意大利患有炎症性肠道疾病的儿童的饮食习惯:一个多中心病例对照研究
Simona Gatti1, Martina Vallorani1, Sara Quattrini1
1Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.
Journal of pediatric gastroenterology and nutrition
|August 7, 2024
概括
意大利患有炎症性肠病 (IBD) 的儿童饮食不足,缺乏能量和营养. 他们对地中海饮食 (MD) 的坚持也很差,影响了他们的营养状况.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 患有炎症性肠病 (IBD) 的患者通常根据疾病活动和症状改变饮食.
- 饮食修改可以显著影响IBD儿童的营养状况和整体健康状况.
研究的目的:
- 为了评估意大利儿童诊断出IBD的典型饮食的营养充足度.
- 为了比较这些儿童的饮食摄入量与推的饮食补贴 (RDA) 和健康的对照组.
- 评估儿童IBD患者遵守地中海饮食 (MD) 的情况.
主要方法:
- 一个经过验证的食物频率问卷被用于评估110名IBD儿童的饮食习惯,并在意大利五个儿科中心对110名匹配的健康对照进行了评估.
- 使用KID-MED测试测量了遵守地中海饮食 (MD) 的程度.
- 能量 (EI),宏观营养素和微量营养素的摄入量在各组之间和与RDA进行了比较,并预测了总能耗 (TEE).
主要成果:
- 与对照组相比,IBD儿童的能量摄入量 (EI),EI/RDA%和EI/TEE%都较低.
- 在IBD患者中,蛋白质,脂肪,矿物质,维生素和微量营养素相对于RDA的摄入量有所减少.
- 在患有IBD的儿童中,对MD的不良坚持更为普遍,较低的EI和碳水化合物摄入与较高的疾病活性相关.
结论:
- 意大利患有IBD的儿童表现出营养不充分的饮食,缺乏能量,宏观营养素和微量营养素.
- 这些孩子对高质量的地中海饮食 (MD) 模式的坚持很低.
- 饮食评估和干预对于治疗儿科IBD至关重要.
相关概念视频
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
01:30Inflammatory Bowel Disease II: Crohn's Disease
206
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
206
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
01:17Chronic Bowel Disorders: Introduction
436
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
436
01:29Inflammatory Bowel Disease IV: Pharmacological Management
124
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
124
01:23Anatomy of the Intestines
71.7K
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
71.7K