Zigich Sara, Heuberger Roschelle
Central Michigan University, Mount Pleasant, Michigan 48169, USA.
Gastroenterol Nurs. 2013 Jul-Aug;36(4):275-82. doi: 10.1097/SGA.0b013e31829ed911.
The purpose of this literature review is to develop a thorough understanding of the research on food intolerance and its relationship to irritable bowel syndrome. Knowledge of the connection between the two conditions will assist allied healthcare professionals in working with patients to better manage their symptoms. Reduced healthcare costs may also result if patients are able to identify problematic foods and experience symptom improvement with diet changes. The review consists of an overview of food intolerance including prevalence, specific foods implicated including an in-depth review of research on bulk sweeteners, as well as methods of diagnosis. In addition, prevalence, specific foods associated with food intolerance in irritable bowel syndrome patients such as carbohydrates and lipids, nutritional consequences of food intolerance, and possible food-related methods of treatment including increased fiber intake are discussed. Finally, suggestions for future research and possible directions allied healthcare professionals can start with in assisting patients are provided.
本综述的目的是全面了解食物不耐受及其与肠易激综合征关系的研究。了解这两种病症之间的联系将有助于相关医疗保健专业人员与患者合作，更好地管理他们的症状。如果患者能够识别出有问题的食物，并通过改变饮食使症状得到改善，还可能降低医疗成本。该综述包括对食物不耐受的概述，包括患病率、涉及的特定食物（包括对大宗甜味剂研究的深入回顾）以及诊断方法。此外，还讨论了肠易激综合征患者中食物不耐受的患病率、与之相关的特定食物（如碳水化合物和脂质）、食物不耐受的营养后果，以及可能的与食物相关的治疗方法（包括增加纤维摄入量）。最后，提供了未来研究的建议以及相关医疗保健专业人员在帮助患者时可以着手的可能方向。
