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慢性腹泻的饮食管理有哪些要点和注意事项?

What Are the Pearls and Pitfalls of the Dietary Management for Chronic Diarrhoea?

机构信息

Department of Medicine, University of Otago, Christchurch 8140, New Zealand.

出版信息

Nutrients. 2021 Apr 21;13(5):1393. doi: 10.3390/nu13051393.

DOI:10.3390/nu13051393
PMID:33919083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8143080/
Abstract

Chronic diarrhoea affects up to 14% of adults, it impacts on quality of life and its cause can be variable. Patients with chronic diarrhoea are presented with a plethora of dietary recommendations, often sought from the internet or provided by those who are untrained or inexperienced. In this review, we summarise the possible causes of chronic diarrhoea that can be managed by diet, the symptom improvement and quality of life benefits but also the potential risks of such dietary treatments. Clinicians need to consider both the benefits and risks of dietary treatments before making dietary recommendations to manage chronic diarrhoea. The pivotal role that dietitians have in ensuring optimal symptom improvement without jeopardising nutritional and overall health is discussed.

摘要

慢性腹泻影响多达 14%的成年人,它影响生活质量,其病因可能是多种多样的。患有慢性腹泻的患者面临着大量的饮食建议,这些建议通常来自互联网或未经培训或缺乏经验的人提供。在这篇综述中,我们总结了可以通过饮食来管理的慢性腹泻的可能原因,以及症状改善和生活质量的好处,但也包括这种饮食治疗的潜在风险。临床医生在提出饮食建议来治疗慢性腹泻之前,需要考虑饮食治疗的益处和风险。本文还讨论了营养师在确保最佳症状改善而不危及营养和整体健康方面的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/8143080/f1769b306ebb/nutrients-13-01393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/8143080/56d4b63b3288/nutrients-13-01393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/8143080/f1769b306ebb/nutrients-13-01393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/8143080/56d4b63b3288/nutrients-13-01393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df0/8143080/f1769b306ebb/nutrients-13-01393-g002.jpg

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Nat Rev Gastroenterol Hepatol. 2021 Feb;18(2):101-116. doi: 10.1038/s41575-020-00375-4. Epub 2020 Nov 18.
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Treatment efficacy of a low FODMAP diet compared to a low lactose diet in IBS patients: A randomized, cross-over designed study.
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Clin Nutr ESPEN. 2020 Dec;40:83-89. doi: 10.1016/j.clnesp.2020.09.020. Epub 2020 Oct 6.
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