Mixed
Higher intake of ultra-processed foods is associated with a significantly increased risk of developing inflammatory bowel disease (IBD), including both Crohn's disease and ulcerative colitis.
To lower your risk of inflammatory bowel disease, focus on reducing ultra-processed foods. This includes soft drinks, refined sweetened foods (candy, pastries), salty snacks, and processed meats. You do not need to avoid natural foods like meat, dairy, or vegetables, as the study found no link between those and IBD risk. The key is minimizing items with additives and preservatives, which may disrupt gut health.
Higher intake of ultra-processed food was associated with a higher risk of incident IBD (hazard ratio 1.82, 95% confidence interval 1.22 to 2.72 for ≥5 servings/day and 1.67, 1.18 to 2.37 for 1-4 servings/day compared with <1 serving/day, P=0.006 for trend).
Why this rating
Large prospective cohort (n=116,087), multi-country, long follow-up (median 9.7 years), adjusted for confounders, but relies on self-reported FFQ and self-reported diagnosis.
Source
Association of ultra-processed food intake with risk of inflammatory bowel disease: prospective cohort study
Neeraj Narula et al. · BMJ · 2021
DOI 10.1136/bmj.n1554
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