Bhaskar Neha, Narasimhulu Chandrakala Aluganti, Keewan Esraa, Rohr Michael, Parthasarathy Sampath
1 College of Medicine, University of Central Florida, Orlando, Florida, USA.
2 Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, Orlando, USA.
J Med Food. 2019 Feb;22(2):162-169. doi: 10.1089/jmf.2018.0132. Epub 2019 Jan 11.
Crohn's disease (CD) is a well-known subset of inflammatory bowel disease (IBD) that results in patchy inflammation through the entire thickness of the bowel wall, with the ability to target virtually any part of the gastrointestinal tract, but most commonly affecting the area between the ileum and the cecum. While a bacterial origin of Crohn's is well speculated, it is difficult to pinpoint what drives inflammation in these subjects, particularly the flare-ups or the sudden symptomatic intensification or recurrence. This review aims at tracing the etiology of CD back to diet, particularly fried foods, a known aggravator of symptoms. Based on the reactions that frying entails, the chemical composition of the food is altered in ways that can lead to maldigestion and inflammation. Current evidence suggests a direct dietary role in the inflammation underlying CD or the flare-ups. The presented review focuses on an underresearched, yet, very applicable topic. We suggest that emphasis should be put on dietary alteration as a means of treatment for patients with CD to supplement current therapy for optimal results. With the widespread popularity of fried foods, it is important to raise awareness about the potential negative outcomes that are prevalent worldwide.
克罗恩病(CD)是炎症性肠病(IBD)中一种广为人知的类型,它会导致肠壁全层出现散在性炎症,几乎能够累及胃肠道的任何部位,但最常影响回肠和盲肠之间的区域。虽然人们普遍推测克罗恩病起源于细菌,但很难确定是什么驱动了这些患者的炎症反应,尤其是病情突然发作或症状突然加重或复发的情况。这篇综述旨在将克罗恩病的病因追溯到饮食上,特别是油炸食品,它是已知的症状加重因素。基于油炸过程所涉及的反应,食物的化学成分会以可能导致消化不良和炎症的方式发生改变。目前的证据表明饮食在克罗恩病潜在炎症或病情发作中直接起作用。本综述聚焦于一个研究不足但非常实用的主题。我们建议应强调饮食调整,作为治疗克罗恩病患者的一种手段,以补充当前疗法,从而取得最佳效果。鉴于油炸食品广受欢迎,提高对全球普遍存在的潜在负面后果的认识很重要。