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Dietary Fiber and Inflammatory Bowel Disease

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Epidemiology".

Deadline for manuscript submissions: closed (23 January 2023) | Viewed by 20773

Special Issue Editors

Centre for Inflammation, Centenary Institute and University of Technology Syd-ney, School of Life Sciences, Faculty of Science, Sydney, Australia
Interests: airway remodeling; lung fibrosis in severe asthma; chronic obstructive pulmonary disease (COPD); idiopathic pulmonary fibrosis (IPF); inflammation bowel disease; gut microbiota
School of Population Health, University of New South Wales, Sydney, Australia
Interests: cardiovascular diseases; chronic disease; public health; nutrition; lifestyle; ageing
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Inflammatory bowel diseases (IBDs), including Crohn’s disease and ulcerative colitis, are chronic diseases of the gastrointestinal (GI) tract, characterized by chronic inflammation that damages the structure of the GI tract.

The global prevalence of IBD patients has significantly increased in the last 5 years. However, current treatments only slow their progression, with no existing cure. It is important to understand IBD development and to find out what the underpinning mechanisms of the disease are.

A healthy diet is an important factor for maintaining a healthy lifestyle, as well as being a major part of life with IBDs. Dietary fiber, as the key component of a healthy diet, has been identified to help manage and even reduce symptoms of IBDs.

This Special Issue aims to link diet (e.g., dietary fiber) and IBDs. All research on mechanistic, observation and epidemiological levels regarding such topics, including basic science, translational study and public health, is welcome.

Dr. Gang Liu
Dr. Luna Xu
Guest Editors

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Keywords

  • inflammatory bowel disease
  • diet
  • fiber
  • structure change
  • microbiome
  • aging
  • fibrosis

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Published Papers (5 papers)

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Editorial

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3 pages, 189 KiB  
Editorial
Editorial of the Special Issue “Dietary Fiber and Inflammatory Bowel Disease”
by Gang Liu and Xiaoyue Xu
Nutrients 2022, 14(22), 4861; https://doi.org/10.3390/nu14224861 - 17 Nov 2022
Viewed by 1332
Abstract
Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is a chronic disease of the gastrointestinal (GI) tract; its burden has significantly increased in recent decades, with 6.8 million cases of IBD reported in 2017 according to the Global Burden of Disease [...] Read more.
Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is a chronic disease of the gastrointestinal (GI) tract; its burden has significantly increased in recent decades, with 6.8 million cases of IBD reported in 2017 according to the Global Burden of Disease study [...] Full article
(This article belongs to the Special Issue Dietary Fiber and Inflammatory Bowel Disease)

