Jarrett M, Heitkemper M M, Bond E F, Georges J
Gastroenterol Nurs. 1994 Jun;16(6):253-8. doi: 10.1097/00001610-199406000-00004.
Nurses are often involved in helping patients alleviate chronic distressing gastrointestinal symptoms such as those associated with irritable bowel syndrome or functional bowel disorder. One therapeutic strategy is to increase dietary fiber intake and to eliminate gastrointestinal (GI) irritants such as caffeine, alcohol, and tobacco smoking. However, little work has been done to establish a relationship between dietary factors and chronic GI symptoms. In this article, the authors: (a) describe and compare caloric and dietary constituent intake in symptomatic (n = 18) and asymptomatic (n = 37) women, and (b) examine the relationships among diet, GI symptoms, and stool characteristics in the two groups. In particular, total calories, fiber, fat, protein, and carbohydrates as well as alcohol and caffeine intakes were compared in women who do not smoke. Because menstrual cycle phase modulates both symptoms and appetite, women were studied during the follicular phase. Groups had similar caloric, fat, and protein intakes. Fiber intakes were similar and similar to national norms in both groups. When compared with asymptomatic women, the symptomatic women consumed more refined carbohydrates. Relationships were observed among dietary intake of refined carbohydrates, fiber, GI symptoms, and stool characteristics in women with functional bowel disorder.
护士经常参与帮助患者缓解慢性令人痛苦的胃肠道症状，如与肠易激综合征或功能性肠病相关的症状。一种治疗策略是增加膳食纤维摄入量，并消除胃肠道刺激物，如咖啡因、酒精和吸烟。然而，在建立饮食因素与慢性胃肠道症状之间的关系方面，所做的工作很少。在本文中，作者：(a) 描述并比较有症状（n = 18）和无症状（n = 37）女性的热量和饮食成分摄入量，以及 (b) 研究两组中饮食、胃肠道症状和粪便特征之间的关系。特别是，比较了不吸烟女性的总热量、纤维、脂肪、蛋白质和碳水化合物以及酒精和咖啡因摄入量。由于月经周期阶段会调节症状和食欲，因此在卵泡期对女性进行了研究。两组的热量、脂肪和蛋白质摄入量相似。两组的纤维摄入量相似且与国家规范相似。与无症状女性相比，有症状女性摄入了更多的精制碳水化合物。在患有功能性肠病的女性中，观察到精制碳水化合物的饮食摄入量、纤维、胃肠道症状和粪便特征之间的关系。
