Ţincu Iulia Florentina, Chenescu Bianca Teodora, Duchi Larisa Alexandra, Pleșca Doina Anca
Faculty of Medicine, Department of Paediatrics, "Carol Davila" University of Medicine and Pharmacy, 030167 Bucharest, Romania.
"Dr. Victor Gomoiu" Clinical Children's Hospital, 030167 Bucharest, Romania.
J Clin Med. 2025 Mar 14;14(6):1971. doi: 10.3390/jcm14061971.
There is a limited body of evidence regarding dietary intake in children with inflammatory bowel disease despite increasing research about the nutritional implications in the disease pathogenesis. Functional abdominal pain disorders (FAPDs) are also chronic disorders marked by chronic abdominal pain, currently described with the ROME IV criteria. This study was aimed to investigate the adherence to healthy eating habits in an inflammatory bowel disease pediatric population when compared to a matched population with functional abdominal pain gastrointestinal disorders. : We performed a single centre study focused on dietary patterns in children with IBD and FAPDs between January 2021 and April 2024. Data collected included general information, disease phenotype, and the KIDMED index regarding healthy eating. : The final analysis was based on full data from the KIDMED index available for 122 (57 vs. 65) participants. Overall, the average KIDMED score did not vary significantly between the study population, meaning 6.89 ± 2.33 for the IBD group and 7.11 ± 2.67 for FAPDs group, = 0.34. In the same KIDMED index group, mean values were higher for FAPDs patients, but results differ statistically significant only for "medium" adherence to healthy diet, showing that larger proportion of IBD patients were previously exposed to non-healthy diets: 8.99 vs. 11.1, = 0.45, 5.02 vs. 6.92, = 0.05, 2.89 vs. 2.56, = 0.43, for group 1, 2, and 3, respectively. : This study showed in our cohort that overall adherence to a healthy pattern diet is poor prior to diagnosis of different gastrointestinal pathologies in children.
尽管关于炎症性肠病患儿饮食摄入的研究越来越多，但其发病机制中的营养影响方面的证据仍然有限。功能性腹痛障碍（FAPDs）也是以慢性腹痛为特征的慢性疾病，目前根据罗马IV标准进行描述。本研究旨在调查炎症性肠病儿科人群与匹配的功能性腹痛胃肠道疾病人群相比，对健康饮食习惯的依从性。我们在2021年1月至2024年4月期间进行了一项单中心研究，重点关注炎症性肠病和功能性腹痛障碍患儿的饮食模式。收集的数据包括一般信息、疾病表型以及关于健康饮食的KIDMED指数。最终分析基于122名（57名对65名）参与者可获得的KIDMED指数的完整数据。总体而言，研究人群之间的平均KIDMED评分没有显著差异，炎症性肠病组为6.89±2.33，功能性腹痛障碍组为7.11±2.67，P = 0.34。在同一KIDMED指数组中，功能性腹痛障碍患者的平均值较高，但仅在“中等”程度依从健康饮食方面结果有统计学显著差异，表明更大比例的炎症性肠病患者以前接触过不健康饮食：分别为8.99对11.1，P = 0.45；5.02对6.92，P = 0.05；2.89对2.56，P = 0.43，分别对应第1、2和3组。本研究在我们的队列中表明，在儿童诊断出不同胃肠道疾病之前，总体对健康模式饮食的依从性较差。
