Pituch-Zdanowska Aleksandra, Albrecht Piotr, Banasiuk Marcin, Banaszkiewicz Aleksandra
Department of Paediatric Gastroenterology and Nutrition, The Medical University of Warsaw, Warsaw, Poland.
J Pediatr Gastroenterol Nutr. 2018 Apr;66(4):624-629. doi: 10.1097/MPG.0000000000001736.
The aim of the study was to estimate intake of total dietary fiber, and its soluble and insoluble fractions, by children with inflammatory bowel disease (IBD) in comparison with healthy controls.
This was a prospective controlled study on children with IBD. Food consumption data were collected by using the 3-day diet record. For intake of soluble and insoluble fibers author's questionnaire was used.
The study included 50 children with IBD (80% in clinical remission) and 50 healthy controls. There were no statistically significant differences in age, weight, height, and BMI percentiles between both groups. The mean disease duration was 3.5 ± 2.5 years. The daily median dietary fiber intake in patients was 15.3 ± 4.2 g, whereas controls consumed about 14.1 ± 3.6 g/day; differences were not statistically significant. The median intake of soluble fiber in the study group was 5.0 g/day and in controls 4.7 g/day, whereas the intake of insoluble fractions was 10.2 versus 9.7 g/day, respectively. The total fiber intake significantly increased with age and it was higher among boys in each age group. The boys better achieved adequate intake recommendations (P = 0.003). Both, children with IBD and healthy controls, did not meet the adequate intake recommendations.
Intake of fiber in patients with IBD and healthy controls was comparable; however, in both groups, it was lower than recommended.
本研究旨在评估炎症性肠病（IBD）患儿与健康对照儿童相比，膳食纤维总量及其可溶和不溶部分的摄入量。
这是一项针对IBD患儿的前瞻性对照研究。通过3天饮食记录收集食物消费数据。对于可溶和不溶纤维的摄入量，使用作者的问卷进行调查。
该研究纳入了50名IBD患儿（80%处于临床缓解期）和50名健康对照儿童。两组在年龄、体重、身高和BMI百分位数方面无统计学显著差异。平均病程为3.5±2.5年。患者的每日膳食纤维摄入量中位数为15.3±4.2克，而对照组约为14.1±3.6克/天；差异无统计学意义。研究组可溶纤维摄入量中位数为5.0克/天，对照组为4.7克/天，而不溶部分的摄入量分别为10.2克/天和9.7克/天。膳食纤维总摄入量随年龄显著增加，且各年龄组中男孩的摄入量更高。男孩更能达到充足摄入量建议（P = 0.003）。IBD患儿和健康对照儿童均未达到充足摄入量建议。
IBD患者和健康对照儿童的纤维摄入量相当；然而，两组的摄入量均低于推荐水平。
