review","volume":"15","author":"Christensen","year":"2024","journal-title":"Adv. Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Illescas, O., Rodr\u00edguez-Sosa, M., and Gariboldi, M. (2021). Mediterranean Diet to Prevent the Development of Colon Diseases: A Meta-Analysis of Gut Microbiota Studies. Nutrients, 13.","DOI":"10.3390\/nu13072234"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1053\/j.gastro.2022.05.037","article-title":"Mediterranean-Like Dietary Pattern Associations With Gut Microbiome Composition and Subclinical Gastrointestinal Inflammation","volume":"163","author":"Turpin","year":"2022","journal-title":"Gastroenterology"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1177\/02601060221102281","article-title":"Mediterranean diet diminishes the effects of Crohn\u2019s disease and improves its parameters: A systematic review","volume":"32","author":"Jaber","year":"2026","journal-title":"Nutr. Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s12664-026-01966-w","article-title":"Mediterranean Diet in Treatment of Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis","volume":"45","author":"Singh","year":"2026","journal-title":"Indian J. Gastroenterol."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Cadoni, M., Favale, A., Piras, R., Demurtas, M., Soddu, P., Usai, A., Ibba, I., Fantini, M.C., and Onali, S. (2024). Adherence to Mediterranean Diet and Diet Quality in Patients with Inflammatory Bowel Disease: A Single-Center, Observational, Case-Control Study. Nutrients, 16.","DOI":"10.3390\/nu16111557"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Migdanis, A., Migdanis, I., Gkogkou, N.D., Papadopoulou, S.K., Giaginis, C., Manouras, A., Polyzou Konsta, M.A., Kosti, R.I., Oikonomou, K.A., and Argyriou, K. (2024). The Relationship of Adherence to the Mediterranean Diet with Disease Activity and Quality of Life in Crohn\u2019s Disease Patients. Medicina, 60.","DOI":"10.3390\/medicina60071106"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Erol Do\u011fan, \u00d6., Karaca \u00c7elik, K.E., Ba\u015f, M., Alan, E.H., and \u00c7a\u011f\u0131n, Y.F. (2024). Effects of Mediterranean Diet, Curcumin, and Resveratrol on Mild-to-Moderate Active Ulcerative Colitis: A Multicenter Randomized Clinical Trial. Nutrients, 16.","DOI":"10.3390\/nu16101504"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1093\/ecco-jcc\/jjad073","article-title":"A Mediterranean Diet Pattern Improves Intestinal Inflammation Concomitant with Reshaping of the Bacteriome in Ulcerative Colitis: A Randomised Controlled Trial","volume":"17","author":"Haskey","year":"2023","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1053\/j.gastro.2021.05.047","article-title":"A Randomized Trial Comparing the Specific Carbohydrate Diet to a Mediterranean Diet in Adults with Crohn\u2019s Disease","volume":"161","author":"Lewis","year":"2021","journal-title":"Gastroenterology"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1053\/j.gastro.2023.11.303","article-title":"AGA Clinical Practice Update on Diet and Nutritional Therapies in Patients With Inflammatory Bowel Disease: Expert Review","volume":"166","author":"Hashash","year":"2024","journal-title":"Gastroenterology"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1017\/S0007114517003993","article-title":"Dietary Cost Associated with Adherence to the Mediterranean Diet, and Its Variation by Socio-Economic Factors in the UK Fenland Study","volume":"119","author":"Tong","year":"2018","journal-title":"Br. J. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Rubini, A., Vilaplana-Prieto, C., Flor-Alemany, M., Yeguas-Rosa, L., Hern\u00e1ndez-Gonz\u00e1lez, M., F\u00e9lix-Garc\u00eda, F.J., F\u00e9lix-Redondo, F.J., and Fern\u00e1ndez-Berg\u00e9s, D. (2022). Assessment of the Cost of the Mediterranean Diet in a Low-Income Region: Adherence and Relationship with Available Incomes. BMC Public Health, 22.","DOI":"10.1186\/s12889-021-12433-w"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Colaprico, C., Crispini, D., Rocchi, I., Kibi, S., De Giusti, M., and La Torre, G. (2024). Cost and Cost-Effectiveness of the Mediterranean Diet: An Update of a Systematic Review. Nutrients, 16.","DOI":"10.3390\/nu16121899"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Gold, S.L., Kohler, D., Freid, H., Haskey, N., and Raman, M. (2024). Food Insecurity Is Common in Patients with Inflammatory Bowel Disease and Is Associated with Increased Ultra-Processed Food Intake. Nutrients, 16.","DOI":"10.3390\/nu16213736"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"3423","DOI":"10.1093\/eurheartj\/ehad436","article-title":"Vegetarian and Vegan Diets: Benefits and Drawbacks","volume":"44","author":"Wang","year":"2023","journal-title":"Eur. Heart J."