Specific Carbohydrate Diet for Inflammatory Bowl Disease
Medical nutrition therapy can be tricky for individuals
suffering from gastrointestinal distress because each case differs
substantially and substances that may irritate one person are not bothersome to
another. The Academy of Nutrition and Dietetics completed a case study on
patients with Inflammatory Bowl Disease (IBD) and the effects of a specific
carbohydrate diet on the disease state of these individuals.
According
to AND’s article, “The Specific Carbohydrate Diet (SCD) is a dietary program
that claims to induce and maintain drug-free remission in patients with IBD.”
The diet is not considered “low carb” by any means, but rather limits
carbohydrate foods to those consisting of only monosaccharaides (glucose,
galactose, and fructose). The SCD excludes disaccharides and polysaccharides
and is supplemented with homemade yogurt. The diet also includes solid protein
foods, fats, high ratio amylose to amylopectin vegetables, fruits, and nuts.
AND’s case
study concluded that following the SCD can be an effective tool for individuals
with IBD. It is believed that the elimination of more complex disaccharides and
polysaccharides eliminates the problems caused by excessive mucus production,
which interferes with the work of brush border enzymes.
As
dietitians, it is important that we are up-to-date on current research studies
like this one, which have the potential to be highly beneficial to patients
with gastrointestinal issues. Research shows that diet can be an effective
method for changing the intestinal environment and micro biome of patients with IBD.JW
Kakodkar, S., Farooqui, A.
J., Mikolaitis, S. L., & Mutlu, E. A. (2016). The Specific Carbohydrate
Diet for Inflammatory Bowel Disease: A Case Series. Journal of the Academy
of Nutrition and Dietetics, 115(8), 1226–1232. http://doi.org/10.1016/j.jand.2015.04.0
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