Research
Macro partitioning
Gluten-free diets do not appear to impact IBD disease activity, hospitalization, or surgery rates, despite many patients self-reporting symptom improvement.
For most IBD patients, a gluten-free diet does not reduce disease activity, hospitalizations, or surgery rates. While some patients report subjective symptom improvement, this does not translate to better clinical outcomes. It is not recommended as a primary treatment for IBD unless Celiac Disease is diagnosed.
GoodRefutesHIGH confidence
Gluten-free and low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diets do not appear to have an impact on IBD disease activity... In contrast, they did not find gluten-free diets to be associated with IBD activity, hospitalization, or surgery rates
Why this rating
Supported by a large prospective cohort study (N=1254) showing no association with clinical outcomes.
Source
Therapeutic Implications of Diet in Inflammatory Bowel Disease and Related Immune-Mediated Inflammatory Diseases
Yan Jiang et al. · Nutrients · 2021
narrative_reviewCited 89×
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