Influence of physician and clinical dietitian on the use of dietary supplements among Polish patients with ulcerative colitis – pilot study


  • Dorian NOWACKI
  • Robert GAJDA
  • Andrezj STAWARSKI
  • Katarzyna NEUBAUER


Palabras clave:

dietary supplements, ulcerative colitis, physician, clinical dietetitian


Introduction: Patients with ulcerative colitis are a group of patients who are particularly vulnerable to nutritional deficiencies. Supplementation, prescribed by a physician or clinical dietitian, is therefore important in these patients. Materials and methods: The study was carried out by means of a questionnaire on a group of 106 people diagnosed with colitis and in remission. Results: More than 92% recommended the use of dietary supplements. Vitamin supplements were most common among people with ulcerative colitis (82.7%). The physician as a source of knowledge positively influenced the use of vitamin and mineral supplements (r=0.23, p=0.0213) while dietitians as a source of knowledge showed no significant effect on patients' supplementation choices. Conclusion:  In Poland, the physician is the main source of supplementation knowledge than the clinical dietitian. This may be due to the unregulated nature of the dietitian profession in the Polish health care system. . It is therefore necessary to integrate dietitians in Poland into the medical profession, which will allow for better results in the treatment of not only IBD patients.


Zhao M, Gönczi L, Lakatos PL, Burisch J. The Burden of Inflammatory Bowel Disease in Europe in 2020. J Crohns Colitis. 2021 Sep 25;15(9):1573-1587. doi: 10.1093/ecco-jcc/jjab029. PMID: 33582812.

Stanisławska J, Zubrzycka R, Talarska D. The quality of life in patients with ulcerative colitis with regard to demographic and clinical factors. Nursing Topics 2015; 23 (3): 373–379. DOI:

Jonefjäll B, Strid H, Ohman L, Svedlund J, Bergstedt A, Simren M. Characterization of IBS-like symptoms in patients with ulcerative colitis in clinical remission. Neurogastroenterol Motil. 2013 Sep;25(9):756-e578. doi: 10.1111/nmo.12163. Epub 2013 Jun 4. PMID: 23731196.

Pan Y, Liu Y, Guo H, Jabir MS, Liu X, Cui W, Li D. Associations between Folate and Vitamin B12 Levels and Inflammatory Bowel Disease: A Meta-Analysis. Nutrients. 2017 Apr 13;9(4):382. doi: 10.3390/nu9040382. PMID: 28406440; PMCID: PMC5409721.

Torres J, Ellul P, Langhorst J, Mikocka-Walus A, Barreiro-de Acosta M, Basnayake C, Ding NJS, Gilardi D, Katsanos K, Moser G, Opheim R, Palmela C, Pellino G, Van der Marel S, Vavricka SR. European Crohn's and Colitis Organisation Topical Review on Complementary Medicine and Psychotherapy in Inflammatory Bowel Disease. J Crohns Colitis. 2019 May 27;13(6):673-685e. doi: 10.1093/ecco-jcc/jjz051. Erratum in: J Crohns Colitis. 2022 Aug 16;: PMID: 30820529.

Bischoff SC, Escher J, Hébuterne X, Kłęk S, Krznaric Z, Schneider S, Shamir R, Stardelova K, Wierdsma N, Wiskin AE, Forbes A. ESPEN practical guideline: Clinical Nutrition in inflammatory bowel disease. Clin Nutr. 2020 Mar;39(3):632-653. doi: 10.1016/j.clnu.2019.11.002. Epub 2020 Jan 13. PMID: 32029281.

Wawrzyniak A, Przybyłowicz K, Wądołowska L, Charzewska J, Górecka D, Lange E et all. Statement of the committee of human nutrition science of the polish academy of sciences on the use of dietary supplements containing vitamins and minerals by adults. Rocz Panstw Zakl Hig 2021;72(3).

E Wawryk-Gawda, B Budzyńska, M Lis-Sochocka, P Chylińska-Wrzos, M Zarobkiewicz, B Jodłowska-Jędrych: Dietary supplements – consumer assessment based on questionnaire survey. Epidemiological Review 2018;72(1): 93-103.

Bailey RL, Gahche JJ, Miller PE, Thomas PR, Dwyer JT. Why US adults use dietary supplements. JAMA Intern Med. 2013 Mar 11;173(5):355-61. doi: 10.1001/jamainternmed.2013.2299. PMID: 23381623.

Parra RS, Feitosa MR, Ferreira SDC, Rocha JJRD, Troncon LEA, FÉres O. Anemia and iron deficiency in inflammatory bowel disease patients in a referral center in Brazil: prevalence and risk factors. Arq Gastroenterol. 2020 Jul-Sep;57(3):272-277. doi: 10.1590/S0004-2803.202000000-51. PMID: 33027478.

Gomollón, F.; Gargallo, C.J.; Muñoz, J.F.; Vicente, R.; Lue, A.; Mir, A.; García-Alvarado, M.; Gracia, M.; García-López, S. Oral Cyanocobalamin is Effective in the Treatment of Vitamin B12 Deficiency in Crohn’s Disease. Nutrients 2017, 9, 308.

Park YE, Park SJ, Park JJ, Cheon JH, Kim T, Kim WH. Incidence and risk factors of micronutrient deficiency in patients with IBD and intestinal Behçet's disease: folate, vitamin B12, 25-OH-vitamin D, and ferritin. BMC Gastroenterol. 2021 Jan 21;21(1):32. doi: 10.1186/s12876-021-01609-8. PMID: 33478396; PMCID: PMC7819164.

