超越营养,如何评估炎症性肠病患者的饮食质量 - - 叙述性综述
Laura J Portmann1,2, Jessica A Fitzpatrick3,4, Emma P Halmos3,4
1Inflammatory Bowel Disease Service, Department of Gastroenterology, The Queen Elizabeth Hospital, Woodville South, SA 5011, Australia.
没有现有的饮食质量指数 (DQI) 完全符合炎症性肠病 (IBD) 评估标准. 2013年饮食指南指数 (DGI-2013) 是目前用于IBD研究的最佳选择.
科学领域:
- 营养科学 营养科学
- 胃肠病学 胃肠病学
- 饮食评估 饮食评估
背景情况:
- 人们越来越认识到饮食模式在炎症性肠病 (IBD) 发病和进展中的作用.
- 目前IBD的饮食评估正在从单个营养素转向更广泛的饮食模式和质量.
- 目前没有针对IBD人群量身定制的特定饮食质量指数 (DQI).
研究的目的:
- 系统地审查现有的饮食质量指数 (DQI).
- 评估当前的DQI对于评估炎症性肠病 (IBD) 患者的饮食质量的适用性.
- 确定IBD特定DQI的缺口和需求.
主要方法:
- 在MEDLINE和EmCare数据库中对基于食品的DQI进行系统的文献搜索.
- 根据最佳的DQI标准提取数据:充分性,适度性,多样性和平衡性.
- 对DQI验证,可靠性和可重复性的评估.
主要成果:
- 确定了24个DQI;没有一个符合IBD的所有最佳标准.
- 2013年饮食指南指数 (DGI-2013) 最接近最佳标准,其次是荷兰健康饮食指数-2015,行星健康饮食指数和HEIFA-2013.
- 大多数DQI评估了充分性和适度,但较少评估了多样性和平衡. 验证是常见的,但不是专门针对IBD人群.
结论:
- 目前没有一个DQI完全满足IBD特定工具的要求.
- 根据DGI-2013,荷兰健康饮食指数-2015,PHDI和HEIFA-2013显示,IBD群体的潜在适用性.
- 显然需要开发一个经过验证的IBD特定的DQI.
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