碳水化合物不耐受与肠-大脑相互作用障碍中的碳水化合物吸收不良有关吗?
Hiba Mikhael-Moussa1, Charlotte Desprez1,2, André Gillibert3
1Univ Rouen Normandie, INSERM, Normandie Univ, ADEN UMR1073, Nutrition, Inflammation and Microbiota-Gut-Brain Axis, Rouen, France.
The American journal of gastroenterology
|April 8, 2025
概括
碳水化合物不耐受常见于肠-大脑相互作用障碍 (DGBI) 的患者,影响他们的生活质量. 乳糖消化不良和身体症状是与这种不耐受性相关的关键因素.
科学领域:
- 胃肠病学 胃肠病学
- 功能性肠道疾病 功能性肠道疾病
- 饮食不耐受 饮食不耐受
背景情况:
- 肠-大脑相互作用障碍 (DGBI) 涵盖了一系列功能性胃肠道疾病.
- 碳水化合物不耐受,包括乳糖和果糖不耐受,越来越多地被认为是导致DGBI症状的潜在因素.
研究的目的:
- 确定在被诊断为DGBI.BI的患者中碳水化合物不耐受性的患病率.
- 在这个人群中确定与碳水化合物不耐受相关的患者特征和症状概况.
主要方法:
- 一项前性研究,包括301名DGBI患者接受乳糖和果糖呼吸测试.
- 碳水化合物不耐受性定义为摄入后特定症状的视觉模拟尺度增加≥20毫米.
- 成人碳水化合物感知问卷用于评估症状变化.
主要成果:
- 59.1%的DGBI患者表现出碳水化合物不耐受.
- 不耐受性患者更有可能是女性,多次DGBI,乳糖消化不良,果糖吸收不良,并报告了更差的生活质量.
- 乳糖消化不良和身体症状严重程度独立地与碳水化合物不耐受有关.
结论:
- 碳水化合物不耐受性在DGBI患者中很普遍,严重影响他们的生活质量和症状负担.
- 需要进一步研究DGBI患者的碳水化合物不耐受性背后的机制,特别是那些没有吸收不良/消化不良的患者.
相关概念视频
Carbohydrate Absorption
344
Carbohydrates are essential macronutrients that serve as the body's primary energy source. Their digestion begins in the mouth, where salivary amylase partially breaks down complex carbohydrates such as starch into smaller oligosaccharides. This mechanical and enzymatic activity prepares carbohydrates for further processing in the gastrointestinal tract.
After being swallowed, the partially digested carbohydrates mix with gastric secretions in the stomach. However, the acidic environment...
After being swallowed, the partially digested carbohydrates mix with gastric secretions in the stomach. However, the acidic environment...
344
Overview of Carbohydrate Metabolism
573
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
573
Glucose Transporters
22.2K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
22.2K
Glucose Absorption Into the Small Intestine
31.0K
Complex carbohydrates consumed cannot be absorbed into the small intestine in their original form. First, they must be hydrolyzed to a monosaccharide form such as glucose or galactose. These monosaccharides are then transported across the intestinal membrane and into the blood via transcellular transport. The intestinal epithelial cells allow the movement of these monosaccharides with a defined 'entry' through membrane transporter proteins present on their apical membrane and...
31.0K
Carbohydrate Digestion
112.2K
Carbohydrate digestion and metabolism break down simple and complex carbohydrates from food into saccharides (i.e., sugars) for the body to use as energy. Carbohydrate digestion starts in the mouth during mastication, or chewing. The masticated carbohydrates remain intact in the stomach. Digestion resumes in the duodenum of the small intestine, where pancreatic alpha-amylase and brush border enzymes of the microvilli convert complex carbohydrates to monosaccharides. Finally, the monosaccharides...
112.2K
Irritable Bowel Syndrome I: Introduction
209
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
209


