Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 02-776 Warsaw, Poland.
Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 02-776 Warsaw, Poland.
Medicina (Kaunas). 2019 Apr 8;55(4):96. doi: 10.3390/medicina55040096.
The anemia is the most common extra-intestinal manifestation of the ulcerative colitis. Taking into account, that meat products are perceived as factor, that may promote relapses, the crucial is to indicate the dietary recommendations to prevent anemia development but without high animal products intake. Aim of the study was to analyze the influence of animal products intake on the red blood cell count results in remission ulcerative colitis individuals and pair-matched control group, during 6 weeks of observation. The intake of nutrients associated with anemia development (iron, vitamin B, protein, animal protein, calcium) and the products being their sources (meat, meat products, dairy beverages, cottage cheese, rennet cheese) were analyzed. In spite of the higher meat products intake in the group of ulcerative colitis individuals, the iron intake did not differ between groups. The positive correlations between intakes of meat, meat products, total protein, animal protein, iron, vitamin B and red blood cell count results were stated for ulcerative colitis individuals, while in control group were not observed, that may have resulted from higher susceptibility for the diet-influenced changes. The positive correlation between red blood cell count results and energy value of diet, and daily iron intake observed in ulcerative colitis individuals, accompanied by negative correlation for iron intake per 1000 kcal of diet, may indicate, that higher iron intake may be beneficial, but only while accompanied by high energy value of diet.
贫血是溃疡性结肠炎最常见的肠道外表现。考虑到肉类产品被认为是可能导致复发的因素，关键是要指出饮食建议，以防止贫血的发展，但又不摄入大量的动物产品。本研究的目的是分析溃疡性结肠炎患者在缓解期 6 周观察期间动物产品摄入量对红细胞计数结果的影响，并与配对对照组进行比较。分析了与贫血发展相关的营养素（铁、维生素 B、蛋白质、动物蛋白、钙）及其来源（肉、肉类制品、乳制品、乳清干酪、凝乳干酪）的摄入量。尽管溃疡性结肠炎患者组的肉类产品摄入量较高，但两组的铁摄入量并无差异。对于溃疡性结肠炎患者，肉类、肉类制品、总蛋白、动物蛋白、铁、维生素 B 和红细胞计数结果之间存在正相关，而在对照组中则没有观察到，这可能是由于对饮食影响变化的敏感性更高所致。在溃疡性结肠炎患者中观察到红细胞计数结果与饮食能量值和每日铁摄入量之间的正相关，以及饮食中每 1000 卡路里铁摄入量的负相关，这可能表明，较高的铁摄入量可能是有益的，但前提是饮食的能量值也要高。
