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                   Fri, 
                    11 July, 1997 
                    From: - 
                    Russ Johnson (Dallas) 
                     
                    MedLine Search confirms link between High Carbohydrate 
                    Intake and IBD 
                      
                    In a recent IBDlist digest, someone mentioned the free MedLine 
                    link at the National Institute 
                    of Health's National Library of Medicine.  
                    I followed the link to MedLine and did a search there on Carbohydrate 
                    and Diet and IBD. I found the following: 
                     
                     Eur J Gastroenterol Hepatol 7 (1): 47-51 (Jan 1995) 
                     
                    Dietary habits as risk factors for inflammatory bowel disease. 
                     
                    by Tragnone A, Valpiani D, Miglio F, Elmi G, Bazzocchi G, 
                    Pipitone E, Lanfranchi GA 
                     
                    Division of Internal Medicine, Bellaria Hospital, University 
                    of Bologna, Italy. 
                     
                    OBJECTIVE: To examine the influence of dietary factors in 
                    Italian patients with ulcerative colitis and Crohn's disease. 
                     
                   
                    DESIGN: We studied dietary habits immediately prior to the 
                    onset of disease in 104 patients enrolled in a prospective, 
                    epidemiological study of the incidence of inflammatory bowel 
                    disease in Italy.  
                   
                    METHODS: Each patient was interviewed using a recall questionnaire 
                    to provide information on the daily intake of nutrients. The 
                    differences in diet between patients and healthy subjects 
                    matched for age, sex and city of residence were determined. 
                     
                   
                    RESULTS: Our data confirm that patients with Crohn's disease 
                    and ulcerative colitis have a high intake of total carbohydrate, 
                    starch and refined sugar. This resulted in a significantly 
                    higher relative risk (P < 0.001) in both ulcerative colitis 
                    and Crohn's disease patients. Total protein intake was significantly 
                    higher in ulcerative colitis, but not in Crohn's disease patients, 
                    than in controls. Fibre consumption did not differ between 
                    patients and controls. 
                   
                    CONCLUSIONS: Our results confirm that carbohydrate consumption 
                    is significantly higher in IBD patients than in healthy controls. 
                    Ulcerative colitis patients also consumed more total protein 
                    than controls. The pathogenetic significance of these findings, 
                    however, remains unclear. ... 
                     
                    PMID: 7866810, MUID: 95171184  
                     
                     
                     
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