评估慢性炎症性肠病患者的营养状况和饮食行为:试点研究
Alice Scricciolo1, Vincenza Lombardo2, Karla Amada Bascuñán3
1Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. alice.scricciolo@policlinico.mi.it.
European journal of clinical nutrition
|July 31, 2025
概括
患有炎症性肠道疾病 (IBD) 的患者,包括性结肠炎 (UC) 和克罗恩氏病.
科学领域:
- 胃肠病学和营养科学 胃肠病学和营养科学
- 炎症性肠道疾病研究研究
- 饮食对肠道健康的影响
背景情况:
- 性结肠炎 (UC) 和克罗恩病 (CD) 是炎症性肠病 (IBD),具有不同的临床表现.
- 目前缺乏用于IBD管理的具体饮食指南,尽管饮食的潜在作用.
- 了解患者的饮食习惯对于改善生活质量和疾病管理至关重要.
研究的目的:
- 为了评估被诊断患有UC和CD的患者的饮食模式.
- 为了确定IBD患者群体中普遍喜欢和避免的食物.
- 评估IBD患者中特定限制性饮食 (如无乳糖,无质,低FODMAPS) 的流行情况.
主要方法:
- 在米兰的IRCCS Ca' Granda基金会Ospedale Maggiore Policlinico进行了一项研究.
- 数据收集发生在2020年4月至2022年7月期间.
- 评估了UC和CD患者的饮食习惯,包括食物偏好和避免.
主要成果:
- 大多数参与者 (67.4%UC, 80.9%CD) 根据临床得分处于缓解状态.
- 无乳糖饮食是最常见的,其次是无质饮食;低FODMAPS的采用是最小的.
- 与对照组 (5%) 相比,在UC (45%) 和CD (52%) 患者中观察到显著的纤维避免.
结论:
- 这个队列中的IBD患者表现出轻度至中度的疾病活性和正常的营养状况.
- 普遍存在的饮食限制,特别是避免食用纤维,影响了营养摄入量和生活质量.
- 建议监督纤维摄入量,以减轻IBD患者对肠道微生物群和肠道平衡的负面影响.
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