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Inflammatory Bowel Diseases

  • IBD includes Crohn’s disease and ulcerative colitis
  • Chronic intestinal inflammation with flare-ups and remissions
  • Lifestyle plays a growing role alongside medication
  • Nutrition, exercise, sleep, stress, and metabolic stabilization are the pillars
  • Gradual, guided approach offers best chance for stability

Inflammatory bowel diseases (IBD) include Crohn’s disease and ulcerative colitis.

They are chronic inflammations of the intestinal wall accompanied by periods of flare-up and remission.

The inflammation arises from an interaction between:

  • Genetic predisposition
  • The immune system
  • The gut flora
  • Lifestyle and environmental factors

FactorEffect
Western dietary patternUltra-processed, refined, seed oils, additives
SmokingEnhances inflammatory activity
Sleep deprivationDisrupts gut barrier
StressWorsens symptoms
Physical inactivityReduces recovery
Insulin resistanceIncreases metabolic stress
OverweightWorsens disease course

Lifestyle treatment in inflammatory bowel diseases focuses on:

  1. Restoring gut barrier
  2. Restoring gut flora
  3. Metabolic regulation

Medication sometimes remains necessary, but an appropriate lifestyle forms an important pillar in maintaining remission.


Nutrition forms the central pillar. Patients can step by step choose which dietary path fits their capacity and symptom pattern.

StrategyDescription
Fresh, natural foodFirst step: no sugars or industrial fats
Mediterranean dietMild and sustainable
Specific Carbohydrate Diet (SCD)Limits fermentation and additives
Autoimmune Protocol (AIP)Elimination to identify triggers
IBD-AIDSpecifically developed for IBD
Ketogenic/keto-carnivoreFor persistent symptoms, under supervision

Regular moderate exercise supports gut function:

TypeEffect
Walking, cycling, swimmingSupports gut function
Light strength trainingReduces inflammatory activity
Psychological effectPromotes recovery

Good sleep restores immune balance and microbiota.

MeasureEffect
Fixed sleep rhythmRegulates biological clock
Limited screen lightIn the evening
Cool, dark bedroomOptimal conditions

Stress influences gut function directly via the brain-gut axis.

InterventionEffect
Daily relaxationDampens stress response
Breathing exercisesCalms nervous system
MeditationMental rest
Walking in natureCombines exercise and relaxation

A stable blood sugar level reduces systemic inflammatory activity.

AdviceEffect
Limit fast sugarsFewer insulin spikes
Less frequent eating momentsGut can rest
Avoid processed carbohydratesLess fermentation
Sufficient proteins and fatsSatiety and energy balance

Veelgestelde vragen

What are inflammatory bowel diseases?

IBD includes Crohn's disease and ulcerative colitis. They are chronic inflammations of the intestinal wall with periods of flare-up and remission, caused by an interaction between genetic predisposition, immune system, gut flora, and lifestyle.

Which diet helps with IBD?

Start with fresh, natural food without sugars or industrial fats. Options are: Mediterranean diet (mild), Specific Carbohydrate Diet (SCD), Autoimmune Protocol (AIP) or with persistent symptoms ketogenic/carnivore under supervision.

How does lifestyle affect IBD?

A Western diet, smoking, sleep deprivation, stress, and inactivity enhance inflammatory activity. Lifestyle treatment focuses on restoring gut barrier, gut flora, and metabolic regulation to maintain remission.

Can lifestyle replace medication?

Medication sometimes remains necessary, but an appropriate lifestyle forms an important pillar in maintaining remission. The combination of nutrition, exercise, sleep, stress management, and metabolic stabilization offers the best chance for long-term stability.


Medische Disclaimer: De informatie van Stichting Je Leefstijl Als Medicijn over leefstijl, ziektes en stoornissen mag niet worden opgevat als medisch advies. In geen geval adviseren wij mensen om hun bestaande behandeling te veranderen. We raden mensen met chronische aandoeningen aan om zich over hun behandeling goed door bevoegde medische professionals te laten adviseren.

Medical Disclaimer: The information provided by Stichting Je Leefstijl Als Medicijn regarding lifestyle, diseases, and disorders should not be construed as medical advice. Under no circumstances do we advise people to alter their existing treatment. We recommend that people with chronic conditions seek advice regarding their treatment from qualified medical professionals.