预炎性饮食摄入与慢性非特异性腰部疼痛的疼痛敏感性有关:一个案例对照研究
Ömer Elma1, Sevilay Tümkaya Yılmaz1, Jo Nijs2
1Pain in Motion International Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Movement and Nutrition for Health and Performance (MOVE) Research Group, Department of Movement and Sport Sciences, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.
The journal of pain
|September 2, 2023
概括
与健康人相比,慢性腰痛患者的饮食质量较差,炎症摄入量较高. 营养因素,特别是抗炎营养素,与nCLBP的疼痛敏感性有关.
科学领域:
- 营养科学 营养科学
- 疼痛管理 疼痛管理
- 慢性疾病研究 慢性疾病研究
背景情况:
- 非特异性慢性腰部疼痛 (nCLBP) 很普遍,与营养状况有潜在的联系.
- 饮食因素和nCLBP之间的确切关系,包括疼痛敏感性,仍然不清楚.
研究的目的:
- 为了比较nCLBP患者和健康对照 (HCs) 之间的饮食质量和营养摄入量.
- 在nCLBP患者中调查营养因素与疼痛敏感性之间的关联.
主要方法:
- 一项涉及106名参与者的病例控制研究 (53名nCLBP,53名HC).
- 通过3天的食物日记评估饮食摄入量,生成健康饮食指数-2015和饮食炎症指数得分.
- 通过定量感官测试和自我报告问卷评估疼痛敏感度.
主要成果:
- 与HC患者相比,nCLBP患者的饮食质量较差,炎症评分较高.
- 在nCLBP组中观察到蛋白质,脂肪,纤维,欧米茄-3脂肪酸和几个维生素/矿物质的摄入量减少.
- 疼痛敏感性与抗炎营养素 (维生素E,D,A,B6,B12,) 有负相关性,与促炎饮食摄入量有正相关性.
结论:
- nCLBP与更低的饮食质量和更有利于炎症的饮食模式有关.
- 饮食因素,特别是具有抗炎性质的因素,影响nCLBP的疼痛敏感性.
- 研究结果表明,通过饮食干预措施,有可能实现个性化疼痛管理.
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