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食物、饮食模式还是饮食行为?功能性消化不良的营养方面分析。

Food, Dietary Patterns, or Is Eating Behavior to Blame? Analyzing the Nutritional Aspects of Functional Dyspepsia.

机构信息

Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 El. Venizelou Ave, 17676 Athens, Greece.

Department of Nutritional Science and Dietetics, School of Health Science, University of the Peloponnese, Antikalamos, 24100 Kalamata-Messinia, Greece.

出版信息

Nutrients. 2023 Mar 22;15(6):1544. doi: 10.3390/nu15061544.


DOI:10.3390/nu15061544
PMID:36986274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10059716/
Abstract

Functional dyspepsia is a gastrointestinal disorder characterized by postprandial fullness, early satiation, epigastric pain, and epigastric burning. The pathophysiology of the disease is not fully elucidated and there is no permanent cure, although some therapies (drugs or herbal remedies) try to reduce the symptoms. Diet plays a critical role in either the reduction or the exacerbation of functional dyspepsia symptoms; therefore dietary management is considered to be of high importance. Several foods have been suggested to be associated with worsening functional dyspepsia, such as fatty and spicy foods, soft drinks, and others, and other foods are thought to alleviate symptoms, such as apples, rice, bread, olive oil, yogurt, and others. Although an association between functional dyspepsia and irregular eating habits (abnormal meal frequency, skipping meals, late-night snacking, dining out, etc.) has been established, not many dietary patterns have been reported as potential factors that influence the severity of functional dyspepsia. A higher adherence to Western diets and a lower adherence to FODMAPs diets and healthy patterns, such as the Mediterranean diet, can contribute to the worsening of symptoms. More research is needed on the role of specific foods, dietary patterns, or specific eating habits in the management of functional dyspepsia.

摘要

功能性消化不良是一种胃肠道疾病,其特征为餐后饱胀、早饱、上腹痛和上腹部烧灼感。该疾病的病理生理学尚未完全阐明,也没有永久性的治愈方法,尽管一些疗法(药物或草药)试图减轻症状。饮食在功能性消化不良症状的减轻或加重中起着关键作用;因此,饮食管理被认为非常重要。已经有一些食物被认为与功能性消化不良的恶化有关,如高脂肪和辛辣食物、软饮料等,而其他食物则被认为可以缓解症状,如苹果、米饭、面包、橄榄油、酸奶等。尽管已经确定功能性消化不良与不规律的饮食习惯(异常的进餐频率、不吃饭、夜宵、外出就餐等)之间存在关联,但很少有饮食模式被报道为影响功能性消化不良严重程度的潜在因素。较高的西方饮食依从性和较低的 FODMAPs 饮食和健康饮食模式(如地中海饮食)依从性可能导致症状恶化。需要进一步研究特定食物、饮食模式或特定饮食习惯在功能性消化不良管理中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/10059716/a36262b2a24f/nutrients-15-01544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/10059716/b2c938d9adc1/nutrients-15-01544-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/10059716/a36262b2a24f/nutrients-15-01544-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/10059716/b2c938d9adc1/nutrients-15-01544-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d5/10059716/a36262b2a24f/nutrients-15-01544-g002.jpg

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[7]
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本文引用的文献

[1]
Complementary and alternative medicine for functional dyspepsia: An Asian perspective.

Medicine (Baltimore). 2022-9-2

[2]
Investigation of Eating Habits in Patients with Functional Dyspepsia.

Turk J Gastroenterol. 2022-8

[3]
Editorial: Disruption of the Microbiota-Gut-Brain Axis in Functional Dyspepsia and Gastroparesis: Mechanisms and Clinical Implications.

Front Neurosci. 2022-7-5

[4]
Association Between Eating Behavior, Frequency of Meals, and Functional Dyspepsia in Young Japanese Population.

J Neurogastroenterol Motil. 2022-7-30

[5]
Chinese herbal medicine for functional dyspepsia: a network meta-analysis of prokinetic-controlled randomised trials.

Chin Med. 2021-12-20

[6]
Efficacy of herbal treatments for functional dyspepsia: A systematic review and meta-analysis of randomized clinical trials.

Phytother Res. 2022-2

[7]
Low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols diet versus traditional dietary advice for functional dyspepsia: a randomized controlled trial.

J Gastroenterol Hepatol. 2022-2

[8]
United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia.

United European Gastroenterol J. 2021-4

[9]
Epigastric symptom response to low FODMAP dietary advice compared with standard dietetic advice in individuals with functional dyspepsia.

Neurogastroenterol Motil. 2021-11

[10]
The relationship between fruit and vegetable intake with functional dyspepsia in adults.

Neurogastroenterol Motil. 2021-9

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