在患有炎症性肠病和功能性腹痛障碍的儿科患者中遵守地中海饮食-比较研究
Iulia Florentina Ţincu1,2, Bianca Teodora Chenescu2, Larisa Alexandra Duchi2
1Faculty of Medicine, Department of Paediatrics, "Carol Davila" University of Medicine and Pharmacy, 030167 Bucharest, Romania.
患有炎症性肠病 (IBD) 和功能性腹痛障碍 (FAPD) 的儿童在诊断前缺乏健康饮食. 这些儿科组的营养习惯相似,这表明需要早期的饮食干预.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 营养科学 营养科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 关于儿童炎症性肠病 (IBD) 的饮食摄入量存在有限的证据.
- 功能性腹部疼痛障碍 (FAPD) 是影响儿童的慢性疾病,根据罗马四号标准定义.
- 营养因素在IBD的发病过程中发挥作用.
研究的目的:
- 为了调查儿科IBD患者的健康饮食习惯的坚持.
- 将儿科IBD患者的饮食模式与儿科FAPD患者的饮食模式进行比较.
- 在胃肠道诊断之前识别潜在的营养差异.
主要方法:
- 在2021年1月至2024年4月期间进行了一项单中心研究.
- 使用KIDMED指数评估IBD和FAPD儿童的饮食模式.
- 数据包括一般信息,疾病表型和KIDMED分数.
主要成果:
- 在IBD (6.89 ± 2.33) 和FAPD (7.11 ± 2.67) 组之间,KIDMED平均得分没有显著差异 (p = 0.34).
- 在健康饮食的"中等"坚持方面观察到统计学上显著的差异,更多的IBD患者以前接触过不健康的饮食.
- 在诊断之前,在两个儿科组中,对健康饮食模式的整体坚持不佳.
结论:
- 在诊断出胃肠道病理之前,儿童对健康饮食模式的坚持通常很差.
- 儿科IBD和FAPD队列之间没有发现整体健康饮食坚持的显著差异.
- 研究结果表明,在患有胃肠道症状的儿童群体中,可能需要早期营养评估和干预.
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