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"2713","DOI":"10.1017\/S1368980017001768","article-title":"Association of Vegetarian Diet with Inflammatory Biomarkers: A Systematic Review and Meta-Analysis of Observational Studies","volume":"20","author":"Haghighatdoost","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1136\/gut.2003.024828","article-title":"Influence of Dietary Factors on the Clinical Course of Ulcerative Colitis: A Prospective Cohort Study","volume":"53","author":"Jowett","year":"2004","journal-title":"Gut"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2484","DOI":"10.3748\/wjg.v16.i20.2484","article-title":"Lifestyle-Related Disease in Crohn\u2019s Disease: Relapse Prevention by a Semi-Vegetarian Diet","volume":"16","author":"Chiba","year":"2010","journal-title":"World J. Gastroenterol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1093\/ibd\/izad213","article-title":"Plant-Based Diets for Inflammatory Bowel Disease: What Is the Evidence?","volume":"30","author":"Liu","year":"2024","journal-title":"Inflamm. Bowel Dis."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1093\/ecco-jcc\/jjab219","article-title":"Western and Carnivorous Dietary Patterns Are Associated with Greater Likelihood of IBD Development in a Large Prospective Population-Based Cohort","volume":"16","author":"Peters","year":"2022","journal-title":"J. Crohn\u2019s Colitis"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.clnesp.2024.10.171","article-title":"Food Additives and Their Implication in Inflammatory Bowel Disease and Metabolic Syndrome","volume":"64","author":"Besedin","year":"2024","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Trakman, G.L., Lin, W.Y.Y., Hamilton, A.L., Wilson-O\u2019Brien, A.L., Stanley, A., Ching, J.Y., Yu, J., Mak, J.W.Y., Sun, Y., and Niu, J. (2022). Processed Food as a Risk Factor for the Development and Perpetuation of Crohn\u2019s Disease\u2014The ENIGMA Study. Nutrients, 14.","DOI":"10.3390\/nu14173627"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Epidemiology Group of the Research Committee of Inflammatory Bowel Disease in Japan (1994). Dietary and Other Risk Factors of Ulcerative Colitis. A Case-Control Study in Japan. J. Clin. Gastroenterol., 19, 166\u2013171.","DOI":"10.1097\/00004836-199409000-00019"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"n1554","DOI":"10.1136\/bmj.n1554","article-title":"Association of Ultra-Processed Food Intake with Risk of Inflammatory Bowel Disease: Prospective Cohort Study","volume":"374","author":"Narula","year":"2021","journal-title":"BMJ"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1038\/ajg.2011.44","article-title":"Dietary Intake and Risk of Developing Inflammatory Bowel Disease: A Systematic Review of the Literature","volume":"106","author":"Hou","year":"2011","journal-title":"Am. J. Gastroenterol."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Kempinski, R., Arabasz, D., and Neubauer, K. (2024). Effects of Milk and Dairy on the Risk and Course of Inflammatory Bowel Disease versus Patients\u2019 Dietary Beliefs and Practices: A Systematic Review. Nutrients, 16.","DOI":"10.3390\/nu16152555"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1136\/gutjnl-2025-337846","article-title":"Associations between Demographic, Clinical and Dietary Factors and Flares in Inflammatory Bowel Disease: The PREdiCCt Prospective Cohort Study","volume":"75","author":"Gros","year":"2026","journal-title":"Gut"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1038\/s41419-024-06456-5","article-title":"Dietary Long-Chain Fatty Acids Promote Colitis by Regulating Palmitoylation of STAT3 through CD36-Mediated Endocytosis","volume":"15","author":"Wei","year":"2024","journal-title":"Cell Death Dis."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"109254","DOI":"10.1016\/j.jnutbio.2022.109254","article-title":"Sugar-Sweetened Beverages Exacerbate High-Fat Diet-Induced Inflammatory Bowel Disease by Altering the Gut Microbiome","volume":"113","author":"Shon","year":"2023","journal-title":"J. Nutr. Biochem."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s40168-019-0685-7","article-title":"Haem iron reshapes colonic luminal environment: Impact on mucosal homeostasis and microbiome through aldehyde formation","volume":"7","author":"Martin","year":"2019","journal-title":"Microbiome"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Komisarska, P., Pinyosinwat, A., Saleem, M., and Szczuko, M. (2024). Carrageenan as a Potential Factor of Inflammatory Bowel Diseases. Nutrients, 16.","DOI":"10.3390\/nu16091367"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Martino, J.V., Van Limbergen, J., and Cahill, L.E. (2017). The Role of Carrageenan and Carboxymethylcellulose in the Development of Intestinal Inflammation. Front. Pediatr., 5.","DOI":"10.3389\/fped.2017.00096"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"181","DOI":"10.3233\/NHA-170023","article-title":"A