CONCEPTUAL ANALYSIS article
Front. Nutr.
Sec. Clinical Nutrition
Volume 12 - 2025 | doi: 10.3389/fnut.2025.1590847
Article type: Conceptual Analysis Adapting the Crohn's Disease Exclusion Diet to a Nordic Framework: A Theoretical Approach to Cultural and Nutritional Customization
Provisionally accepted
- 1Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden
- 2Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
- 3Pediatric Gastroenterology and Nutrition Unit, The E. Wolfson Medical Center, Holon, Tel Aviv District, Israel
- 4Tytgat Institute for Liver and Intestinal Research, Amsterdam Gastroenterology Endocrinology and Metabolism, University of Amsterdam, Amsterdam, Netherlands
- 5Pediatric Research Institute, Oslo University Hospital, Oslo, Norway
- 6Clinical Sciences, Lund University,, Malmoe, Sweden
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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.
Keywords: Pediatric Crohn´s Disease, Nutritional treatment, Crohn's disease exclusion diet, Enteral Nutrition, and Nordic diet Not applicable
Received: 10 Mar 2025; Accepted: 02 Jun 2025.
Copyright: © 2025 Vivanco-Karlsson, Sigall- Boneh, Mårild and Malmberg Hård Af Segerstad. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Nalleli Vivanco-Karlsson, Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden
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