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A role for diet emerged gradually, much as it did for other diseases. These studies suggest that an environmental factor, such as diet, plays an important role. Similarly, it is rare in Africa, but more common in AfricanAmericans. Like heart disease and diabetes, inflammatory bowel disease is rare in rural Asia, but more common in parts of Asia that have westernized their diets. Diets of people with Crohn's disease tend to be low in fiber and high in sugar. In addition, the rise in Crohn's disease over the last thirty years has paralleled the increase in other diet-related conditions, such as obesity and some forms of cancer, over the same period. Inflammatory bowel disease is most common in North America and Northern Europe, where high-fat, meaty diets are routine.