Suppr超能文献

膳食纤维、水果和蔬菜摄入与炎症性肠病风险的关联:系统评价和荟萃分析。

Association of Dietary Fiber, Fruit, and Vegetable Consumption with Risk of Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Islamic Republic of Iran.

出版信息

Adv Nutr. 2021 Jun 1;12(3):735-743. doi: 10.1093/advances/nmaa145.

Abstract

No previous investigation has summarized findings from prospective cohort studies on the association between dietary intake of fiber, fruit, and vegetables and risk of inflammatory bowel disease (IBD). Dietary fiber and its major sources can influence the risk of IBD by modulation of the gut microbiota. This study summarizes findings from published cohort studies on the association between dietary fiber, fruit, and vegetable consumption and risk of IBD. Relevant articles published up to January 2019 were searched via PubMed, MEDLINE, Scopus, Embase, Cochrane Library, and Google Scholar. All prospective cohort studies investigating the association between dietary fiber, fruit, and vegetable intake and risk of IBD were included. Combining 7 effect sizes from 6 studies, no significant association was found between dietary intake of fiber and risk of ulcerative colitis (UC) (RR: 1.09; 95% CI: 0.88, 1.34). However, a significant inverse association was found between dietary fiber intake and risk of Crohn disease (CD) (RR: 0.59; 95% CI: 0.46, 0.74), based on 5 studies with 6 effect sizes. Pooling information from 4 studies, we found a significant protective association between dietary intake of fruit and risk of UC (RR: 0.69; 95% CI: 0.55, 0.86) and CD (RR: 0.47; 95% CI: 0.38, 0.58). We also found a significant inverse association between vegetable consumption and risk of UC (RR: 0.56; 95% CI: 0.48, 0.66) and CD (RR: 0.52; 95% CI: 0.46, 0.59). In conclusion, dietary intake of fruit and vegetables was inversely associated with risk of IBD and its subtypes. Dietary fiber intake was also inversely associated with incidence of IBD and CD, but not with UC. Further studies are warranted to examine the association of other fiber-rich foods with IBD.

摘要

先前的研究并未总结膳食纤维、水果和蔬菜的饮食摄入与炎症性肠病(IBD)风险之间的前瞻性队列研究结果。膳食纤维及其主要来源可以通过调节肠道微生物群来影响 IBD 的风险。本研究总结了已发表的队列研究关于膳食纤维、水果和蔬菜消耗与 IBD 风险之间关系的研究结果。通过 PubMed、MEDLINE、Scopus、Embase、Cochrane 图书馆和 Google Scholar 搜索截至 2019 年 1 月的相关文章。纳入了所有调查膳食纤维、水果和蔬菜摄入与 IBD 风险之间关系的前瞻性队列研究。将 6 项研究中的 7 个效应量合并,发现膳食纤维的饮食摄入与溃疡性结肠炎(UC)的风险之间无显著相关性(RR:1.09;95%CI:0.88,1.34)。然而,基于 5 项研究中的 6 个效应量,发现膳食纤维摄入与克罗恩病(CD)的风险之间存在显著的负相关(RR:0.59;95%CI:0.46,0.74)。合并来自 4 项研究的信息,我们发现水果的饮食摄入与 UC(RR:0.69;95%CI:0.55,0.86)和 CD(RR:0.47;95%CI:0.38,0.58)的风险之间存在显著的保护相关性。我们还发现蔬菜摄入与 UC(RR:0.56;95%CI:0.48,0.66)和 CD(RR:0.52;95%CI:0.46,0.59)的风险之间存在显著的负相关。总之,水果和蔬菜的饮食摄入与 IBD 及其亚型的风险呈负相关。膳食纤维的摄入也与 IBD 和 CD 的发病率呈负相关,但与 UC 无关。需要进一步的研究来检查其他富含纤维的食物与 IBD 的关联。

相似文献

2
5
A prospective study of long-term intake of dietary fiber and risk of Crohn's disease and ulcerative colitis.
Gastroenterology. 2013 Nov;145(5):970-7. doi: 10.1053/j.gastro.2013.07.050. Epub 2013 Aug 2.
6
Higher dietary fibre intake is associated with lower risk of inflammatory bowel disease: prospective cohort study.
Aliment Pharmacol Ther. 2023 Sep;58(5):516-525. doi: 10.1111/apt.17649. Epub 2023 Jul 18.
8
Dietary interventions for induction and maintenance of remission in inflammatory bowel disease.
Cochrane Database Syst Rev. 2019 Feb 8;2(2):CD012839. doi: 10.1002/14651858.CD012839.pub2.
10
Diet, Food, and Nutritional Exposures and Inflammatory Bowel Disease or Progression of Disease: an Umbrella Review.
Adv Nutr. 2024 May;15(5):100219. doi: 10.1016/j.advnut.2024.100219. Epub 2024 Apr 8.

引用本文的文献

1
Evaluating and modifying the PHDI for depression prevention: insights from NHANES 2005-2018.
Front Nutr. 2025 May 30;12:1601129. doi: 10.3389/fnut.2025.1601129. eCollection 2025.
6
Unveiling the fungal frontier: mycological insights into inflammatory bowel disease.
Front Immunol. 2025 Mar 26;16:1551289. doi: 10.3389/fimmu.2025.1551289. eCollection 2025.
7
Impact of Dietary Fiber on Inflammation in Humans.
Int J Mol Sci. 2025 Feb 25;26(5):2000. doi: 10.3390/ijms26052000.
8
Environmental risk factors of inflammatory bowel disease: toward a strategy of preventative health.
J Crohns Colitis. 2025 Apr 4;19(4). doi: 10.1093/ecco-jcc/jjaf042.
9
Nutritional Habits in Crohn's Disease Onset and Management.
Nutrients. 2025 Jan 31;17(3):559. doi: 10.3390/nu17030559.

本文引用的文献

4
The effect of probiotics on inflammatory biomarkers: a meta-analysis of randomized clinical trials.
Eur J Nutr. 2020 Mar;59(2):633-649. doi: 10.1007/s00394-019-01931-8. Epub 2019 Mar 11.
5
Association of a plant-based dietary pattern in relation to gestational diabetes mellitus.
Nutr Diet. 2019 Nov;76(5):589-596. doi: 10.1111/1747-0080.12512. Epub 2019 Jan 24.
8
Dietary Fiber Intake in Children With Inflammatory Bowel Disease.
J Pediatr Gastroenterol Nutr. 2018 Apr;66(4):624-629. doi: 10.1097/MPG.0000000000001736.
9
Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: A review.
Crit Rev Food Sci Nutr. 2018 May 24;58(8):1260-1270. doi: 10.1080/10408398.2016.1251390. Epub 2017 Jun 12.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验