• Sun. Oct 24th, 2021

6 out of 10 young people with Crohns want to eat ‘like everyone else’

Byeditorial

May 15, 2021

For a young person with Crohn’s disease, food becomes a source of stress in the family (6 cases out of 10), causes unpleasant situations with friends (about 1 out of 2), complicates school (8 out of 10). Thus this chronic bowel disease – which in Italy alone affects about 150,000,000 people, of which 25% diagnosed before the age of 20 – feeds the nutritional discomfort of patients, who suffer for a lifetime especially in children and adolescents. limited social status (71%) and feel marginalized by their peers (41%). This is the picture that emerges from the survey of the EngageMinds Hub center of the Catholic University of the Sacred Heart, of the social campaign “Crohnviviamo – Stories of young people that Crohn’s disease cannot stop”, promoted by Nestlé Health Science – with the support of Modulen, food for special medical purposes for those with Crohn’s disease – in collaboration with the ‘Amici Onlus’ association. The study, presented on the occasion of the World Day of Chronic Inflammatory Bowel Diseases (Mici) on 19 May, highlights the strong impact of nutrition on the quality of life (67%) and on the daily life (59%) of patients. “Food choices, especially in Italian culture, are an integral part of people’s quality of life and sociability and therefore strongly intertwined with psychology. Much of people’s identity is also expressed through the food they select and prepare: for those with Crohn’s disease being forced to give up or limit their diet is a source of great emotional frustration and risks compromising people’s sense of social inclusion and self-efficacy “, comments Guendalina Graffigna, director of the EngageMinds Hub center that has carried out the survey. Spicy (76%), alcoholic (65%), fried (64%) and fast food (64%) foods lead the way in the list of foods considered most problematic for those with cats. ), in line with doctors’ recommendations. This lack of pleasure in food, due to restrictions, is also linked to the concern triggered by the intake of food considered dangerous, which can suddenly ‘run away’ to the toilet: 50% of people with Mici, in fact, confirmed that during the week prior to the interview had this kind of concern. As a result, people with Crohn’s disease miss being able to eat and drink like ‘anyone else’. 46% feel the protagonist of ‘unpleasant situations’ when sharing meals with their peers and more than half of the participants believe that managing family meals is a cause of stress. ‘relational aspect, strongly correlated to the nutritional one: in fact, in addition to the most problematic foods, biscuits, chocolate and confectionery products are listed among the foods on which it will’ get wrong ‘more easily: all common products on the table of adolescents and favorite snacks for school or with friends. Here, therefore, that nutritional discomfort is added to the factor of shame and marginalization, which 41% of respondents say they perceive due to the disease, a feeling also confirmed by 36% of parents “.” The numbers show an impact psychological and social strong of the disease, which is increasing after the onset and diagnosis, which is around 17 years old: the same age as Diego Costi, a young man with Crohn’s disease actively involved in the “CrohnViviamo” campaign and Standard Bearer of the Italian Republic for his commitment in the field of nutrition, alongside those who, like him, have the disease. “Usually we talk a lot about the nutritional properties of various foods and their effect on a physical level, but often – underlines Salvatore Leone, General Director of Amici Onlus – it is overlooked that what we eat also contributes to nourishing the psychic sphere. Mind and food are closely interconnected and influence each other. The type of diet, in fact, you have It affects not only our physical health, but also our mental health, our mood, the quality of our thoughts, and even our behaviors. Nutritional treatment is therefore fundamental in these patients, because – he explains – a correct diet serves to improve the quality of life and is part of the theme of the World Cat Day 2021, which is celebrated on May 19: ‘the well-being of the person affected by IBD and the psychological impact of these diseases’ “. For a chronic inflammatory disease affecting the intestine, nutrition is a crucial factor: about 70% of patients (and 77% of parents with children with IBD) he stated, in fact, to pay attention to nutrition and to follow a specific diet agreed with the gastroenterologist, who in 1 case 4 also recommends consulting a dietician or nutritionist. Furthermore, 6 out of 10 people declare that attention to appearance nutritional increase compared to the onset of the disease, an aspect also confirmed by 4 out of 10 parents. “In considering the therapeutic aspects for the patient with Crohn’s disease, it is not possible to ò not to consider nutrition, which is essential to keep the inflammatory pathology under control and avoid flare-ups of the same ”, comments Antonella Diamanti, head of Uos Nutritional Rehabilitation at the Bambino Gesù pediatric hospital in Rome. “Given the importance of nutrition, it is necessary to establish continuous and effective communication between the gastroenterologist, nutritionist and patient to ensure that people with IBD access to timely and correct information, especially for patients at a young age”. The main source of information regarding IBD is the gastroenterologist, but only 28% of patients contacted him frequently, suggesting the research and the appeal to other sources of information. sick people (65%) and parents (76%): 1 participant in 4 frequently searches for information about nutrition on the web and 38% does research online from time to time. The survey reveals, then, that, despite the consultation of medical specialists, the diets that are carried out are the sum of the patient’s experience and a long process of trial and error. The beginning of the survey concerns Foods for Special Medical Purposes (AFMS): the majority of participants (77%) declared that they had not received any recommendation or prescription for the use of AFMS and 71% of doctors said that they only prescribe them to some patients , especially in the acute stages of the disease. In spite of this, those of the people with Mici who have used AFMS feel very satisfied, with an intake also in the maintenance phase, from which we can deduce the importance of adding these products to the dietary regime. “We have always tried to propose innovative nutritional solutions that have a therapeutic effect and allow to improve adherence to dietary therapy and bring benefits in the quality of life of patients “, declares Marco Alghisi, Beo Nestlé Italy and Malta.” With a wide portfolio of products active in the field of medical nutrition, we care about developing Afms, such as Modulen for Crohn’s disease, based on scientific evidence, to enable consumers, patients and caregivers to live healthier lives. ” of the challenges and difficulties deriving from cats in adolescence that affect the social, family and school environment, the “Crohnviviamo” campaign will continue with u n ‘qualitative-narrative survey in order to give voice to the stories and direct experiences of patients, to grasp the emotional impact of food sacrifices on everyday life and social relationships and to be at their side in trying to improve their quality of life.

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