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ULTRA-PROCESSED FOOD CONSUMPTION IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE

Amanda Spiller 1, Beatriz Gabriela Costa 1, Ryan Nunes Yoshio Yoshihara 1, Enya Zucari Nogueira 2, Natália Salvador Castelhano 1, Giedre Soares Prates Herreira 1, Daniela Salate Biagioni Vulcano 1, Lígia Yukie Sassaki 1

Affiliations

1 São Paulo State University (Unesp), Botucatu, Brazil

2 São Paulo State University, Botucatu, Brazil

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Abstract

Introduction

Modern lifestyles have increased the demand for convenience and extended shelf life, contributing to the rising consumption of ultra-processed foods (UPFs). This trend has been linked to adverse health outcomes, including obesity and inflammatory bowel disease (IBD). IBD encompasses multifactorial digestive disorders characterized by disrupted intestinal homeostasis, resulting in immune dysregulation, impaired nutrient absorption, systemic inflammation, and a marked reduction in quality of life, often associated with chronic fatigue and decreased physical activity. These factors contribute to the activation of muscle protein catabolism and inhibition of skeletal muscle protein synthesis, increasing the risk of sarcopenia in IBD patients.

Aims & Methods

To evaluate ultra-processed food consumption and body composition in patients with IBD. A cross-sectional study was conducted with 105 patients diagnosed with Crohn’s disease or ulcerative colitis at the IBD outpatient clinic of Hospital das Clínicas, Botucatu Medical School (HC-FMB). Assessments included handgrip strength using a dynamometer, bioelectrical impedance analysis, anthropometric measurements, and dietary intake evaluation using a food frequency questionnaire (FFQ).

Results

The sample included 61 patients with ulcerative colitis and 44 with Crohn’s disease, with a mean age of 41.5 ± 15.1 years; 70% were female. Mean disease duration was 11.2 ± 7.6 years. The average BMI was 25.9 ± 5.2 kg/m², with 52.4% classified as overweight. Mean body fat percentage assessed by skinfold measurements was 28.5 ± 7.5%, with 85% exceeding the reference values. Additionally, 18.3% were classified as malnourished based on mid-arm muscle circumference. According to bioelectrical impedance, 86.4% had low muscle mass. Mean handgrip strength was 27.4 ± 8.7 kgf, with 7% presenting inadequate values. Dietary data showed that 22% reported weekly fast food consumption, 30.5% consumed sweets, and 13% drank artificial juices daily. Daily intake of fruits and vegetables was reported by 48% of participants, and 36% reported daily meat consumption.

Conclusion

Patients with IBD are at increased risk of sarcopenia due to inflammatory burden and dietary restrictions. This study identified reduced muscle mass and high intake of certain processed and ultra-processed foods. Regular consumption of UPFs may worsen disease outcomes and negatively affect body composition by increasing fat mass and decreasing muscle mass. Further analyses will explore associations between UPF intake and changes in body composition.

References

Narula N, Wong ECL, Dehghan M, et al. Association of ultra-processed food intake with risk of inflammatory bowel disease: prospective cohort study. BMJ. 2021;374:n1554.
Racine A, Carbonnel F, Chan SS, et al. Dietary Patterns and Risk of Inflammatory Bowel Disease in Europe: Results from the EPIC Study. Inflamm Bowel Dis 2016;22:345-54. 10.1097/MIB.0000000000000638
SUGIHARA, Kohei; KAMADA, Nobuhiko. Diet–microbiota interactions in inflammatory bowel disease. Nutrients, v. 13, n. 5, p. 1533, 2021.
WANG, Yun et al. Encyclopedia of fecal microbiota transplantation: a review of effectiveness in the treatment of 85 diseases. Chinese Medical Journal, v. 135, n. 16, p. 1927-1939, 2022.
Whelan K, Bancil AS, Lindsay JO, Chassaing B. Ultra-processed foods and food additives in gut health and disease. Nat Rev Gastroenterol Hepatol. 2024;21(6):406-27.
World Health Organization (WHO). Prevalence of obesity among adults, BMI (crude estimate). Disponível em: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-obesity-among-adults-bmi--30-(crude-estimate). Acesso em 28 dez. 2024.
Meyer A, Dong C, Casagrande C, Chan SSM, Huybrechts I, et al. Food Processing and Risk of Crohn's Disease and Ulcerative Colitis: A European Prospective Cohort Study. Clin Gastroenterol Hepatol. 2023 Jun;21(6):1607-1616.e6.

