Is the low-residue diet still relevant for active bowel inflammation?

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Is the low-residue diet still relevant for active bowel inflammation?

23 November 2022

By Catherine Wall

Wednesday 23 November 2022, 12:15 AM

Low-residue diets limit dairy milk; low-fibre diets do not [Image: Simon Takatomi on Unsplash]

Dietitian Catherine Wall looks at the evidence for and against using low-residue and low-fibre diets for inflammatory bowel disease and diverticulitis

Practical tips for clinicians, A thorough nutritional assessment (by a trained health professional, such as a dietitian) and access to recent imaging or intervention studies are ess, Pract Green w Pale Yellow

Diet and Nutrition

Gastroenterology

References

Lamb CA, Kennedy NA, Raine T, et al. British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut 2019;68(Suppl 3):s1–106.
Sorathia AZ, Sorathia SJ. Low Residue Diet. Treasure Island, FL: StatPearls Publishing; 2022.
Charlebois A, Rosenfeld G, Bressler B. The impact of dietary interventions on the symptoms of inflammatory bowel disease: A systematic review. Crit Rev Food Sci Nutr 2016;56(8):1370–78.
Dahl C, Crichton M, Jenkins J, et al. Evidence for dietary fibre modification in the recovery and prevention of reoccurrence of acute, uncomplicated diverticulitis: A systematic literature review. Nutrients 2018;10(2):137.
Gerasimidis K, McGrogan P, Edwards CA. The aetiology and impact of malnutrition in paediatric inflammatory bowel disease. J Hum Nutr Diet 2011;24(4):313–26.
Levenstein S, Prantera C, Luzi C, D’Ubaldi A. Low residue or normal diet in Crohn’s disease: a prospective controlled study in Italian patients. Gut 1985;26(10):989–93.
Logan M, Gkikas K, Svolos V, et al. Analysis of 61 exclusive enteral nutrition formulas used in the management of active Crohn’s disease-new insights into dietary disease triggers. Aliment Pharmacol Ther 2020;51(10):935–47.
Carabotti M, Falangone F, Cuomo R, Annibale B. Role of dietary habits in the prevention of diverticular disease complications: A systematic review. Nutrients 2021;13(4):1288.
Ministry of Health. Eating and Activity Guidelines for New Zealand Adults. Wellington, NZ: Ministry of Health; 2020.
Day AS, Davis R, Costello SP, et al. The adequacy of habitual dietary fiber intake in individuals with inflammatory bowel disease: A systematic review. J Acad Nutr Diet 2021;121(4):688–708 e3.
Brotherton CS, Martin CA, Long MD, et al. Avoidance of fiber is associated with greater risk of Crohn’s disease flare in a 6-month period. Clin Gastroenterol Hepatol 2016;14:1130–36.
Fritsch J, Garces L, Quintero MA, et al. Low-fat, high-fiber diet reduces markers of inflammation and dysbiosis and improves quality of life in patients with ulcerative colitis. Clin Gastroenterol Hepatol 2021;19(6):1189–99 e30.
Peters V, Dijkstra G, Campmans-Kuijpers MJE. Are all dietary fibers equal for patients with inflammatory bowel disease? A systematic review of randomized controlled trials. Nutr Rev. 2022;80(5):1179–93.
Eberhardt F, Crichton M, Dahl C, et al. Role of dietary fibre in older adults with asymptomatic (AS) or symptomatic uncomplicated diverticular disease (SUDD): Systematic review and meta-analysis. Maturitas 2019;130:57–67.

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