饮食,营养和炎症性肠病:理解联系-一个普通儿科医生的观点

A. Koleilat
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摘要

炎症性肠病(IBD)是一种病因不明的慢性复发缓解性免疫疾病。IBD的主要表型是克罗恩病(CD)和溃疡性结肠炎(UC)。IBD最初在发达国家被认为是一种主要的健康并发症,但现在发展中国家也开始认识到这一点。IBD发病率和流行率的上升与人口的社会和经济发展以及对西方生活方式(包括饮食改变)的适应是同步的,特别是在儿童和婴儿年龄组中。世界范围内IBD的上升可能最好的解释是世界饮食和营养的变化,这是IBD管理的重要组成部分[7]。了解饮食和营养在炎症性肠病(IBD)中的重要性对于改善这些患者的生活质量至关重要[8]。饮食策略有助于控制IBD症状,饮食在控制IBD中的作用似乎是有道理的,并且有理由考虑饮食对肠道疾病的影响,因为当食物通过时,发炎的肠道感觉更糟。没有证据表明饮食可以引起或治愈炎症性肠病(IBD)。但肯定有助于治疗方法[9-13]。
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Diet, Nutrition and Inflammatory Bowel Diseases: Understanding the Connection- A General Pediatrician perspective
Inflammatory bowel disease (IBD) is a chronic relapsingremitting immune disorder of unknown etiology. The major phenotypes of IBD are Crohn’s disease (CD) and ulcerative colitis (UC). IBD was initially recognized as a major health complication in developed countries but now it is becoming recognized in developing ones. The rise in the incidence and the prevalence of IBD has paralleled the social and economic development of populations and adaptation to a Western lifestyle that includes diet changes, especially among child and infant age groups. The rise in IBD around the world may be best explained by changes in the world’s diet and nutrition which is an important parts of IBD management [7]. Understanding the importance of diet and nutrition in inflammatory bowel diseases (IBD) is vital to improve the quality of life for these patients [8]. The dietary strategies are helpful in controlling IBD symptoms and the role of diet in controlling IBD seems to make sense and a reason to consider a dietary contributor to intestinal disease, since the inflamed gut feels worse when food passes through it. No evidence that diet can cause or cure inflammatory bowel diseases (IBD). But surely contribute to treatment approach [9-13].
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