Randomized Trial of the Effects of the No-Carrageenan Diet on Ulcerative Colitis Disease Activity","volume":"4","author":"Bhattacharyya","year":"2017","journal-title":"Nutr. Healthy Aging"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Sandall, A.M., Cox, S.R., Lindsay, J.O., Gewirtz, A.T., Chassaing, B., Rossi, M., and Whelan, K. (2020). Emulsifiers Impact Colonic Length in Mice and Emulsifier Restriction Is Feasible in People with Crohn\u2019s Disease. Nutrients, 12.","DOI":"10.3390\/nu12092827"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1016\/j.cgh.2025.08.005","article-title":"Effect of Five Dietary Emulsifiers on Inflammation, Permeability, and the Gut Microbiome: A Placebo-Controlled Randomized Trial","volume":"24","author":"Wellens","year":"2026","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Vissers, E., Wellens, J., and Sabino, J. (2022). Ultra-Processed Foods as a Possible Culprit for the Rising Prevalence of Inflammatory Bowel Diseases. Front. Med., 9.","DOI":"10.3389\/fmed.2022.1058373"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Hrncirova, L., Machova, V., Trckova, E., Krejsek, J., and Hrncir, T. (2019). Food Preservatives Induce Proteobacteria Dysbiosis in Human-Microbiota Associated Nod2-Deficient Mice. Microorganisms, 7.","DOI":"10.3390\/microorganisms7100383"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Raoul, P., Cintoni, M., Palombaro, M., Basso, L., Rinninella, E., Gasbarrini, A., and Mele, M.C. (2022). Food Additives, a Key Environmental Factor in the Development of IBD through Gut Dysbiosis. Microorganisms, 10.","DOI":"10.3390\/microorganisms10010167"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1093\/ibd\/izac058","article-title":"Is Salt at Fault? Dietary Salt Consumption and Inflammatory Bowel Disease","volume":"29","author":"Kuang","year":"2023","journal-title":"Inflamm. Bowel Dis."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1089\/jmf.2017.0120","article-title":"Inflammatory Bowel Diseases and Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols: An Overview","volume":"21","author":"Barbalho","year":"2018","journal-title":"J. Med. Food"},{"key":"ref_76","first-page":"84","article-title":"A Review of Ketogenic Diet and Lifestyle","volume":"119","author":"McGaugh","year":"2022","journal-title":"Mo. Med."},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Guevara, M., Salamanca-Fern\u00e1ndez, E., Miqueleiz, E., Gavrila, D., Amiano, P., Bonet, C., Rodr\u00edguez-Barranco, M., Huerta, J.M., Bujanda, L., and S\u00e1nchez, M.J. (2021). Inflammatory Potential of the Diet and Incidence of Crohn\u2019s Disease and Ulcerative Colitis in the EPIC-Spain Cohort. Nutrients, 13.","DOI":"10.3390\/nu13072201"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Yan, D., Ye, S., He, Y., Wang, S., Xiao, Y., Xiang, X., Deng, M., Luo, W., Chen, X., and Wang, X. (2023). Fatty Acids and Lipid Mediators in Inflammatory Bowel Disease: From Mechanism to Treatment. Front. Immunol., 14.","DOI":"10.3389\/fimmu.2023.1286667"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"47","DOI":"10.20506\/rst.37.1.2739","article-title":"The Effects of Meat Consumption on Global Health","volume":"37","author":"Salter","year":"2018","journal-title":"Rev. Sci. Tech."},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Kostovcikova, K., Coufal, S., Galanova, N., Fajstova, A., Hudcovic, T., Kostovcik, M., Prochazkova, P., Jiraskova Zakostelska, Z., Cermakova, M., and Sediva, B. (2019). Diet Rich in Animal Protein Promotes Pro-Inflammatory Macrophage Response and Exacerbates Colitis in Mice. Front. Immunol., 10.","DOI":"10.3389\/fimmu.2019.00919"},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Norwitz, N.G., and Soto-Mota, A. (2024). Case Report: Carnivore-Ketogenic Diet for the Treatment of Inflammatory Bowel Disease: A Case Series of 10 Patients. Front. Nutr., 11.","DOI":"10.3389\/fnut.2024.1467475"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1053\/j.gastro.2019.09.024","article-title":"Effects of Low-FODMAP Diet on Symptoms, Faecal Microbiome, and Markers of Inflammation in Patients with Quiescent Inflammatory Bowel Disease in a Randomized Trial","volume":"158","author":"Cox","year":"2020","journal-title":"Gastroenterology"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"19593","DOI":"10.1038\/s41598-024-69168-y","article-title":"Comparison of Dietary Inflammatory Index and Inflammatory Biomarkers between Vegetarians and Omnivores in Chinese Population","volume":"14","author":"Wang","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"2288","DOI":"10.1093\/advances\/nmab069","article-title":"Index-Based Dietary Patterns and Inflammatory Bowel Disease: A Systematic Review of Observational Studies","volume":"12","author":"Tian","year":"2021","journal-title":"Adv. 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