P367 Dietary fiber intake in children with Inflammatory Bowel Disease
A. Pituch-Zdanowska, A. Banaszkiewicz, P. Albrecht*
Medical University of Warsaw, Dept. of Pediatric Gastroenterology and Nutrition, Warsaw, Poland
High-fiber diet may play a potential anti-inflammatory role in inflammatory bowel disease (IBD), since it has been shown to maintain remission and reduce colonic damage. The aim of the study was to assess the quantity of dietary fiber intake in children with IBD.
The study group consisted of children who were in clinical remission or with mild ulcerative colitis (UC) or Crohn's disease (CD), assessed according to PUCAI (Pediatric Ulcerative Colitis Activity Index) or PCDAI (Pediatric Crohn Disease Activity Index), respectively. For the nutritional assessment, a 3-day dietary record method was used. Mean values of dietary fiber and its fractions were calculated based on literature data. Results were compared with adequate intake (AI) for age.
50 patients were evaluated: 27 with CD and 23 with UC. There were no statistically significant differences in age, weight and height between the CD and UC patients. The average intake of dietary fiber was 15.9 g per person/day, 8.7 g per 1000 kcal and 0.37g per kg of body weight. Insoluble fiber accounted for 66% (10.5 g/day) and soluble fiber 34% (5.4 g/day). There were statistically significant correlations between fiber intake and age (r=0.32) and between fiber and energy intake (r=0.51). CD patients had higher fiber intake values than UC patients but the differences were not statistically significant. 78% of patients didn't meet the AI recommendations.
Majority of IBD children with no or mild disease activity had low dietary fiber intake. The Results of the study indicate the need for the routine dietary assessment in these patients.