title: Dietary beliefs of people with ulcerative colitis and their effect on relapse and nutrient intake.
abstract: OBJECTIVE
  Ulcerative colitis usually follows a relapsing and remitting course. Patients believe that dietary factors are important. We wished to determine the nature of and reasons for patients' dietary beliefs and their effect on relapse and nutrient intake.
  
  
  METHODS
  In a 1-year prospective cohort study, patients' nutrient intake and disease activity were measured with a validated food frequency questionnaire and disease activity index. Food beliefs, demographics and disease characteristics were recorded. The influence of beliefs on the risk of relapse and nutrient intake were examined using chi-squared and Mann-Whitney U-tests.
  
  
  RESULTS
  One hundred and eighty-three patients were studied and 52% relapsed. Sixty-eight per cent held dietary beliefs and reported modifying their intake accordingly. The most common reported behaviour was the avoidance of milk and dairy products. Food beliefs were more common amongst those who had received dietary advice. No reported behaviour reduced the risk of relapse, but patients who avoided dairy products had a significantly lower intake of calcium. Folate intake was below UK recommended levels in 13% of patients.
  
  
  CONCLUSIONS
  Patients with ulcerative colitis believe that many foods are harmful or helpful to their disease activity. Commonly held beliefs do not modify the risk of relapse, but do adversely affect nutrient intake.
authors.affiliation: Northumbria Division, University of Newcastle Faculty of Medicine, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear NE29 8NH, UK.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Jowett
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Seal
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Phillips
authors.forename: Wendy
authors.initials: W
authors.lastname: Gregory
authors.forename: J Roger
authors.initials: JR
authors.lastname: Barton
authors.forename: Mark R
authors.initials: MR
authors.lastname: Welfare
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003093:Colitis, Ulcerative / Q000178:diet therapy* / Q000503:physiopathology; D003611:Dairy Products; D004032:Diet; D015930:Diet Records; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055502:Secondary Prevention; D011795:Surveys and Questionnaires