Motility and Functional Gut Disorders Unit, Gastroenterology Department, University Hospital Germans Trias i Pujol, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Badalona, Spain.
Curr Opin Clin Nutr Metab Care. 2012 Sep;15(5):489-93. doi: 10.1097/MCO.0b013e328356662d.
To summarize the relevant publications during the last 12 months supporting that diet can influence gas-related symptoms in the absence of a malabsorption state.
Gas symptoms during carbohydrate fermentation: a diet incorporating beans is well tolerated by a majority of individuals involved in a program of heart disease biomarkers. By contrast, in patients with irritable bowel syndrome, a diet avoiding fermentable carbohydrates improved gas-related abdominal symptoms. The rate of fermentation determines the production of abdominal symptoms, and many slowly fermentable fibers have a rapid fermentation profile that can generate abdominal symptoms. Modulation of visceral sensitivity: diet can influence gas symptoms by increasing the tolerability of the intestine to gas. Capsaicin decreases visceral hyperalgesia and improved bloating in patients with irritable bowel syndrome. Changes in gas-producing bacteria: different strains of Lactobacillus have antimicrobial properties against gas-forming coliforms. New clinical studies show beneficial effects of prebiotics and probiotics on abdominal bloating.
Actual data suggest that diet could improve gas-related abdominal symptoms acting on several mechanisms: gas production, visceral hypersensitivity and modulation of gas-producing enteric bacteria.
总结过去 12 个月内有关饮食可影响无吸收不良状态下气体相关症状的相关文献。
碳水化合物发酵期间的气体症状：纳入豆类的饮食方案被大多数参与心脏病生物标志物计划的个体所耐受。相比之下，对于肠易激综合征患者，避免发酵碳水化合物的饮食可改善与气体相关的腹部症状。发酵速度决定了腹部症状的产生，许多缓慢发酵的纤维具有快速发酵的特征，可产生腹部症状。内脏敏感性的调节：饮食可通过增加肠道对气体的耐受性来影响气体症状。辣椒素可减轻肠易激综合征患者的内脏痛觉过敏和腹胀。产气体细菌的变化：不同株的乳酸杆菌对产气体的大肠埃希菌具有抗菌作用。新的临床研究表明，益生菌和益生元对腹部胀气有有益的影响。
实际数据表明，饮食可通过多种机制改善与气体相关的腹部症状：气体产生、内脏敏感性和产气体肠道细菌的调节。
