Skip to main content

Difference between IBD-AID and SCD / Specific Carbohydrate Diet


IBD-AID and SCD have similar roots, but at this point they are quite different. Since I've been Chef Mom under both diets, I can say that I find SCD to be much more restrictive, IBD-AID to be much broader in its list of recommended foods. Both diets limit your starches and sugars intake, and guide you to avoid processed foods, instead sending you back to pure food ingredients.

The definitions

SCD began as a hypothesis developed in the 1920’s by Dr. Sidney Haas, that if you starved the “bad bacteria” your symptoms would disappear. It was popularized by Elaine Gottschall through her book Breaking the Vicious Cycle (1994), together with lab research circa 1970-1990. The lab testing SCD received sounds like it was more like analysis of the chemistry inherent in the foodstuff itself, without much data on how it affected the whole patient.

Recently, Seattle Children’s Hospital has begun to work with SCD and pediatric IBD patients. 

IBD-AID is being developed today by the University of Massachusetts Medical School’s Center for Applied Nutrition. I say "being developed today" because, while basic food list info is up on their website, these findings are being released even while the research advances. Several times, over the period I’ve been observing IBD-AID, UMass has released updates which expand the approved food list, as their research reveals more.

IBD-AID appears, to my amateur eye, to have begun with a hypothesis similar to SCD—“starve the bad gut bacteria”—but IBD-AID adds another layer which I’d paraphrase as “build up the good gut bacteria.” IBD-AID takes into account contemporary science about the importance of gut biota and balancing the gut environment.

What foods are different

SCD labels foods as “legal” or “illegal.” illegal foods generally include all grains and their derivatives; all sugars and sweeteners except for honey; potatoes, sweet potatoes, and most starchy vegetables; starches, food additives, mucilaginous foods and gums. Illegal foods include all forms of soy; liquid dairy and soft cheeses; sea vegetables/seaweed. Gottschall put legumes/beans and organic fermented soy products on her caution list.

SCD has a severely restricted protocol for when a person is experiencing a flare. Some foods, like legumes, are recommended only after a person has been on SCD for a number of months.

IBD-AID’s recommendations go by phases: Phase I while in an active flare, Phase II for reintroduction, and Phase III in remission. Texture is important, for instance in Phase I little is raw and a lot is pureed.

Like SCD, IBD-AID discourages all grains and their derivatives; all sugars and sweeteners except for honey; potatoes and some starchy vegetables; food additives, many starches; liquid dairy and soft cheeses.

Where IBD-AID differs is that it's not just about limiting foods. IBD-AID strongly encourages people to eat prebiotic and probiotic foods.

IBD-AID allows starchy vegetables such as plantains and sweet potatoes if you "limit to occasional intake."

Also, UMass is currently researching pseudo-grains. IBD-AID allows gluten-free oats, buckwheat, flax, hemp, chia (all of which are “illegal” on SCD). IBD-AID allows sea vegetables (kombu, nori), organic non-GMO soy products (miso, tofu, soy sauce), baking powder, and additional specialty vegetables which SCD does not.

Another important difference is that SCD expects 100% adherence to the diet. IBD-AID remission phase expects about 80% adherence. 

You can click on the Venn Diagram in this post, to enlarge it.

(An extensive food list is coming soon)

Popular posts from this blog

About Happy Belly

I’m Chef Mom. I love to cook, and to explore international tastes. I’m a crazy researcher, I explore TONS of sources, and I like to share. On this blog you’ll find IBD-AID, Specific Carbohydrate Diet, Whole 30, and Paleo, vegetable-forward yumminess -- including recipes and practical, real-life suggestions for comfort through IBD (Irritable Bowel Disease). I’m not a medical professional, but through dietary changes, my family has found comfort and easing of medical symptoms, plus fresh new healthy menu choices. I’m the one who does most of the cooking in our family. I LOVE exploring cookbooks. I like digging through gourmet recipe sites (New York Times, Bon Appetit, Ottolenghi, etc), and sites of expats and international cuisine, to find overlaps with our diet.  My dishes follow the IBD-AID diet. IBD-AID is kind of like “contemporary medical research updates the Specific Carbohydrate Diet (SCD).” In comparison to popular diets, my dishes overlap Whole 30, Paleo, and gluten-free and...

Difference between IBD-AID and Paleo

IBD-AID is grounded in science, being defined by the University of Massachusetts Medical School. Paleo is not based on a body of scientific research, instead it’s more like citizen science and each individual’s observations. Many Paleo recipe authors seem to fall into one of the following categories: pursuing weight loss, pursuing extreme fitness (such as crossfit), or having IBS (Irritable bowel syndrome). It seems like each Paleo recipe author has their own definition of which foods are allowed and what are not. The foods Some Paleo authors permit potatoes, sweet potatoes, plantains. Some permit rice, arrowroot, tapioca, potato starch, or maple syrup. Some venture into Shirataki noodles (a.k.a. konjak noodles, or konnyaku noodles). None of these are on the allowable foods lists for SCD or IBD-AID. Depending on which Paleo author you are reading, the recipes might be meat-heavy. Many use only standard American diet (SAD) portions of vegetables. Since my family isn’t in this for weight...

Difference between IBD-AID and Gluten-Free

Gluten-free (GF) is now being defined by dietitians, and recommended by some M.D.s. I view IBD-AID like a subset within the GF world (and SCD as a subset within the IBD-AID definitions). The foods Gluten-free diets allow plenty of starches – potato starch, arrowroot, rice flour, tapioca flour – as well as conventional sugars. All of which encourage the overgrowth of the IBD-causing bacteria.  These starches and sugars are are illegal on SCD, and not allowable on IBD-AID. Gluten-free diets allow flours such as sorghum and cassava which are not yet cleared for use under IBD-AID. What’s useful In the past 20 years, major advances have been made in GF baking. In Santa Monica, California there is a bakery shop (Breadblok) which sells GF croissants and baguettes. GF cookbooks like pastry chef Aran Goyoaga’s Canelle et Vanille Bakes Simple will make your eyes bug out, they’re so enticing. While many of these advances rely on ingredients which are not legal on SCD, not allowable on IBD-AI...