Evidence map›Paper›PMID 34861829›Full record

Observational studyBMC gastroenterology2021

Dietary triggers of gut inflammation following exclusive enteral nutrition in children with Crohn's disease: a pilot study.

Konstantinos Gkikas, Michael Logan, Ben Nichols, Umer Z Ijaz, Clare M Clark, Vaios Svolos, Lisa Gervais, Hazel Duncan, Vikki Garrick, Lee Curtis and 11 more

2 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02341248 unknown statusnot on this map

Gut Microbial Taxonomy and Metabolism in Paediatric Crohn's Disease During Exclusive and Supplementary Enteral Nutrition Using -Omics Technologies

TypeobservationalSponsorNHS Greater Glasgow and ClydeRan2014 to 2018Enrolled200ConditionsCrohn DiseaseArmsExclusive Enteral Nutrition (EEN)
NCT07334340 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Modified vs Standard Crohn´s Disease Exclusion Diet: Evaluation of a Nordic Adaptation of Nutritional Therapy in Paediatric Crohn's Diseas

TypeinterventionalSponsorVastra Gotaland RegionRan2026 to 2030Enrolled30ConditionsPediatric Crohns DiseaseArmsNordic Crohn´s Disease Exclusion Diet
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Treatment Strategies in Inflammatory Bowel Diseases.Deutsches Arzteblatt international · 2023
    Review
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 1 country.

Konstantinos GkikasHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Michael LoganHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Ben NicholsHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Umer Z IjazCivil Engineering, School of Engineering, University of Glasgow, Glasgow, UK.
Clare M ClarkHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Vaios SvolosHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Lisa GervaisDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Hazel DuncanDepartment of Paediatrics, Crosshouse Hospital, Kilmarnock, UK.
Vikki GarrickDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Lee CurtisDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Elaine BuchananDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Tracey CardiganDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Lawrence ArmstrongDepartment of Paediatrics, Crosshouse Hospital, Kilmarnock, UK.
Caroline DelahuntyDepartment of Paediatrics, Wishaw General Hospital, Wishaw, UK.
Diana M FlynnDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Andrew R BarclayDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Rachel TaylerDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Simon MillingInstitute for Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK.
Richard HansenDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children, Glasgow, UK.
Richard K RussellRoyal Hospital for Children and Young People, Edinburgh, UK.
Konstantinos GerasimidisHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. konstantinos.gerasimidis@glasgow.ac.uk.
Royal Hospital for Children · GBUniversity of Glasgow · GBUniversity Hospital Crosshouse · GBWishaw General Hospital · GB

Funding

Biotechnology and Biological Sciences Research Council BB/R006539/NERC Environmental Bioinformatics Centre NE/L011956/1
6 · The paper itself

Abstract

backgroundThe anti-inflammatory effect of exclusive enteral nutrition on the gut of children with Crohn's disease is rapidly lost after food reintroduction. This study assessed disease dietary triggers following successful treatment with exclusive enteral nutrition.

methodsNutrient intake, dietary patterns and dietary biomarkers in faeces (gluten immunogenic peptides, undigestible starch, short chain fatty acids) were assessed in 14 children with Crohn's disease during early food reintroduction, following exclusive enteral nutrition. Groups above (Group A) and below (Group B) the median levels of faecal calprotectin after food reintroduction were assigned for comparative analysis.

resultsIntakes of fibre, gluten-containing cereals and red and processed meat were significantly higher in Group A than Group B; (median [Q1, Q3], g/day; Fibre: 12.1 [11.2, 19.9] vs. 9.9 [7.6, 12.1], p = 0.03; Red and processed meat: 151 [66.7, 190] vs. 63.3 [21.7, 67], p = 0.02; gluten-containing cereals: 289 [207, 402] vs. 203 [61, 232], p = 0.035). A diet consisting of cereals and meat products was predictive (92% accuracy) of higher faecal calprotectin levels after food reintroduction. In faeces, butyrate levels, expressed as absolute concentration and relative abundance, were higher in Group A than Group B by 28.4 µmol/g (p = 0.015) and 6.4% (p = 0.008), respectively. Levels of gluten immunogenic peptide and starch in faeces did not differ between the two groups.

conclusionsThis pilot study identified potential dietary triggers of gut inflammation in children with Crohn's disease after food reintroduction following treatment with exclusive enteral nutrition.

trial registrationClinical trials.gov registration number: NCT02341248; Clinical trials.gov URL: https://clinicaltrials.gov/ct2/show/NCT02341248 (retrospectively registered).

Indexed as

Crohn DiseaseEnteral NutritionChildDietHumansInflammationPilot ProjectsRemission InductionCrohn’s diseaseDietary triggersFaecal calprotectinFibreFood reintroductionGlutenMeatShort chain fatty acids

Identifiers

PMID34861829
PMCPMC8642954
OpenAlexW3184432001

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.