Marselou Despina, Kassam Shireen
Clinical Dietitian and Nutritionist, Athens, Greece (DM).
King's College London and King's College Hospital, London, UK (SK).
Am J Lifestyle Med. 2023 Nov 9;18(2):189-195. doi: 10.1177/15598276231213325. eCollection 2024 Mar-Apr.
Inflammatory bowel disease (IBD) is a relapsing and remitting condition that requires continuous treatment to reduce the risk of relapse. Alongside genetic factors, diet and lifestyle factors are heavily implicated in the pathogenesis of the disease, with diets high in meat and ultra-processed foods and low in fibre-rich plant foods thought to be central to the disease process. There is considerable interest in using dietary interventions to prevent, treat and IBD, with the hope that this can limit and, in some cases, even eliminate the use of pharmaceutical interventions. A whole food plant-based diet (WFPBD) is an attractive option given its emphasis on foods that promote gut health and reduce inflammation and the avoidance of foods that are associated with dysbiosis and inflammation. Here we describe 3 case histories of patients with ulcerative colitis and the successful use of a WFPBD for remission induction and maintenance with over 2 years of follow-up.
炎症性肠病(IBD)是一种复发缓解型疾病,需要持续治疗以降低复发风险。除遗传因素外,饮食和生活方式因素在该疾病的发病机制中也起着重要作用,肉类和超加工食品含量高而富含纤维的植物性食品含量低的饮食被认为是疾病进程的核心因素。人们对使用饮食干预措施来预防、治疗IBD有着浓厚兴趣,希望这能限制甚至在某些情况下消除药物干预的使用。鉴于全植物性食物饮食(WFPBD)强调促进肠道健康和减轻炎症的食物,并避免与肠道菌群失调和炎症相关的食物,它是一个有吸引力的选择。在此,我们描述了3例溃疡性结肠炎患者的病例史,以及WFPBD在诱导缓解和维持缓解方面的成功应用,并进行了2年多的随访。