Letter: validated fatigue questionnaires in inflammatory bowel diseases

摘要: response to our review. 2 In line with their findings, a pilot study in 71 inflammatory bowel disease (IBD) patients (41 Crohn’s and 30 ulcerative colitis) from out-patient department (unpublished data), showed that 40 of (56.3%) changed dietary habits after diagnosis. This included eating smaller portion sizes avoidance specific food items due poor tolerability, for example spicy foods/herbs, vegetables (e.g. onions peppers), fruits grapefruits, oranges plums) beer. On the one hand, foods may contribute symptom generation, example, by triggering mechanoor chemoreceptors this sensitive patient group. other nutrients mainly patterns affect intestinal inflammation modulating immune system, epithelial barrier function and/or microbiota. We agree findings on patients’ beliefs further stress importance investigating factors relation development exacerbations of, as possible targets preventive or therapeutic strategies IBD. As several IBD change because illness, which differ between patients, we think prospective well-designed studies diet activity following large numbers over time are warranted make final conclusions subject.