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The Role of Diet in Functional Dyspepsia Management.

作者信息

Duboc Henri, Latrache Sofya, Nebunu Nicoleta, Coffin Benoit

机构信息

Université de Paris, Paris, France.

AP-HP, Gastroenterology Unit, Hopital Louis Mourier, Colombes, France.

出版信息

Front Psychiatry. 2020 Feb 5;11:23. doi: 10.3389/fpsyt.2020.00023. eCollection 2020.


DOI:10.3389/fpsyt.2020.00023
PMID:32116840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7012988/
Abstract

Functional dyspepsia is a common functional gastrointestinal disease that is characterized by postprandial fullness, early satiation, epigastric pain, and/or epigastric burning. Eating a meal is a key factor in the occurrence of symptoms during functional dyspepsia, and patients frequently request dietary advice that could relieve these symptoms. Eating behaviors, irregular meal patterns, and moderate-to-fast eating rates are significantly associated with functional dyspepsia. The role of diet is complex; fat ingestion increases the occurrence of symptoms in dyspeptic patients, which might be affected by cognitive factors and palatability. Data concerning the role of carbohydrates are conflicting. Wheat may induce symptoms in patients with nonceliac gluten/wheat sensitivity, and gluten-free diets might be beneficial. Data concerning the role of FODMAPs (Fructo, Oligo, Di-, Monosaccharides, And Polyols) in functional dyspepsia are lacking; however, as there is a frequent overlap between functional dyspepsia and irritable bowel syndrome, a diet that is low in FODMAPs might be useful in relieving some symptoms. Data concerning alcohol are also conflicting. Adherence to a Mediterranean diet seems to be associated with a decrease in dyspepsia symptoms. Finally, data concerning diet modifications are conflicting, and the impact of diet modifications on symptom intensity or frequency has never been reported in randomized prospective studies. Common sense dietary recommendations, such as eating slowly and regularly, as well as decreasing the fat content of meals, can be provided in daily clinical practice.

摘要

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[8]
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[9]
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本文引用的文献

[1]
Overlap of Irritable Bowel Syndrome and Functional Dyspepsia in the Clinical Setting: Prevalence and Risk Factors.

Dig Dis Sci. 2018-10-27

[2]
What's in a name? 'Non-coeliac gluten or wheat sensitivity': controversies and mechanisms related to wheat and gluten causing gastrointestinal symptoms or disease.

Gut. 2018-12

[3]
A Systematic Review and Meta-Analysis Evaluating the Efficacy of a Gluten-Free Diet and a Low FODMAPs Diet in Treating Symptoms of Irritable Bowel Syndrome.

Am J Gastroenterol. 2018-7-26

[4]
Wheat Intolerance and Chronic Gastrointestinal Symptoms in an Australian Population-based Study: Association Between Wheat Sensitivity, Celiac Disease and Functional Gastrointestinal Disorders.

Am J Gastroenterol. 2018-6-19

[5]
Association Between Ultra-Processed Food Consumption and Functional Gastrointestinal Disorders: Results From the French NutriNet-Santé Cohort.

Am J Gastroenterol. 2018-6-15

[6]
Health Benefits and Adverse Effects of a Gluten-Free Diet in Non-Celiac Disease Patients.

Gastroenterol Hepatol (N Y). 2018-2

[7]
Identification of Individuals with Functional Dyspepsia With a Simple, Minimally Invasive Test: A Single Center Cohort Study of the Oral Capsaicin Test.

Am J Gastroenterol. 2018-3-13

[8]
Effects of meal palatability on postprandial sensations.

Neurogastroenterol Motil. 2017-11-6

[9]
Food and functional dyspepsia: a systematic review.

J Hum Nutr Diet. 2017-9-15

[10]
Symptoms of Functional Intestinal Disorders Are Common in Patients with Celiac Disease Following Transition to a Gluten-Free Diet.

Dig Dis Sci. 2017-9

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