Gallipoli Medical Research Institute, Greenslopes Private Hospital, Newdegate Street, Greenslopes, 4120, Queensland, Australia.
Queensland University of Technology, 2 George Street, Brisbane City, 4000, Queensland, Australia.
Nutr Res. 2018 Jun;54:12-22. doi: 10.1016/j.nutres.2018.03.002. Epub 2018 Mar 15.
Posttraumatic stress disorder (PTSD) is a disabling psychological condition associated with significant physical comorbidities. There has been growing evidence to support the relationship between PTSD and cardiometabolic disease. Disordered eating behaviors often seen in people with PTSD symptoms may explain increased cardiometabolic risk. This systematic review aimed to assess the quality of evidence surrounding dietary intake of individuals with symptoms or a diagnosis of PTSD and their associated risk with cardiometabolic health outcomes. Online databases Scopus, ProQuest (Health), Embase, Medline, PsycINFO, and CINAHL with Full Text were searched for peer-reviewed English articles prior to December 2017 that examined dietary intake and cardiometabolic health outcomes in adults with PTSD symptoms or diagnosis. The quality of each study was graded based on the design and methodology using adapted quality assessment tools. Seven studies with five unique participant samples were included in the review. Study methods, design, populations, and outcomes were inconsistent across studies. Dietary intake was considerably varied and limited associations were demonstrated between dietary intake and cardiometabolic risk factors in the PTSD cohorts. Due to the variability of measures and study outcomes, there was insufficient evidence to determine the relationship between dietary intake and PTSD-related cardiometabolic health outcomes. Future studies are needed to examine these associations in individuals with PTSD: specifically higher quality descriptive studies are necessary to confirm a link between diet and cardiometabolic disease in PTSD.
创伤后应激障碍（PTSD）是一种与严重躯体共病相关的使人丧失能力的心理状况。越来越多的证据支持 PTSD 与心脏代谢疾病之间的关系。在有 PTSD 症状的人群中经常出现的饮食行为紊乱可能解释了增加的心脏代谢风险。本系统评价旨在评估有 PTSD 症状或诊断的个体的饮食摄入及其与心脏代谢健康结果相关的风险的证据质量。在 2017 年 12 月之前，在线数据库 Scopus、ProQuest（健康）、Embase、Medline、PsycINFO 和 CINAHL with Full Text 检索了同行评议的英文文章，这些文章检查了有 PTSD 症状或诊断的成年人的饮食摄入和心脏代谢健康结果。根据设计和方法，使用适应性质量评估工具对每项研究的质量进行分级。纳入了本综述的七项研究有五个独特的参与者样本。研究方法、设计、人群和结果在研究之间不一致。饮食摄入差异很大，在 PTSD 队列中，饮食摄入与心脏代谢危险因素之间仅显示出有限的关联。由于测量和研究结果的可变性，没有足够的证据来确定饮食摄入与 PTSD 相关的心脏代谢健康结果之间的关系。需要进一步研究来检查 PTSD 个体中的这些关联：具体而言，需要更高质量的描述性研究来确认饮食与 PTSD 中心脏代谢疾病之间的联系。
