Dietary Habits of Individuals With Primary Sclerosing Cholangitis-Poor Fat-Soluble Vitamin Intake and Dietary Quality.

IF 6 2区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Liver International Pub Date : 2024-11-27 DOI:10.1111/liv.16182

Catarina Lindqvist, Michael Ingre, Stergios Kechagias, Emma Nilsson, Antonio Molinaro, Fredrik Rorsman, Annika Bergquist

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Abstract

Background and aims: Individuals with primary sclerosing cholangitis (PSC) have expressed a need for more dietary information. The aim of this study was to evaluate the dietary intake of individuals with PSC and compare it with Nordic nutrition recommendations 2023 (NNR2023).

Methods: A cross-sectional assessment of dietary intake was performed using a food-frequency questionnaire among 120 individuals with PSC from five regions across Sweden. Macro- and micronutrient intake was compared to NNR2023. Dietary quality was evaluated using an index developed by the National Food Agency in Sweden.

Results: The median age was 47 years (IQR 18), and median body mass index (BMI) was 25.2 kg/m² (IQR 5.9). Eight percent had a BMI < 20, and 13% had a BMI > 30. The average fibre intake was 18 g (IQR 18). Median energy distribution included 36% from fat (15% saturated, 4.6% polyunsaturated), 17% from protein and 43% from carbohydrates, highlighting an imbalanced diet with low carbohydrate, fibre and polyunsaturated fat intake and high saturated fat consumption. More than half reported suboptimal intake of zinc, selenium and vitamins C, D and K and > 30% suboptimal intake of vitamins A, B6, E, niacin, folate, potassium, magnesium and iron. Forty percent had poor dietary quality. Longer PSC duration and previous colectomy were associated with a lower dietary quality.

Conclusions: Many individuals with PSC do not reach the recommended levels of various micronutrients, especially fat-soluble vitamins and report a poor dietary quality. The results highlight the need for a comprehensive approach to nutritional management in this population.

Trial registration: ClinicalTrials.gov identifier: NCT04133792.

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原发性硬化性胆管炎患者的饮食习惯--脂溶性维生素摄入量和膳食质量较差。

背景和目的：原发性硬化性胆管炎（PSC）患者表示需要更多的饮食信息。本研究旨在评估原发性硬化性胆管炎患者的饮食摄入量，并将其与北欧营养建议 2023（NNR2023）进行比较：方法：采用食物频率问卷对瑞典五个地区的120名PSC患者的膳食摄入量进行了横断面评估。宏观营养素和微量营养素摄入量与 NNR2023 进行了比较。膳食质量采用瑞典国家食品局制定的指数进行评估：中位年龄为 47 岁（IQR 18），中位体重指数（BMI）为 25.2 kg/m2（IQR 5.9）。8%的人体重指数为 30。平均纤维摄入量为 18 克（IQR 18）。能量分布中位数包括 36% 的脂肪（15% 饱和脂肪，4.6% 多不饱和脂肪）、17% 蛋白质和 43% 碳水化合物，这表明饮食不均衡，碳水化合物、纤维和多不饱和脂肪摄入量低，而饱和脂肪摄入量高。半数以上的人报告锌、硒和维生素 C、D 和 K 的摄入量不足，超过 30% 的人报告维生素 A、B6、E、烟酸、叶酸、钾、镁和铁的摄入量不足。40%的人饮食质量较差。PSC病程较长和曾接受过结肠切除术与饮食质量较低有关：结论：许多帕金森氏综合症患者的各种微量营养素，尤其是脂溶性维生素的摄入量达不到推荐水平，而且膳食质量较差。结论：许多帕金森病患者的各种微量营养素达不到推荐水平，尤其是脂溶性维生素，而且他们的膳食质量很差。研究结果突出表明，需要对这一人群进行全面的营养管理：试验注册：ClinicalTrials.gov identifier：NCT04133792.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Liver International 医学-胃肠肝病学

CiteScore

13.90

自引率

4.50%

发文量

348

审稿时长

2 months

期刊介绍： Liver International promotes all aspects of the science of hepatology from basic research to applied clinical studies. Providing an international forum for the publication of high-quality original research in hepatology, it is an essential resource for everyone working on normal and abnormal structure and function in the liver and its constituent cells, including clinicians and basic scientists involved in the multi-disciplinary field of hepatology. The journal welcomes articles from all fields of hepatology, which may be published as original articles, brief definitive reports, reviews, mini-reviews, images in hepatology and letters to the Editor.