Dietary patterns and self-reported associations of diet with symptoms of inflammatory bowel disease.
Dietary patterns and self-reported associations of diet with symptoms of inflammatory bowel disease.
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DOI：
10.1007/s10620-012-2373-3
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发表时间：
2013-05
影响因子：
3.1
通讯作者：
Lewis, James D.
中科院分区：
文献类型：
--
作者：
Cohen, Aaron B.;Lee, Dale;Long, Millie D.;Kappelman, Michael D.;Martin, Christopher F.;Sandler, Robert S.;Lewis, James D.
没有足够的数据为炎症性肠病（IBD）患者提供明确的饮食建议。然而，患者经常报告特定的食物会影响他们的症状。在这项研究中，我们描述了患者对所选食物的益处和危害的看法以及患者的饮食模式。CCFA Partners是一项正在进行的IBD患者基于互联网的队列研究。我们使用半定量食物频率问卷来测量饮食消费模式，并使用开放式问题来引起患者对他们认为改善或加重IBD的食物的反应。我们将患者分为四个相互排斥的疾病类别：CD无造口或贮袋（CD），UC无造口或贮袋（UC），CD有造口（CD-造口）和UC有贮袋（UC-贮袋）。酸奶、米饭和香蕉更常被报告改善症状，而非叶菜、辛辣食物、水果、坚果、叶菜、油炸食品、牛奶、红肉、苏打水、爆米花、乳制品、酒精、高纤维食物、玉米、脂肪食物、种子、咖啡和豆类更常被报告恶化症状。与CD患者相比，CD造口术患者报告的奶酪消费量明显增加（比值比（OR）1.56，95% CI 1.03-2.36），含糖饮料（OR 2.14，95% CI 1.02-1.03）、牛奶（OR 1.84，95% CI 1.35-2.52）、比萨饼（OR 1.57，95% CI 1.12-2.20）和加工肉类（OR 1.40; 95% CI 1.04-1.89）。患者确定了他们认为会加重症状并限制饮食的食物。造口术的病人饮食更宽松。需要进行前瞻性研究以确定饮食是否影响病程。
There are insufficient data to make firm dietary recommendations for patients with inflammatory bowel disease (IBD). Yet patients frequently report that specific food items influence their symptoms. In this study, we describe patients’ perceptions about the benefits and harms of selected foods and patients’ dietary patterns. CCFA Partners is an ongoing internet-based cohort study of patients with IBD. We used a semi-quantitative food frequency questionnaire to measure dietary consumption patterns and open-ended questions to elicit responses from patients about food items they believe ameliorate or exacerbate IBD. We categorized patients into four mutually exclusive disease categories: CD without an ostomy or pouch (CD), UC without an ostomy or pouch (UC), CD with an ostomy (CD-ostomy), and UC with a pouch (UC-pouch). Yogurt, rice, and bananas were more frequently reported to improve symptoms whereas non-leafy vegetables, spicy foods, fruit, nuts, leafy vegetables, fried foods, milk, red meat, soda, popcorn, dairy, alcohol, high-fiber foods, corn, fatty foods, seeds, coffee, and beans were more frequently reported to worsen symptoms. Compared to CD patients, CD-ostomy patients reported significantly greater consumption of cheese (odds ratio (OR) 1.56, 95% CI 1.03–2.36), sweetened beverages (OR 2.14, 95% CI 1.02–1.03), milk (OR 1.84, 95% CI 1.35–2.52), pizza (OR 1.57, 95% CI 1.12–2.20), and processed meats (OR 1.40; 95% CI 1.04–1.89). Patients identified foods that they believe worsen symptoms and restricted their diet. Patients with ostomies ate a more liberal diet. Prospective studies are needed to determine whether diet influences disease course.
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影响因子：
8
作者：
Dignass, A.;Van Assche, G.;Travis, S. P. L.
通讯作者：
Travis, S. P. L.
影响因子：
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作者：
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Modesto, Irene
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作者：
Long, Millie D.;Kappelman, Michael D.;Sandler, Robert S.
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Sandler, Robert S.
影响因子：
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通讯作者：
FISHER, RL
影响因子：
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作者：
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通讯作者：
Ladefoged, K