肠道功能正常的人的纤维摄入量和松:系统性审查
Ethan M Balk1, Elyse Couch1, Htun Ja Mai1
1Center for Evidence Synthesis in Health, Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, US.
The American journal of clinical nutrition
|January 29, 2026
概括
增加食纤维摄入量可以改善便的一致性,重量和频率,并缩短健康成年人的肠道过渡时间. 低溶解性和发酵性纤维表现出最强的松效应.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 基于证据的医学基于证据的医学.
背景情况:
- 对于纤维摄入量的最佳基于证据的饮食建议仍然没有定义.
- 食纤维对肠道机动性的影响需要进一步澄清.
研究的目的:
- 对饮食纤维和肠道运动 (排泄) 进行随机对照试验 (RCT) 的系统审查和元分析.
- 评估不同数量和类型的纤维对正常肠功能的非婴儿肠功能的影响.
主要方法:
- 在PubMed,Embase和CINAHL数据库中进行系统搜索,截至2025年3月4日.
- 在没有肠道功能障碍的一般人群中包括113个RCT.
- 根据溶解度,粘度和发酵度对纤维进行分类,使用贝叶斯回归和spline分析.
主要成果:
- 增加纤维摄入量会软化便的一致性,增加便的重量和频率,并缩短肠道过渡时间.
- 低溶解性和低发酵性纤维显示出与脱结果的最强相关性.
- 影响因纤维剂量和类型而异,证据强度中等 (SoE).
结论:
- 随机对照试验支持食纤维对健康个体吐的影响小到适度.
- 具有低溶解度和低发酵度的纤维在促进脱方面最有效.
- 未来的研究应该调查更广泛的纤维剂量范围,并全面报告摄入量.
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