Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization
Emerging evidence from diverse populations highlights the therapeutic benefits of the Crohn’s Disease Exclusion Diet (CDED) in managing Crohn’s Disease. To improve the efficacy of the CDED, there is a need to focus on cultural adaptation and individualization to support dietary adherence to this adv...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2025.1590847/full |
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| author | N. Vivanco Karlsson N. Vivanco Karlsson R. Sigall-Boneh R. Sigall-Boneh K. Mårild E. M. Hård Af Segerstad E. M. Hård Af Segerstad |
| author_facet | N. Vivanco Karlsson N. Vivanco Karlsson R. Sigall-Boneh R. Sigall-Boneh K. Mårild E. M. Hård Af Segerstad E. M. Hård Af Segerstad |
| author_sort | N. Vivanco Karlsson |
| collection | DOAJ |
| description | Emerging evidence from diverse populations highlights the therapeutic benefits of the Crohn’s Disease Exclusion Diet (CDED) in managing Crohn’s Disease. To improve the efficacy of the CDED, there is a need to focus on cultural adaptation and individualization to support dietary adherence to this advanced nutritional therapy. This paper provides a theoretical framework for modifying the CDED to align with a Nordic diet (Nordic-CDED), while retaining the core principles and nutritional characteristics of the original protocol. Through a comprehensive literature review and expert consensus, we propose a Nordic-CDED that incorporates European regulations on food additives, the 2023 Nordic Nutritional Recommendations, and Nordic food culture. We present a theoretical foundation for an inclusion of whole foods and discuss the selection of enteral formulas. The adaptation also emphasizes the importance of dietitian-led guidance to tailor the Nordic-CDED to the patient’s age, lifestyle, and personal preferences. Further research is required to assess the clinical effectiveness and adherence to the Nordic-CDED. |
| format | Article |
| id | doaj-art-4ea08978f52e4347bf9244d6af4a32a8 |
| institution | OA Journals |
| issn | 2296-861X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj-art-4ea08978f52e4347bf9244d6af4a32a82025-08-20T02:36:00ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-06-011210.3389/fnut.2025.15908471590847Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customizationN. Vivanco Karlsson0N. Vivanco Karlsson1R. Sigall-Boneh2R. Sigall-Boneh3K. Mårild4E. M. Hård Af Segerstad5E. M. Hård Af Segerstad6Department of Pediatrics, Skaraborg Hospital, Skövde, SwedenDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, SwedenPediatric Gastroenterology and Nutrition Unit, The E. Wolfson Medical Center, Holon, IsraelTytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism, University of Amsterdam, Amsterdam, NetherlandsDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, SwedenPediatric Research Institute, Oslo University Hospital, Oslo, NorwayClinical Sciences, Lund University, Malmoe, SwedenEmerging evidence from diverse populations highlights the therapeutic benefits of the Crohn’s Disease Exclusion Diet (CDED) in managing Crohn’s Disease. To improve the efficacy of the CDED, there is a need to focus on cultural adaptation and individualization to support dietary adherence to this advanced nutritional therapy. This paper provides a theoretical framework for modifying the CDED to align with a Nordic diet (Nordic-CDED), while retaining the core principles and nutritional characteristics of the original protocol. Through a comprehensive literature review and expert consensus, we propose a Nordic-CDED that incorporates European regulations on food additives, the 2023 Nordic Nutritional Recommendations, and Nordic food culture. We present a theoretical foundation for an inclusion of whole foods and discuss the selection of enteral formulas. The adaptation also emphasizes the importance of dietitian-led guidance to tailor the Nordic-CDED to the patient’s age, lifestyle, and personal preferences. Further research is required to assess the clinical effectiveness and adherence to the Nordic-CDED.https://www.frontiersin.org/articles/10.3389/fnut.2025.1590847/fullpediatric Crohn’s diseasenutritional treatmentCrohn’s disease exclusion dietenteral nutritionNordic diet |
| spellingShingle | N. Vivanco Karlsson N. Vivanco Karlsson R. Sigall-Boneh R. Sigall-Boneh K. Mårild E. M. Hård Af Segerstad E. M. Hård Af Segerstad Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization Frontiers in Nutrition pediatric Crohn’s disease nutritional treatment Crohn’s disease exclusion diet enteral nutrition Nordic diet |
| title | Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization |
| title_full | Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization |
| title_fullStr | Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization |
| title_full_unstemmed | Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization |
| title_short | Adapting the Crohn’s disease exclusion diet to a Nordic framework: a theoretical approach to cultural and nutritional customization |
| title_sort | adapting the crohn s disease exclusion diet to a nordic framework a theoretical approach to cultural and nutritional customization |
| topic | pediatric Crohn’s disease nutritional treatment Crohn’s disease exclusion diet enteral nutrition Nordic diet |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2025.1590847/full |
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