Aguilar-Navarro M, Baltazar-Martins G, Brito de Souza D, Muñoz-Guerra J, Del Mar Plata M, Del Coso J. Gender Differences in Prevalence and Patterns of Dietary Supplement Use in Elite Athletes. Res Q Exerc Sport. 2021 Dec;92(4):659-668. doi: 10.1080/02701367.2020.1764469. Epub 2020 Aug 18. PMID: 32809924.

Elsahoryi NA, Odeh MM, Jadayil SA, McGrattan AM, Hammad FJ, Al-Maseimi OD, Alzoubi KH. Prevalence of dietary supplement use and knowledge, attitudes, practice (KAP) and associated factors in student population: A cross-sectional study. Heliyon. 2023 Mar 22;9(4):e14736. doi: 10.1016/j.heliyon.2023.e14736. PMID: 37025895; PMCID: PMC10070518.

Wahab MSA, Zaini MH, Ali AA, Sahudin S, Mehat MZ, Hamid HA, Mustaffa MF, Othman N, Maniam S. The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia. BMC Complement Med Ther. 2021 Apr 1;21(1):110. doi: 10.1186/s12906-021-03287-1. PMID: 33794868; PMCID: PMC8017757.

Alsaleem SA, Asiri MM, Alsaleem MA, AlShahrani AN, Alamer KA, Mahfouz AA. Dietary Supplement Use among Primary Health Care Attendants in Abha City, Southwestern Saudi Arabia. Nutrients. 2021 Aug 26;13(9):2968. doi: 10.3390/nu13092968. PMID: 34578852; PMCID: PMC8469530.

Schink M, Mirsch HSM, Dieterich W, Schwappacher R, Atreya R, et al. Dietary Habits and Nutrient Intake in Patients with Inflammatory Bowel Disease. J Nutr Food Sci . 2017. 7: 642. doi: 10.4172/2155-9600.1000642.

Limdi JK, Aggarwal D, McLaughlin JT. Dietary Practices and Beliefs in Patients with Inflammatory Bowel Disease. Inflamm Bowel Dis. 2016 Jan;22(1):164-70. doi: 10.1097/MIB.0000000000000585. PMID: 26383912.

Kobayashi, E.; Sato, Y.; Umegaki, K.; Chiba, T. The Prevalence of Dietary Supplement Use among College Students: A Nationwide Survey in Japan. Nutrients 2017, 9, 1250.

de Vries JHM, Dijkhuizen M, Tap P, Witteman BJM. Patient's Dietary Beliefs and Behaviours in Inflammatory Bowel Disease. Dig Dis. 2019;37(2):131-139. doi: 10.1159/000494022. Epub 2018 Nov 2. PMID: 30391940; PMCID: PMC6381876.

Perlitz, H.; Mensink, G.B.M.; Lage Barbosa, C.; Richter, A.; Brettschneider, A.-K.; Lehmann, F.; Patelakis, E.; Frank, M.; Heide, K.; Haftenberger, M. Use of vitamin and mineral supplements among adolescents living in Germany—Results from EsKiMo II. Nutrients 2019, 11, 1208.

Synowiec-Wojtarowicz A, Kimsa-Dudek M, Derewniuk M, Pawłowska-Goral K. Nursing and Public Health 2016, vol. 6, nr 3, July-September, p. 215–219. doi: 10.17219/pzp/64030.

Mestaghanmi, H. , Labriji, A. , Kehailou, F. , Sabri, A. , Barka, C. , Bouzoubaa, H. , M’Touguy, I. , Jabari, M. and El Amrani, S. (2021) Study of the Association between the Consumption of Dietary Supplements and Lifestyle Factors in a Population of Moroccan Academics during the COVID 19 Health Crisis. Open Access Library Journal, 8, 1-30. doi: 10.4236/oalib.1107585.

Radwan H, Hasan HA, Ghanem L, Alnajjar G, Shabir A, Alshamsi A, Alketbi F. Prevalence of Dietary Supplement Use and Associated Factors Among College Students in the United Arab Emirates. J Community Health. 2019 Dec;44(6):1135-1140. doi: 10.1007/s10900-019-00700-2. PMID: 31273622.

Walton M, Alaunyte I. Do patients living with ulcerative colitis adhere to healthy eating guidelines? A cross-sectional study. Br J Nutr. 2014 Nov 28;112(10):1628-35. doi: 10.1017/S0007114514002074. Epub 2014 Sep 23. PMID: 25247445.

Koning M, Ailabouni R, Gearry RB, Frampton CM, Barclay ML. Use and predictors of oral complementary and alternative medicine by patients with inflammatory bowel disease: a population-based, case-control study. Inflamm Bowel Dis. 2013 Mar-Apr;19(4):767-78. doi: 10.1097/MIB.0b013e31827f27c8. PMID: 23429459.

Sinclair, J., Dillon, S. & Bottoms, L. Perceptions, beliefs and behaviors of nutritional and supplementary practices in inflammatory bowel disease. Sport Sci Health. 2022 18, 1301–1310

Vakadaris, G.; Stefanis, C.; Giorgi, E.; Brouvalis, M.; Voidarou, C.; Kourkoutas, Y.; Tsigalou, C.; Bezirtzoglou, E. The Role of Probiotics in Inducing and Maintaining Remission in Crohn’s Disease and Ulcerative Colitis: A Systematic Review of the Literature. Biomedicines 2023, 11, 494.

Akutko, K.; Stawarski, A. Probiotics, Prebiotics and Synbiotics in Inflammatory Bowel Diseases. J. Clin. Med. 2021, 10, 2466.




Cómo citar

MACKOW, M., NOWACKI, D., GAJDA, R., STAWARSKI, A., & NEUBAUER, K. (2024). Influence of physician and clinical dietitian on the use of dietary supplements among Polish patients with ulcerative colitis – pilot study. Nutrición Clínica Y Dietética Hospitalaria, 44(2).