肠易激综合征:一般方面的综述及维生素 D 的潜在作用。

Irritable bowel syndrome: a review of the general aspects and the potential role of vitamin D.

机构信息

a Medical School of Marília , UNIMAR , São Paulo , Brazil.

b Department of Nutrition , Food Technology School , São Paulo , Brazil.

出版信息

Expert Rev Gastroenterol Hepatol. 2019 Apr;13(4):345-359. doi: 10.1080/17474124.2019.1570137. Epub 2019 Jan 23.

Abstract

Irritable Bowel Syndrome (IBS) is a bowel disorder leading to symptoms such as abdominal pain, modifications in the motility and bowel habits, distention, bloating, and gas. Vitamin D (VD) may interfere in a plethora of cellular mechanisms, and act directly or indirectly in the regulation of the microbiome, the release of anti-microbial peptides, modulation of the immune system and inflammation processes; which in turn, may positively interfere with the altered gut function. The main purpose of this review was to survey studies involving the impacts of VD on IBS. Area covered: Eligible studies including the term VD and IBS were searched in the MEDLINE-PubMed and EMBASE (2009-2018). VD may act direct or indirectly in the regulation of the gut microbiome, immune response, and psychosocial factors that may be included in the list of IBS triggering factors. Expert opinion: Once VD plays an essential role in many processes associated with IBS, its deficiency may be associated with IBS, and the supplementation could help in the therapeutic approach for this condition. For these reasons, the understanding of the association of VD in IBS is indispensable for the development of new strategies that could improve the quality of life of the patient.

摘要

肠易激综合征(IBS)是一种肠道紊乱疾病,导致腹痛、运动和肠道习惯改变、腹胀、胀气和气体等症状。维生素 D(VD)可能干扰多种细胞机制,并直接或间接作用于微生物组的调节、抗菌肽的释放、免疫系统和炎症过程的调节;这反过来又可能对改变的肠道功能产生积极影响。本综述的主要目的是调查研究维生素 D 对 IBS 的影响。涵盖领域:在 MEDLINE-PubMed 和 EMBASE(2009-2018 年)中搜索了包含术语维生素 D 和 IBS 的合格研究。维生素 D 可能直接或间接作用于肠道微生物组、免疫反应和心理社会因素的调节,这些因素可能被列入 IBS 触发因素的清单。专家意见:一旦维生素 D 在许多与 IBS 相关的过程中发挥重要作用,其缺乏可能与 IBS 有关,补充可能有助于这种疾病的治疗方法。出于这些原因,了解维生素 D 与 IBS 的关联对于开发可以提高患者生活质量的新策略是必不可少的。

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