Conference

UEG Week Berlin 2025

Topics

Small Intestine & Nutrition

Submission format

Abstract

Session

NUTRITION (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Pediatric emergencies

Christos Tzivinikos 1

Affiliations

1 Al Jalila Children's Specialty Hospital, DUBAI, United Arab Emirates

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Abstract

Event

UEG Week Berlin 2025

Topics

Endoscopy Nurses Paediatrics Surgery

Session

Crash course: Foreign bodies

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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The diagnosis

Bruce E. Sands 1

Affiliations

1 Icahn School of Medicine at Mount Sinai, New York, United States of America

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Abstract

Event

UEG Week Berlin 2025

Topics

IBD Primary Care

Session

When IBD and IBS experts collaborate for optimal diagnosis and treatment of IBD with IBS-like symptoms

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Pediatric emergencies

Christos Tzivinikos

The diagnosis

Bruce E. Sands

Portal vein thrombosis: Aetiologies and differential management

Verena Keitel-Anselmino

Diagnostic workup of non-cardiac chest pain

Pierfrancesco Visaggi

The future of MASLD

Herbert Tilg

Metabolic dysfunction-associated fatty liver disease (MASLD)

Philip Newsome

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Portal vein thrombosis: Aetiologies and differential management

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Portal vein thrombosis: Aetiologies and differential management

Verena Keitel-Anselmino 1

Affiliations

1 University Hospital Magdeburg, Magdeburg, Germany

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Abstract

Event

UEG Week Berlin 2025

Topics

Hepatobiliary

Session

What's new in complications in chronic liver disease in 2025?

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Pediatric emergencies

Christos Tzivinikos

The diagnosis

Bruce E. Sands

Portal vein thrombosis: Aetiologies and differential management

Verena Keitel-Anselmino

Diagnostic workup of non-cardiac chest pain

Pierfrancesco Visaggi

The future of MASLD

Herbert Tilg

Metabolic dysfunction-associated fatty liver disease (MASLD)

Philip Newsome

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Diagnostic workup of non-cardiac chest pain

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Diagnostic workup of non-cardiac chest pain

Pierfrancesco Visaggi 1

Affiliations

1 Gastroenterology Unit, University of Pisa, Pisa, Italy

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Abstract

Event

UEG Postgraduate Teaching Programme Berlin 2025

Topics

Oesophagus

Session

Non-cardiac chest pain: The tale of a sore oesophagus

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Pediatric emergencies

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Diagnostic workup of non-cardiac chest pain

Pierfrancesco Visaggi

The future of MASLD

Herbert Tilg

Metabolic dysfunction-associated fatty liver disease (MASLD)

Philip Newsome

UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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The future of MASLD

Herbert Tilg 1

Affiliations

1 Innsbruck Medical University - Department of Medicine, Innsbruck Medical University; Innsbruck/AT, Innsbruck, Austria

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Abstract

Event

UEG Week Berlin 2025

Topics

Digestive Oncology Hepatobiliary Immunology Mechanisms & Personalised Medicine Small Intestine & Nutrition

Session

The art of making clinical research precise: What will be new in therapy in 2030?

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Portal vein thrombosis: Aetiologies and differential management

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Diagnostic workup of non-cardiac chest pain

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The future of MASLD

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Metabolic dysfunction-associated fatty liver disease (MASLD)

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UEG Presentation

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Metabolic dysfunction-associated fatty liver disease (MASLD)

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Metabolic dysfunction-associated fatty liver disease (MASLD)

Philip Newsome 1

Affiliations

1 University of Birmingham, Birmingham, United Kingdom

Summary

AI Generated

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Abstract

Event

UEG Week Berlin 2025

Topics

Hepatobiliary Nurses Small Intestine & Nutrition Pancreas

Session

Mistakes in …: Hepatobiliary and pancreas

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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Pediatric emergencies

Christos Tzivinikos

The diagnosis

Bruce E. Sands

Portal vein thrombosis: Aetiologies and differential management

Verena Keitel-Anselmino

Diagnostic workup of non-cardiac chest pain

Pierfrancesco Visaggi

The future of MASLD

Herbert Tilg

Metabolic dysfunction-associated fatty liver disease (MASLD)

Philip Newsome

UEG's educational platform for gastroenterology education bringing recordings, courses, guidelines, and more together in one place.

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