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Adapting the Crohn’s disease exclusion diet to a Nordic framework : a theoretical approach to cultural and nutritional customization

Vivanco Karlsson, N. ; Sigall-Boneh, R. ; Mårild, K. and Hård Af Segerstad, E. M. LU orcid (2025) In Frontiers in Nutrition 12. p.01-09
Abstract

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... (More)

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.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Crohn’s disease exclusion diet, enteral nutrition, Nordic diet, nutritional treatment, pediatric Crohn’s disease
in
Frontiers in Nutrition
volume
12
article number
1590847
pages
01 - 09
publisher
Frontiers Media S. A.
external identifiers
  • pmid:40612302
  • scopus:105009935940
ISSN
2296-861X
DOI
10.3389/fnut.2025.1590847
language
English
LU publication?
yes
additional info
Publisher Copyright: Copyright © 2025 Vivanco Karlsson, Sigall-Boneh, Mårild and Hård Af Segerstad.
id
01899874-8a80-440f-855b-45af6d0e8725
date added to LUP
2025-08-18 23:07:03
date last changed
2025-08-20 03:16:02
@article{01899874-8a80-440f-855b-45af6d0e8725,
  abstract     = {{<p>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.</p>}},
  author       = {{Vivanco Karlsson, N. and Sigall-Boneh, R. and Mårild, K. and Hård Af Segerstad, E. M.}},
  issn         = {{2296-861X}},
  keywords     = {{Crohn’s disease exclusion diet; enteral nutrition; Nordic diet; nutritional treatment; pediatric Crohn’s disease}},
  language     = {{eng}},
  pages        = {{01--09}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Nutrition}},
  title        = {{Adapting the Crohn’s disease exclusion diet to a Nordic framework : a theoretical approach to cultural and nutritional customization}},
  url          = {{http://dx.doi.org/10.3389/fnut.2025.1590847}},
  doi          = {{10.3389/fnut.2025.1590847}},
  volume       = {{12}},
  year         = {{2025}},
}