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理想食物金字塔对类风湿关节炎患者肠道微生物群的影响。

The Effect of the Ideal Food Pyramid on Gut Microbiota in Rheumatoid Arthritis Patients.

作者信息

Kaçar Mutlutürk Ülger, Çiçek Betül, Cengiz Gizem

机构信息

Department of Nutrition and Dietetics, Institute of Health Sciences, Erciyes University, Kayseri 38039, Türkiye.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Kayseri 38260, Türkiye.

出版信息

Life (Basel). 2025 Mar 14;15(3):463. doi: 10.3390/life15030463.

DOI:10.3390/life15030463
PMID:40141807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11943791/
Abstract

BACKGROUND

The gut microbiota composition of rheumatoid arthritis (RA) patients differs from healthy people, and diet is among the powerful environmental determinants that can alter the microbiota. The purpose of this clinical research was to identify the effect of the Ideal Food Pyramid on gut microbiota in RA, as well as its impact on disease activity, biochemical findings and anthropometric measurements.

METHODS

Thirty patients diagnosed with RA that met the inclusion criteria were randomized into diet and control groups and followed for 12 weeks. The gut microbiota composition was indicated by 16SrRNA gene sequencing.

RESULTS

At the end of this study, Simpson, Shannon and Chao-1 indices were higher in the diet group (16) than in the control group (14), although not significantly ( > 0.05). In the diet group, at phylum levels, the abundance of decreased while the abundance of increased. At species level, , , , decreased, while , , , , , , , and species increased in the diet group.

CONCLUSIONS

The Ideal Food Pyramid has been determined to have many clinical benefits for RA patients, especially for the gut microbiota.

摘要

背景

类风湿关节炎(RA)患者的肠道微生物群组成与健康人不同,饮食是能够改变微生物群的重要环境决定因素之一。这项临床研究的目的是确定理想食物金字塔对RA患者肠道微生物群的影响,以及其对疾病活动、生化指标和人体测量的影响。

方法

30名符合纳入标准的RA诊断患者被随机分为饮食组和对照组,并随访12周。通过16SrRNA基因测序来显示肠道微生物群组成。

结果

在本研究结束时,饮食组(16)的辛普森指数、香农指数和Chao-1指数高于对照组(14),但差异不显著(>0.05)。在饮食组中,在门水平上,[具体菌门名称1]的丰度下降,而[具体菌门名称2]的丰度增加。在物种水平上,[具体物种名称1]、[具体物种名称2]、[具体物种名称3]、[具体物种名称4]减少,而饮食组中[具体物种名称5]、[具体物种名称6]、[具体物种名称7]、[具体物种名称8]、[具体物种名称9]、[具体物种名称10]、[具体物种名称11]、[具体物种名称12]物种增加。

结论

已确定理想食物金字塔对RA患者有许多临床益处,尤其是对肠道微生物群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11943791/5d16d8719553/life-15-00463-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11943791/dce6ee1d84b1/life-15-00463-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11943791/5d16d8719553/life-15-00463-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11943791/dce6ee1d84b1/life-15-00463-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a162/11943791/5d16d8719553/life-15-00463-g002.jpg

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本文引用的文献

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Mediterr J Rheumatol. 2023 Dec 30;34(4):404-413. doi: 10.31138/mjr.301223.eaf. eCollection 2023 Dec.
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The Integral Role of Diets Including Natural Products to Manage Rheumatoid Arthritis: A Narrative Review.包括天然产物的饮食在类风湿关节炎管理中的重要作用:一项叙述性综述
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Faecalibacterium prausnitzii alleviates inflammatory arthritis and regulates IL-17 production, short chain fatty acids, and the intestinal microbial flora in experimental mouse model for rheumatoid arthritis.
普拉梭菌(Faecalibacterium prausnitzii)可缓解炎症性关节炎,并调节实验性类风湿关节炎小鼠模型中的白细胞介素-17(IL-17)产生、短链脂肪酸和肠道微生物菌群。
Arthritis Res Ther. 2023 Jul 26;25(1):130. doi: 10.1186/s13075-023-03118-3.
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Diet and the risk of rheumatoid arthritis - A systematic literature review.饮食与类风湿关节炎风险 - 系统文献回顾。
Semin Arthritis Rheum. 2023 Feb;58:152118. doi: 10.1016/j.semarthrit.2022.152118. Epub 2022 Oct 28.
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Association of Antibodies to Prevotella copri in Anti-Cyclic Citrullinated Peptide-Positive Individuals At Risk of Developing Rheumatoid Arthritis and in Patients With Early or Established Rheumatoid Arthritis.抗环瓜氨酸肽抗体阳性的类风湿关节炎高危人群及早期或已确诊的类风湿关节炎患者中Prevotella copri 抗体的相关性。
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