了解炎症性肠病中的饮食信仰,行为和障碍:一个范围审查
C V Noejovich1, P Miranda1, G H Rueda1
1Farncombe Institute Nutrition Initiative, Farncombe Family Digestive Health Research Institute, Division of Gastroenterology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Clinical nutrition ESPEN
|December 3, 2025
概括
炎症性肠病 (IBD) 患者经常修改饮食,经常避免食物,面临社会挑战. 获得专业的饮食指导仍然是有效治疗症状的重要障碍.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 患者报告的结果
背景情况:
- 越来越多的人对饮食-IBD联系的兴趣在于疾病活动和症状管理.
- 对患者的观点和IBD饮食修改所面临的挑战的理解有限.
- 本综述解决了有关患者饮食变化经验的知识差距.
研究的目的:
- 综合有关成人IBD患者对饮食修改以控制症状的观点的证据.
- 确定IBD患者在实施饮食变化时所面临的挑战.
- 为了确定IBD营养的未来研究的知识差距.
主要方法:
- 范围审查遵循乔安娜·布里格斯研究所 (JBI) 的方法.
- 在MEDLINE和Embase数据库中进行全面搜索,直到2024年6月.
- 包括关于IBD患者对饮食的观点的定性,定量和混合方法研究.
主要成果:
- 53项研究表明,大多数IBD患者在诊断后修改饮食,通常是通过避免食物.
- 患者普遍认为饮食影响IBD发病和复发;社会/家庭生活的影响是关键障碍.
- 在线来源经常被用于饮食建议,突出了需要可访问的专业指导.
结论:
- 在IBD患者中,避免食物和社会限制很普遍.
- 尽管人们认为营养的重要性很重要,但获得专业的饮食指导是具有挑战性的.
- 进一步的研究是必不可少的,以了解和克服在IBD中实施饮食改变的障碍.
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