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营养与肠道-脑相互作用障碍。

Nutrition and Disorders of Gut-Brain Interaction.

机构信息

Translational Research in Gastrointestinal Disoerders (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000 Lueven, Belgium.

Internal Medicine Unit, "Madonna del Soccorso" General Hospital, Via Luciano Manara 7, 63074 San Benedetto del Tronto, Italy.

出版信息

Nutrients. 2024 Jan 4;16(1):176. doi: 10.3390/nu16010176.


DOI:10.3390/nu16010176
PMID:38202005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10780945/
Abstract

BACKGROUND: Disorders of gut-brain interaction (DGBIs) have a complex pathophysiology that is often characterized by a relationship between food ingestion and triggering of symptoms. Understanding of the underlying mechanisms and the role of nutrients as a therapeutic target are rapidly evolving. AIMS AND METHODS: We performed a narrative review of the literature using the following keywords, their acronyms, and their associations: nutrients, disorders of gut-brain interaction; functional dyspepsia; malabsorption; irritable bowel syndrome; diarrhea; constipation. RESULTS: Functional dyspepsia displayed a significant correlation between volume, fat and/or wheat abundance, chemical composition of ingested food and symptoms of early satiety, fullness and weight loss. Carbohydrate malabsorption is related to enzyme deficiency throughout the GI tract. Food composition and richness in soluble vs. non-soluble fibers is related to constipation and diarrhea. The elimination of fermentable oligo-, di-, monosaccharides and polyols (FODMAPs) has a significant and non-unidirectional impact on irritable bowel syndrome (IBS) symptoms. CONCLUSIONS: Food volume, nutritive and chemical composition, and its malabsorption are associated with symptom generation in DGBIs. Further multicenter, randomized-controlled clinical trials are needed to clarify the underlying pathophysiology.

摘要

背景:肠脑互动障碍(DGBI)的发病机制复杂,其特征通常是进食与症状触发之间存在关联。人们对其潜在机制以及营养物作为治疗靶点的作用的理解正在迅速发展。

目的和方法:我们使用以下关键词、它们的缩写及其关联进行了文献的叙述性综述:营养物、肠脑互动障碍;功能性消化不良;吸收不良;肠易激综合征;腹泻;便秘。

结果:功能性消化不良与进食量、脂肪和/或小麦含量、摄入食物的化学成分以及早饱、饱胀和体重减轻等症状之间存在显著相关性。整个胃肠道的酶缺乏与碳水化合物吸收不良有关。食物组成以及可溶性与不可溶性纤维的丰富度与便秘和腹泻有关。可发酵寡糖、二糖、单糖和多元醇(FODMAPs)的消除对肠易激综合征(IBS)症状具有显著且非单向的影响。

结论:食物量、营养和化学成分及其吸收不良与 DGBI 中的症状产生有关。需要进一步开展多中心、随机对照临床试验以阐明潜在的病理生理学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/10780945/3cf345b20301/nutrients-16-00176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/10780945/3cf345b20301/nutrients-16-00176-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/10780945/3cf345b20301/nutrients-16-00176-g001.jpg

相似文献

[1]
Nutrition and Disorders of Gut-Brain Interaction.

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[2]
A diet low in FODMAPs reduces symptoms of irritable bowel syndrome.

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[3]
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[4]
[Current issues on irritable bowel syndrome: diet and irritable bowel syndrome].

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[5]
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[6]
Fermentable oligo-, di-, monosaccharides, and polyols (FODMAPs), but not gluten, elicit modest symptoms of irritable bowel syndrome: a double-blind, placebo-controlled, randomized three-way crossover trial.

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[7]
Mechanisms underlying food-related symptoms in disorders of gut-brain interaction: Course ahead in research and clinical practice.

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[8]
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Am J Gastroenterol. 2003-11

[9]
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[10]
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引用本文的文献

[1]
Disorders of gut-brain interaction are a new challenge of our increasingly complex society, with worldwide repercussions.

World J Clin Pediatr. 2025-6-9

[2]
The Duodenal Microenvironment in Functional Dyspepsia.

J Neurogastroenterol Motil. 2025-4-30

[3]
Characterisation of the Plasma and Faecal Metabolomes in Participants with Functional Gastrointestinal Disorders.

Int J Mol Sci. 2024-12-16

[4]
Changes in SOD and NF-κB Levels in and the Intestine through Oxidative Stress Effects in a Wistar Rat Model of Ozone Pollution.

Antioxidants (Basel). 2024-4-27

[5]
The Mesentery's Pivotal Role in the Brain-Gut-Liver Axis.

Med Arch. 2024

本文引用的文献

[1]
Prevalence of vomiting and nausea and associated factors after chronic and acute gluten exposure in celiac disease.

BMC Gastroenterol. 2023-9-6

[2]
Diet and Management of Diarrhea.

Indian J Pediatr. 2024-6

[3]
The low FODMAP diet in clinical practice: where are we and what are the long-term considerations?

Proc Nutr Soc. 2024-2

[4]
Nutrition Considerations in Patients with Functional Diarrhea.

Curr Gastroenterol Rep. 2023-9

[5]
Role of Low-FODMAP diet in functional dyspepsia: "Why", "When", and "to Whom".

Best Pract Res Clin Gastroenterol. 2023

[6]
Constipation-Predominant Irritable Bowel Syndrome (IBS-C): Effects of Different Nutritional Patterns on Intestinal Dysbiosis and Symptoms.

Nutrients. 2023-3-28

[7]
Sucrase-isomaltase genotype and response to a starch-reduced and sucrose-reduced diet in IBS-D patients.

Gut. 2024-3-7

[8]
Prune Juice Containing Sorbitol, Pectin, and Polyphenol Ameliorates Subjective Complaints and Hard Feces While Normalizing Stool in Chronic Constipation: A Randomized Placebo-Controlled Trial.

Am J Gastroenterol. 2022-10-1

[9]
Histamine production by the gut microbiota induces visceral hyperalgesia through histamine 4 receptor signaling in mice.

Sci Transl Med. 2022-7-27

[10]
Functional Constipation in Elderly and Related Determinant Risk Factors: Malnutrition and Dietary Intake.

J Am Nutr Assoc. 2023-8

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