Aller R, de Luis D A, Izaola O, La Calle F, del Olmo L, Fernández L, Arranz T, González Hernández J M
Instituto de Endocrinología y Nutrición, Unidad de Apoyo a la Investigación, Hospital Río Hortega, Facultad de Medicina, Universidad de Valladolid, Valladolid.
An Med Interna. 2004 Dec;21(12):577-80. doi: 10.4321/s0212-71992004001200002.
The aim of our study was to evaluate the oral dietary intake of a group of patients with irritable bowel syndrome and to compare with international recommendations.
A total of 53 patients with irritable bowel syndrome was enrolled in a non-propabilistic sample. Patients were diagnose with Roma II criteria. In all patients were determined, weight, height, body mass index, dietary intake of 3 days and a symptoms scoring system.
The average age of 53 patients was 45.67+/-13.6 years with a distribution of sex (22 males/31 females). Caloric intakes was right in absolute terms and corrected by weight. Distribution of calories was 41.5% of carbohydrates, a 19.8% of proteins, and a 38.7% of lipids, showing a high intake of lipids and low of carbohydrates. A low intake of vitamin A and D was detected. High intake of vitamin B12, vitamin C and niacine was observed. A low intake of calcium, magnesium, yodo and zinc was detected. Intake of soluble fiber was lower than insoluble fiber (1.46+/-0.74 g/day) (19%) vs 6.21+/-2.67 g/day (71%). Intake of fiber corrected by calories was low 4.5+/-1.2 g/1000 calories. In correlation analysis, insoluble fiber (r=0.46; p < 0.05) and soluble fiber (r=0.42; p < 0.05) were inverse correlated with general symptoms.
Patients with irritable bowel syndrome showed a deviation of mineral and vitamin dietary. Fiber intake is low, a correlation between fiber intake and general symptoms was detected.
本研究旨在评估一组肠易激综合征患者的口服饮食摄入量，并与国际建议进行比较。
共纳入53例肠易激综合征患者，采用非概率抽样。患者根据罗马II标准进行诊断。测定了所有患者的体重、身高、体重指数、3天的饮食摄入量和症状评分系统。
53例患者的平均年龄为45.67±13.6岁，性别分布为（22例男性/31例女性）。热量摄入绝对值正确且按体重校正。热量分布为碳水化合物41.5%、蛋白质19.8%、脂质38.7%，显示脂质摄入量高而碳水化合物摄入量低。检测到维生素A和D摄入量低。观察到维生素B12、维生素C和烟酸摄入量高。检测到钙、镁、碘和锌摄入量低。可溶性纤维摄入量低于不溶性纤维（1.46±0.74克/天）（19%）对6.21±2.67克/天（71%）。按热量校正的纤维摄入量低，为4.5±1.2克/1000卡路里。在相关性分析中，不溶性纤维（r=0.46；p<0.05）和可溶性纤维（r=0.42；p<0.05）与一般症状呈负相关。
肠易激综合征患者的矿物质和维生素饮食存在偏差。纤维摄入量低，检测到纤维摄入量与一般症状之间存在相关性。
