Chua Chian Sem, Huang Shih-Yi, Cheng Chiao-Wen, Bai Chyi-Huey, Hsu Chien-Yeh, Chiu Hung-Wen, Hsu Jung-Lung
Graduate Institute of Biomedical Informatics, Taipei Medical University Division of Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan Western Medicine Division, Hospital Lam Wah Ee, Penang, Malaysia School of Nutrition and Health Sciences, Taipei Medical University Department of Transportation and Logistics Management, National Chiao Tung University Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University School of Public Health, College of Public Health and Nutrition, Taipei Medical University Department of Information Management, National Taipei University of Nursing and Health Sciences Master Program in Global Health and Development, College of Public Health and Nutrition, Taipei Medical University Department of Neurology, Chang Gung Memorial Hospital Linkou Medical Center and College of Medicine, Chang-Gung University, Taoyuan Graduate Institute of Humanities in Medicine, Taipei Medical University, Taipei, Taiwan.
Medicine (Baltimore). 2017 Dec;96(49):e9094. doi: 10.1097/MD.0000000000009094.
Abdominal pain is one of the key symptoms of irritable bowel syndrome (IBS). Studies have indicated an increase in the incidence of IBS in Asia. However, yet the pathophysiology of this disease remains unknown. Women are more likely to develop the condition than men, especially the constipation-predominant type. Essential fatty acid (EFA) malnutrition is one of several theories discussing the mechanism of IBS.The authors hypothesized that significant EFA deficiency may cause abdominal pain in patients with IBS. However, because patterns in the oral intake of EFAs differ between cultures, the authors narrowed this study to examine the nutritional status of Asian female patients with IBSThe authors investigated Asian female patients with IBS and compared them with a group of healthy controls. Thirty patients with IBS and 39 healthy individuals were included in this study. The participants' age, height, weight, and waist size were recorded. The 24-item Hamilton Depression Rating Scale was documented. Both erythrocyte and plasma fatty acid content were analyzed through gas-liquid chromatography.The authors found that patients with IBS exhibited significantly higher scores for depression, higher proportions of plasma saturated fatty acids and monounsaturated fatty acids, and lower proportions of docosahexaenoic acid and total omega-3 polyunsaturated fatty acids in plasma are associated with IBS in Asian female patients. Further study is indicated to confirm the causality of this association.
腹痛是肠易激综合征(IBS)的关键症状之一。研究表明,亚洲IBS的发病率有所上升。然而,这种疾病的病理生理学仍然未知。女性比男性更容易患这种疾病,尤其是便秘型为主的情况。必需脂肪酸(EFA)营养不良是探讨IBS发病机制的几种理论之一。作者推测,严重的EFA缺乏可能导致IBS患者腹痛。然而,由于不同文化背景下EFA的口服摄入模式不同,作者将这项研究范围缩小,以检查亚洲IBS女性患者的营养状况。作者对亚洲IBS女性患者进行了调查,并将她们与一组健康对照者进行比较。本研究纳入了30例IBS患者和39名健康个体。记录了参与者的年龄、身高、体重和腰围。记录了24项汉密尔顿抑郁量表评分。通过气液色谱法分析红细胞和血浆脂肪酸含量。作者发现,IBS患者的抑郁得分显著更高,血浆饱和脂肪酸和单不饱和脂肪酸比例更高,而血浆中二十二碳六烯酸和总ω-3多不饱和脂肪酸比例更低,这些与亚洲女性IBS患者有关。需要进一步研究以证实这种关联的因果关系。