避免/限制性食物摄入障碍在肠-大脑相互作用障碍中的疾病
Madeline Berschback1, Sophie Abber2, Janelle Smith3
1Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Best practice & research. Clinical gastroenterology
|December 21, 2025
概括
规避性/限制性食物摄入障碍 (ARFID) 是一种食障碍,并非由体重问题驱动. 它显著影响肠-大脑相互作用,需要多学科管理才能有效治疗.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 规避性/限制性食物摄入障碍 (ARFID) 的特点是避免/限制食物,并造成医疗或心理社会后果.
- 焦虑症与其他饮食障碍有所区别,因为它不是由体重或形状问题驱动的.
- 对于ARFID的关键动机包括食欲低下,害怕吃饭后果以及感官敏感性.
研究的目的:
- 为在患有肠-大脑相互作用障碍 (DGBI) 的患者中识别和管理ARFID提供实用框架.
- 为了强调ARFID和DGBI之间的双向关系.
主要方法:
- 这篇叙事综述综合了关于ARFID和DGBI的当前证据.
- 讨论了诸如九项ARFID屏幕 (NIAS) 和PARDI-AR-Q.等查仪器.
- 强调需要对DGBI患者进行验证的切断分数.
主要成果:
- 这种双向关系存在于GI症状可以触发ARFID,而ARFID可以使GI症状恶化.
- 查工具可以帮助识别,但对DGBI群体需要进一步验证.
- 涉及胃肠科医生,心理学家和RDNs的多学科护理至关重要.
结论:
- 综合管理胃肠道症状,行为疗法和营养支持是必不可少的.
- 扩大饮食摄入量和减少限制是治疗的主要目标.
- 为了在DGBI的背景下有效管理ARFID,合作方法至关重要.
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