刺激性肠综合征的饮食摄入量和质量:与对照者的比较研究以及与症状严重程度的关联
Sanna Nybacka1, Esther Colomier1,2, Jóhann Páll Hreinsson1
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
The American journal of gastroenterology
|November 27, 2024
概括
与对照组相比,患有刺激性肠综合征 (IBS) 的患者的饮食习惯较差,饮食质量较差. 这些较差的习惯与更严重的IBS症状相关,突出了个性化饮食管理的必要性.
科学领域:
- 胃肠病学和营养科学 胃肠病学和营养科学
- 饮食习惯研究 研究 饮食习惯研究
- 刺激性肠综合征 (IBS) 研究 研究 研究
背景情况:
- 刺激性肠综合征 (IBS) 患者经常将食物摄入与症状发作或恶化联系起来.
- 在IBS中避免食物可能会对饮食摄入量和整体饮食质量产生负面影响.
- 了解饮食模式对于管理IBS症状至关重要.
研究的目的:
- 为了比较IBS患者和健康对照者的习惯性饮食摄入量和质量.
- 研究IBS患者的饮食习惯和症状严重程度之间的关联.
- 探索IBS中饮食质量,焦虑和抑郁之间的关系.
主要方法:
- 利用了来自4项临床研究的数据,其中包括646名IBS患者和646名匹配的对照,来自Riksmaten研究.
- 使用4天的食物日记评估习惯性饮食摄入量.
- 用饮食质量指数-瑞典国家饮食指南 (DQI-SNR) 和饮食多样性得分来衡量饮食质量.
主要成果:
- 与对照组相比,IBS患者摄入的碳水化合物,咖啡和乳制品较少,但摄入的脂肪,无乳糖乳制品,坚果和种子较多.
- 较少的IBS患者满足了良好的饮食质量标准 (DQI-SNR).
- 在IBS患者中,症状严重程度和胃肠道焦虑与较低的能量/碳水化合物摄入量,减少饮食多样性和较差的饮食质量有关. 饮食质量差也与年轻,焦虑和抑郁症有关.
结论:
- 与对照组相比,IBS患者的饮食模式与对照组不同,饮食习惯较差与症状严重程度增加相关.
- 根据食物与症状的关联,个性化的饮食干预措施可以优化IBS管理.
- 需要进一步研究IBS中饮食,症状和心理因素的相互作用.
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