在一般人群中,有或没有肠道症状的人群中避免/限制饮食:流行率,临床特征和相关因素
Amanda Blomsten1, Inês A Trindade2, Sanna Nybacka1
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
The American journal of gastroenterology
|August 20, 2025
概括
在患有肠道症状的个体中,避免/限制饮食更为普遍,通常与更严重的症状和更低的生活质量有关. 这种饮食行为在一般人群中也很常见.
科学领域:
- 胃肠病学
- 精神病学
- 公共卫生
背景情况:
- 在不同的人群中,越来越多地认识到避免/限制饮食.
- 肠道功能障碍影响了大部分人群.
- 肠道症状与饮食行为之间的关系需要进一步调查.
研究的目的:
- 在有或没有肠道症状的个体中确定避免/限制性饮食的流行率.
- 在一般人群中确定与避免/限制饮食相关的因素.
- 探索肠道症状和避免/限制饮食的个体的临床情况.
主要方法:
- 瑞典进行了一项基于人口的互联网健康调查.
- 参与者包括罗马IV诊断的功能性肠道疾病患者和没有肠道症状的匹配对照.
- 九项避免/限制性食物摄入障碍查 (NIAS) 评估了饮食行为;等级多重回归确定了相关因素.
主要成果:
- 与对照组 (18. 2%) 相比,患有肠道症状的个体更常见的是避免或限制饮食.
- 患有肠道症状和避免/限制饮食的个体报告了更严重的肠道,心理和体质症状,以及更低的生活质量.
- 肠道症状的严重程度是避免/限制性饮食严重性的最强预测因素.
结论:
- 在患有肠道症状的个体中,避免/限制饮食是普遍存在的,与更严重的临床表现相关.
- 医疗保健提供者应考虑与出现肠道症状的患者讨论饮食行为.
- 在没有肠道症状的普通人群中也观察到避免/限制性饮食.
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