Review

Jump to: Editorial

18 pages, 2455 KiB  
Review
To Fiber or Not to Fiber: The Swinging Pendulum of Fiber Supplementation in Patients with Inflammatory Bowel Disease
by Natasha Haskey, Stephanie L. Gold, Jeremiah J. Faith and Maitreyi Raman
Nutrients 2023, 15(5), 1080; https://doi.org/10.3390/nu15051080 - 21 Feb 2023
Cited by 3 | Viewed by 6121
Abstract
Evidence-based dietary guidance around dietary fiber in inflammatory bowel disease (IBD) has been limited owing to insufficient reproducibility in intervention trials. However, the pendulum has swung because of our increased understanding of the importance of fibers in maintaining a health-associated microbiome. Preliminary evidence [...] Read more.
Evidence-based dietary guidance around dietary fiber in inflammatory bowel disease (IBD) has been limited owing to insufficient reproducibility in intervention trials. However, the pendulum has swung because of our increased understanding of the importance of fibers in maintaining a health-associated microbiome. Preliminary evidence suggests that dietary fiber can alter the gut microbiome, improve IBD symptoms, balance inflammation, and enhance health-related quality of life. Therefore, it is now more vital than ever to examine how fiber could be used as a therapeutic strategy to manage and prevent disease relapse. At present, there is limited knowledge about which fibers are optimal and in what form and quantity they should be consumed to benefit patients with IBD. Additionally, individual microbiomes play a strong role in determining the outcomes and necessitate a more personalized nutritional approach to implementing dietary changes, as dietary fiber may not be as benign as once thought in a dysbiotic microbiome. This review describes dietary fibers and their mechanism of action within the microbiome, details novel fiber sources, including resistant starches and polyphenols, and concludes with potential future directions in fiber research, including the move toward precision nutrition. Full article
(This article belongs to the Special Issue Dietary Fiber and Inflammatory Bowel Disease)
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15 pages, 526 KiB  
Review
Components of the Fiber Diet in the Prevention and Treatment of IBD—An Update
by Katarzyna Ferenc, Sara Jarmakiewicz-Czaja and Rafał Filip
Nutrients 2023, 15(1), 162; https://doi.org/10.3390/nu15010162 - 29 Dec 2022
Cited by 8 | Viewed by 4226
Abstract
Inflammatory bowel disease (IBD) is a group of diseases with a chronic course, characterized by periods of exacerbation and remission. One of the elements that could potentially predispose to IBD is, among others, a low-fiber diet. Dietary fiber has many functions in the [...] Read more.
Inflammatory bowel disease (IBD) is a group of diseases with a chronic course, characterized by periods of exacerbation and remission. One of the elements that could potentially predispose to IBD is, among others, a low-fiber diet. Dietary fiber has many functions in the human body. One of the most important is its influence on the composition of the intestinal microflora. Intestinal dysbiosis, as well as chronic inflammation that occurs, are hallmarks of IBD. Individual components of dietary fiber, such as β-glucan, pectin, starch, inulin, fructooligosaccharides, or hemicellulose, can significantly affect preventive effects in IBD by modulating the composition of the intestinal microbiota or sealing the intestinal barrier, among other things. The main objective of the review is to provide information on the effects of individual fiber components of the diet on the risk of IBD, including, among other things, altering the composition of the intestinal microbiota. Full article
(This article belongs to the Special Issue Dietary Fiber and Inflammatory Bowel Disease)
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14 pages, 355 KiB  
Review
The Role of Dietary Fibers in the Management of IBD Symptoms
by Claudia Di Rosa, Annamaria Altomare, Elena Imperia, Chiara Spiezia, Yeganeh Manon Khazrai and Michele Pier Luca Guarino
Nutrients 2022, 14(22), 4775; https://doi.org/10.3390/nu14224775 - 11 Nov 2022
Cited by 11 | Viewed by 3635
Abstract
Inflammatory bowel diseases (IBDs) are chronic, progressive, immune-mediated diseases of the intestinal tract. The main subtypes of IBDs are Chron’s disease (CD) and ulcerative colitis (UC). The etiology is still unclear, but there are genetic, environmental and host-related factors that contribute to the [...] Read more.
Inflammatory bowel diseases (IBDs) are chronic, progressive, immune-mediated diseases of the intestinal tract. The main subtypes of IBDs are Chron’s disease (CD) and ulcerative colitis (UC). The etiology is still unclear, but there are genetic, environmental and host-related factors that contribute to the development of these diseases. Recent literature has shown that dietary therapy is the cornerstone of IBD treatment in terms of management of symptoms, relapse and care of the pathology. IBD patients show that microbiota dysbiosis and diet, especially dietary fiber, can modulate its composition. These patients are more at risk of energy protein malnutrition than the general population and are deficient in micronutrients. So far, no dietary component is considered responsible for IBD and there is not a specific therapeutic diet for it. The aim of this review is to evaluate the role of dietary fibers in CD and UC and help health professionals in the nutritional management of these pathologies. Further studies are necessary to determine the appropriate amount and type of fiber to suggest in the case of IBD to ameliorate psychosocial conditions and patients’ quality of life. Full article
(This article belongs to the Special Issue Dietary Fiber and Inflammatory Bowel Disease)
19 pages, 1135 KiB  
Review
COVID-19 and Gut Injury
by Sj Shen, Muxue Gong, Gang Wang, Kamal Dua, Jincheng Xu, Xiaoyue Xu and Gang Liu
Nutrients 2022, 14(20), 4409; https://doi.org/10.3390/nu14204409 - 20 Oct 2022
Cited by 10 | Viewed by 4542
Abstract
COVID-19 induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is currently a pandemic and it has led to more than 620 million patients with 6.56 million deaths globally. Males are more susceptible to COVID-19 infection and associated with a higher chance to [...] Read more.
COVID-19 induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is currently a pandemic and it has led to more than 620 million patients with 6.56 million deaths globally. Males are more susceptible to COVID-19 infection and associated with a higher chance to develop severe COVID-19 than females. Aged people are at a high risk of COVID-19 infection, while young children have also increased cases. COVID-19 patients typically develop respiratory system pathologies, however symptoms in the gastrointestinal (GI) tract are also very common. Inflammatory cell recruitments and their secreted cytokines are found in the GI tract in COVID-19 patients. Microbiota changes are the key feature in COVID-19 patients with gut injury. Here, we review all current known mechanisms of COVID-19-induced gut injury, and the most acceptable one is that SARS-CoV-2 binds to angiotensin-converting enzyme 2 (ACE2) receptor on host cells in the GI tract. Interestingly, inflammatory bowel disease (IBD) is an inflammatory disorder, but the patients with IBD do not have the increased risk to develop COVID-19. There is currently no cure for COVID-19, but anti-viruses and monoclonal antibodies reduce viral load and shorten the recovery time of the disease. We summarize current therapeutics that target symptoms in the GI tract, including probiotics, ACE2 inhibitors and nutrients. These are promising therapeutic options for COVID-19-induced gut injury. Full article
(This article belongs to the Special Issue Dietary Fiber and Inflammatory Bowel Disease)
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