炎性肠病(IBD)膳食指南
创作:兵兵 审核:兵兵 03月15日
  • 炎性肠病(IBD),主要指克罗恩病(CD)和溃疡性结肠炎(UC);
  • 针对两类患者,专家建议减少非灭活乳制品、膳食脂肪和常见食品添加剂的摄入,但是碳水化合物和糖、谷物和麸质、猪肉、酒精饮料方面的膳食证据不足;
  • 建议CD患者多吃水果蔬菜,但是水果蔬菜对UC患者的影响证据不足;
  • 建议UC病人增加摄入ω-3多不饱和脂肪酸、降低摄入红肉制品,关于该两种食物之于CD患者证据不足;
  • 关于灭活奶制品的摄入推荐,专家们并未达成一致。
主编推荐语
兵兵
来自国际炎症性肠病组织(IOIBD)对IBD患者的膳食推荐。该建议由12名专家,针对10种常见膳食组成和5钟添加剂对IBD患者的影响,结合文献调研,总结归纳出来。但是,大部分膳食对于IBD的影响研究证据不足(主要受限于人群研究较少)。同时,该建议也是由12名专家面对面讨论得出,现有结论,除了灭活乳制品,均基于该专家团的共识。因此,该建议对IBD患者具有一定的指导意义。
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延伸阅读本研究的原文信息和链接出处,以及相关解读和评论文章。欢迎读者朋友们推荐!

Dietary Guidance for Patients with Inflammatory Bowel Disease from the International Organization for the Study of Inflammatory Bowel Disease

国际炎症性肠病组织推荐的关于炎性肠病的膳食指南

10.1016/j.cgh.2020.01.046

02-14, Article

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Recent evidence points to a plausible role of diet and the microbiome in the pathogenesis of both Crohn’s disease (CD) and Ulcerative Colitis (UC). Dietary therapies based on exclusion of table foods and replacement with nutritional formulas and/or a combination of nutritional formulas and specific table foods may induce remission in CD. In UC, specific dietary components have also been associated with flare of disease. While evidence of varying quality has identified potential harmful or beneficial dietary components, physicians and patients at the present time do not have guidance as to which foods are safe, may be protective or deleterious for these diseases. The current document has been compiled by the nutrition cluster of the International Organization of IBD (IOIBD) based on the best current evidence to provide expert opinion regarding specific dietary components, food groups and food additives that may be prudent to increase or decrease in the diet of patients with IBD to control and prevent relapse of IBD.

First Authors:
Levine A

Correspondence Authors:
Lewis J D

All Authors:
Levine A,Rhodes J M,Lindsay J O,Abreu M T,Kamm M A,Gibson P R,Gasche C,Silverberg M S,Mahadevan U,Sigall Boneh R,Wine E,Damas O M,Syme G,Trakman G L,Yao C K,Stockhamer S I,Hammami M B,Garces L C,Rogler G,Koutroubakis I E,Ananthakrishnan A,Liam McKeever,Lewis J D

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NEJM Journal Watch新闻网站

Guideline for Nutrition and Diet in Inflammatory Bowel Disease

2020-03-05

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