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革新炎症性肠病管理:创新饮食策略与未来方向的全面叙述性综述

Revolutionizing Inflammatory Bowel Disease Management: A Comprehensive Narrative Review of Innovative Dietary Strategies and Future Directions.

作者信息

Saeed Shahzeb, Ekhator Chukwuyem, Abdelaziz Ali M, Naveed Husnain, Karski Amanda, Cook Daniel E, Reddy Shivani M, Affaf Maryam, Khan Salman J, Bellegarde Sophia B, Rehman Abdur, Hasan Abdul Haseeb, Shehryar Abdullah

机构信息

Internal Medicine, Army Medical College, Rawalpindi, PAK.

Neuro-Oncology, New York Institute of Technology, College of Osteopathic Medicine, Old Westbury, USA.

出版信息

Cureus. 2023 Aug 29;15(8):e44304. doi: 10.7759/cureus.44304. eCollection 2023 Aug.

Abstract

This comprehensive narrative review delves into the intricate interplay between diet and inflammatory bowel disease (IBD), shedding light on the potential impact of dietary interventions in disease management. By analyzing nutritional interventions, risks, challenges, and future perspectives, this review serves as a vital resource for clinicians, researchers, and patients alike. The amalgamation of evidence underscores the significance of customizing dietary strategies for individual patients, considering disease phenotype and cultural factors. Through an exploration of dietary components' effects on IBD, including exclusive enteral nutrition and omega-3 fatty acids, this review offers pragmatic implementation advice and outlines avenues for further research. Bridging the gap between research findings and clinical applications, the review facilitates informed decision-making and patient-centric care. In the face of escalating IBD prevalence, this review emerges as an indispensable guide for healthcare professionals, empowering them to navigate the complexities of dietary management while enabling patients to actively participate in their care trajectory. Ultimately, this narrative review advances the understanding of diet's pivotal role in IBD management, fostering a more integrated approach to patient care and paving the way for improved research and policy initiatives in the field of inflammatory bowel diseases.

摘要

这篇综合性叙述性综述深入探讨了饮食与炎症性肠病(IBD)之间复杂的相互作用,揭示了饮食干预在疾病管理中的潜在影响。通过分析营养干预措施、风险、挑战及未来展望,本综述为临床医生、研究人员及患者提供了重要资源。证据的融合强调了根据个体患者的疾病表型和文化因素制定饮食策略的重要性。通过探讨饮食成分对IBD的影响,包括全肠内营养和ω-3脂肪酸,本综述提供了实用的实施建议,并概述了进一步研究的途径。本综述弥合了研究结果与临床应用之间的差距,促进了明智的决策制定和以患者为中心的护理。面对IBD患病率不断上升的情况,本综述成为医疗保健专业人员不可或缺的指南,使他们能够应对饮食管理的复杂性,同时使患者能够积极参与其护理过程。最终,这篇叙述性综述推进了对饮食在IBD管理中关键作用的理解,促进了更综合的患者护理方法,并为炎症性肠病领域改进研究和政策举措铺平了道路。

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本文引用的文献

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Diet and gut microbiome in gastrointestinal disease.饮食与胃肠道疾病中的肠道微生物组。
J Gastroenterol Hepatol. 2022 Feb;37(2):237-245. doi: 10.1111/jgh.15728. Epub 2021 Nov 16.
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Evidence-based clinical practice guidelines for inflammatory bowel disease 2020.2020 年炎症性肠病循证临床实践指南。
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