PERFORM Publications

Title:	Co-Development of Three Dietary Indices to Facilitate Dietary Intake Assessment of Pediatric Crohn's Disease Patients
Authors:	Harvey A., Mannette J., Sigall-Boneh R., Macintyre B., Parrott M., Cahill L., Connors J., Otley A., Haskett J., van Limbergen J., Grant S.,
Link:	https://pubmed.ncbi.nlm.nih.gov/38634640/
DOI:	10.3148/cjdpr-2024-005
Category:
PMID:	38634640
Dept Affiliation:	PERFORM 1 Mount Saint Vincent University, Halifax, NS. 2 The E. Wolfson Medical Center, Pediatric Gastroenterology and Nutrition Unit, Holon, Israel. 3 IWK Health Centre, Halifax, NS. 4 PERFORM Centre, Concordia University, Montreal, QC. 5 Dalhousie University, Halifax, NS. 6 Queen Elizabeth II Health Sciences Centre, Halifax, NS. 7 Harvard T.H. Chan School of Public Health, Boston, MA, USA. 8 Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology Metabolism, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. 9 Emma Children's Hospital, Amsterdam University Medical Centers, Amsterdam, The Netherlands.

Description:

Literature on dietary behaviours of the pediatric Crohn's Disease (CD) population and the relationship between dietary intake and CD activity is limited. Three dietary indices were developed and tested to conduct dietary pattern analysis in pediatric patients with CD consuming a free diet following remission induction via exclusive enteral nutrition (n = 11). Index scores underwent descriptive and inferential analysis. The mean adjusted scores (out of 100) for the Pediatric Western Diet Index, Pediatric Prudent Diet Index, and Pediatric-Adapted 2010 Alternate Healthy Eating Index (PA2010-AHEI) were 29.82 ± 15.22, 34.25 ± 15.18, and 51.50 ± 11.69, respectively. The mean Western-to-Prudent ratio was 0.94 ± 0.55. A significant correlation (r = -0.71) and relationship (F_{[1, 9]} = 9.04, P < 0.05, R² = 0.501) between the Western-to-Prudent ratio and PA2010-AHEI was found. The results suggest participants were not following a Western or Prudent diet, and were consuming foods not captured by the indices. More research is needed to describe dietary intake of individuals with CD, validate dietary indices in diverse samples, and explore the utility of these indices in CD assessment and treatment. The co-authors hope this work will stimulate/inspire subsequent interprofessional, dietitian-led research on this topic.

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