Epsom and St Helier University Hospitals NHS Trust, Surrey, UK.
School of Nursing and Midwifery, University of Plymouth, Devon, UK.
J Hum Nutr Diet. 2023 Aug;36(4):1529-1538. doi: 10.1111/jhn.13158. Epub 2023 Mar 9.
Endometriosis is a common condition causing chronic pain, fatigue and gut symptoms. Research suggests that dietary changes may improve symptoms; however, evidence is lacking. The present study aimed to investigate the nutritional practices and needs of individuals with endometriosis (IWE) and the management of endometriosis by dietitians in the UK, focusing on gut symptoms.
Two online questionnaires were distributed via social media: a survey of dietitians working with IWE and functional gut symptoms and a survey of IWE.
All respondents to the dietitian survey (n = 21) used the low fermentable oligosaccharides disaccharides monosaccharides and polyols (FODMAP) diet in IWE, with the majority 69.3% (n = 14), reporting positive adherence and patient benefit. Dietitians recommended more training (85.7%, n = 18) and resources (81%, n = 17) for IWE. Of those who completed the IWE questionnaire (n = 1385), 38.5% (n = 533) had coexisting irritable bowel syndrome. Only 24.1% (n = 330) had satisfactory relief of gut symptoms. The most common symptoms were tiredness, bloating and abdominal pain, experienced by 85.5% (n = 1163), 75.3% (n = 1025) and 67.3% (n = 917), respectively. Some 52.2% (n = 723) had tried dietary modifications to relieve their gut symptoms; 36.7% (n = 500) ate a restricted diet at present; 13.5% (n = 184) experienced recent unintentional weight loss and 29.8% (n = 407) a decreased appetite Some 13.2% (n = 183) had seen a dietitian regarding their gut symptoms. Of those who had not seen a dietitian, 57.7% (n = 693) would find it useful to.
Gut symptoms and dietary restriction are very common in IWE; however, dietetic input is not. More research on the role of nutrition and dietetics in the management of endometriosis is recommended.
子宫内膜异位症是一种常见的疾病，会导致慢性疼痛、疲劳和肠道症状。研究表明，饮食改变可能会改善症状，但目前证据不足。本研究旨在调查英国子宫内膜异位症患者（IWE）的营养实践和需求，以及营养师对子宫内膜异位症的管理，重点关注肠道症状。
通过社交媒体发布了两份在线问卷：一份是针对有肠道症状的 IWE 患者和功能性肠道症状的营养师调查，另一份是针对 IWE 患者的调查。
所有参与营养师调查的受访者（n=21）均在 IWE 中使用低可发酵寡糖、双糖、单糖和多元醇（FODMAP）饮食，其中 69.3%（n=14）报告了积极的依从性和患者获益。营养师建议为 IWE 提供更多的培训（85.7%，n=18）和资源（81%，n=17）。在完成 IWE 问卷的受访者中（n=1385），38.5%（n=533）同时患有肠易激综合征。只有 24.1%（n=330）的肠道症状得到了满意的缓解。最常见的症状是疲劳、腹胀和腹痛，分别有 85.5%（n=1163）、75.3%（n=1025）和 67.3%（n=917）的患者经历过。约 52.2%（n=723）曾尝试通过饮食调整来缓解肠道症状；36.7%（n=500）目前正在限制饮食；13.5%（n=184）最近出现非故意体重减轻，29.8%（n=407）出现食欲下降。约 13.2%（n=183）曾就肠道症状咨询过营养师。在没有咨询营养师的患者中，57.7%（n=693）认为这将非常有用。
肠道症状和饮食限制在 IWE 中非常常见；然而，营养师的建议却并不常见。建议对营养和饮食在子宫内膜异位症管理中的作用进行更多研究。
