Pediatric Gastroenterology & Nutrition Institute, Ruth Children's Hospital of Haifa, Rambam Medical Center, Faculty of Medicine, Technion, Haifa, Israel.
Department of Paediatrics, University of Otago, Christchurch, Christchurch, New Zealand.
Curr Opin Gastroenterol. 2019 Nov;35(6):486-490. doi: 10.1097/MOG.0000000000000585.
Recent knowledge teaches us that food is one of the most important environmental factors affecting our health from disease prevention to cause. Food is one of the key players in the normal gut microenvironment, affecting microbial composition, function, gut barrier and host immunity. This review aims to summarize the current data on food components as regulators of intestinal inflammation, with particular focus on the inflammatory bowel diseases (IBDs).
We summarize our current understanding on nutrition as possible cause and treatment for IBD and concentrate on several food components that have an anti-inflammatory role on the intestine (vitamin D, butyrate, resveratrol, curcumin).
The proven efficacy of exclusive enteral nutrition to induce remission in children (and recently adults) with Crohn's disease has totally changed the clinical practice. Food components that have an anti-inflammatory role on the intestine (vitamin D, butyrate, resveratrol, curcumin) may now serve as an adjuvant to treatment. While our understanding has expanded in recent years, there remain many aspects of the interactions between nutrition and the gut that remain to be elucidated. Further focused research may lead to advances in understanding of disease pathogenesis and also result in new improved therapeutic interventions.
最近的知识告诉我们,食物是影响我们健康的最重要的环境因素之一,从预防疾病到发病原因都有影响。食物是正常肠道微环境的关键因素之一,影响微生物组成、功能、肠道屏障和宿主免疫。本综述旨在总结目前关于食物成分作为肠道炎症调节剂的资料,特别关注炎症性肠病(IBD)。
我们总结了目前对营养作为 IBD 的病因和治疗的理解,并集中讨论了几种对肠道具有抗炎作用的食物成分(维生素 D、丁酸盐、白藜芦醇、姜黄素)。
在儿童(最近也包括成人)克罗恩病中,采用完全肠内营养诱导缓解的疗效已得到证实,这彻底改变了临床实践。对肠道具有抗炎作用的食物成分(维生素 D、丁酸盐、白藜芦醇、姜黄素)现在可能作为治疗的辅助手段。尽管近年来我们的理解有所扩展,但营养与肠道之间的相互作用仍有许多方面需要阐明。进一步的重点研究可能有助于深入了解疾病的发病机制,并导致新的治疗干预措施的改进。