天生的免疫错误中的饮食摄入量和营养问题:系统性审查
Macey Freer1, Rani Bhatia2,3, Kahn Preece2,3
1School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.
Frontiers in immunology
|October 14, 2024
概括
具有先天性免疫缺陷 (IEI) 的个体通常营养摄入不足,并面临营养不良和维生素D缺乏症的风险. 需要更多的研究来为IEI患者制定明确的营养指南.
科学领域:
- 免疫学 免疫学 免疫学
- 营养科学 营养科学
- 临床医学 临床医学
背景情况:
- 免疫的先天性错误 (IEI) 是一种遗传性免疫系统疾病,可能导致食和营养挑战.
- 最佳营养对生长和免疫功能至关重要,但IEI营养状况的知识有限.
研究的目的:
- 系统地审查和综合目前关于IEI患者饮食摄入量,人类计量和营养生物化学的证据.
主要方法:
- 按照PRISMA指南进行了系统文献审查,包括到2023年3月发表的研究.
- 从符合条件的关于IEI患者的人类测量,生化或饮食摄入量测量的研究中获得的数据被描述性地合成.
主要成果:
- 分析了包括2894名IEI患者在内的34项研究,重点关注着阿塔克西亚 (AT) 和常见变性免疫缺陷 (CVID).
- 在能量摄入不足和IEI之间发现了显著的关联,高营养不良率 (30-70%) 和微量营养素缺乏的风险,包括维生素D.
- 在各个研究中,人类计量和饮食评估方法的异质性得到了注意.
结论:
- 在IEI中,营养状况的研究很少,研究方法的异质性很大.
- 未来的纵向研究与一致的,验证的评估工具对于不同的IEI群体至关重要.
- 本次审查强调了对IEI患者的饮食支持和基于证据的临床实践指南的急需.
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