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炎症性肠病的营养管理;证据概述

Nutritional management of inflammatory bowel disease; an overview of the evidences.

作者信息

Morshedzadeh Nava, Rahimlou Mehran, Shahrokh Shabnam, Mirmiran Parvin, Zali Mohammad Reza

机构信息

Department of Nutrition, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.

Department of Nutrition, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

Diabetes Metab Syndr. 2022 Mar;16(3):102440. doi: 10.1016/j.dsx.2022.102440. Epub 2022 Feb 23.

Abstract

BACKGROUND AND AIMS

Inflammatory bowel disease (IBD) is a chronic relapsing-remitting systemic disease and one of the most common gastrointestinal diseases that affect many people. This review designed to report the latest findings on the association between some nutrients and IBD.

METHODS

A review was performed to summarize the effect of various aspects of nutrition and diet on clinical course, the severity of disease, intestinal epithelial inflammation, inflammatory and oxidative stress markers. Literature searches were conducted in PubMed and Google Scholar up to June 27, 2021.

RESULTS

Various studies have shown that an unhealthy diet and deficiency of some nutrients are involved in the etiology of IBD. It has also been shown that intestinal dysbiosis can increase the risk of developing IBD. The results of some studies have shown that supplementation with some nutrients such as omega-3 polyunsaturated fatty acids and vitamin D and probiotics may have beneficial results in patients with IBD. Adherence to some restrictive diets has also been helpful in some studies.

CONCLUSIONS

Following proper nutritional approaches can play an essential role in managing IBD symptoms. Further studies are needed to substantiate some of these findings.

摘要

背景与目的

炎症性肠病(IBD)是一种慢性复发-缓解性全身性疾病,也是影响众多人群的最常见胃肠道疾病之一。本综述旨在报告一些营养素与IBD之间关联的最新研究结果。

方法

进行了一项综述,以总结营养与饮食的各个方面对临床病程、疾病严重程度、肠上皮炎症、炎症和氧化应激标志物的影响。截至2021年6月27日,在PubMed和谷歌学术上进行了文献检索。

结果

各项研究表明,不健康饮食和某些营养素缺乏与IBD的病因有关。研究还表明,肠道菌群失调会增加患IBD的风险。一些研究结果显示,补充某些营养素,如ω-3多不饱和脂肪酸、维生素D和益生菌,可能对IBD患者产生有益效果。在一些研究中,坚持某些限制性饮食也有帮助。

结论

采用适当的营养方法对控制IBD症状至关重要。需要进一步研究来证实其中一些研究结果。

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