The Effectiveness of Intermittent Fasting, Time Restricted Feeding, Caloric Restriction, a Ketogenic Diet and the Mediterranean Diet as Part of the Treatment Plan to Improve Health and Chronic Musculoskeletal Pain: A Systematic Review.
The Effectiveness of Intermittent Fasting, Time Restricted Feeding, Caloric Restriction, a Ketogenic Diet and the Mediterranean Diet as Part of the Treatment Plan to Improve Health and Chronic Musculoskeletal Pain: A Systematic Review.
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DOI：
10.3390/ijerph19116698
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发表时间：
2022-05-30
影响因子：
--
通讯作者：
Navarro-Ledesma, Santiago
中科院分区：
文献类型：
--
作者：
Cuevas-Cervera, Maria;Javier Perez-Montilla, Jose;Gonzalez-Munoz, Ana;Carmen Garcia-Rios, Maria;Navarro-Ledesma, Santiago
食物策略目前被用于改善慢性疼痛的炎症和氧化应激条件，这有助于提高患者的生活质量。本系统综述的主要目的是分析不同饮食策略作为慢性疼痛和健康下降患者治疗计划的一部分的有效性。使用PubMed、Web of Science、ProQuest、Scopus、护理及相关健康文献累积索引（CINAHL）、Cambridge Core和Oxford Academy数据库对文献进行审查和评价。随机临床试验（RCT）、观察性研究和最近6年内发表的系统评价被纳入其中。采用物理治疗证据数据库（PEDro）量表、PEDro内部效度量表（PVI）、评价多领域主要研究论文的标准质量评价标准（QUALSYT）和系统评价质量评价工具量表对纳入研究的偏倚风险进行评价。共纳入16篇文献，其中11篇为rct， 5篇为观察性研究。其中六项研究显示疼痛评估有所改善，而两项研究则相反。四项研究显示炎症减少，而一项研究没有显示炎症减少。五项研究表明，生活质量得到了改善。所有入选的研究在其评估量表中均获得了良好的方法学质量。在PVI中，1个RCT显示良好的内部效度，5个RCT显示中等的内部效度，5个RCT显示有限的内部效度。目前的研究表明，无论是短期还是长期，对IF饮食对疼痛改善的影响都缺乏共识。热量限制饮食可能是一个很好的长期治疗选择的人遭受痛苦。限时饮食和生酮饮食可以改善慢性病患者的生活质量。然而，需要更多的研究来分析不同营养策略的效果，不仅是单独的，而且是与其他短期和长期治疗相结合的。
Food strategies are currently used to improve inflammation and oxidative stress conditions in chronic pain which contributes to a better quality of life for patients. The main purpose of this systematic review is to analyze the effectiveness of different dietary strategies as part of the treatment plan for patients suffering from chronic pain and decreased health. PubMed, Web of Science, ProQuest, Scopus, Cumulative Index to Nursing & Allied Health Literature (CINAHL), Cambridge Core, and Oxford Academy databases were used to review and to appraise the literature. Randomized clinical trials (RCT), observational studies, and systematic reviews published within the last 6 years were included. The Physiotherapy Evidence Database (PEDro) scale, the PEDro Internal Validity (PVI), the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a variety of fields (QUALSYT), and the Quality Assessment Tool of Systematic Reviews scale were used to evaluate the risk of bias of the included studies. A total of 16 articles were included, of which 11 were RCTs and 5 were observational studies. Six of them showed an improvement in pain assessment, while two studies showed the opposite. Inflammation was shown to be decreased in four studies, while one did not show a decrease. The quality of life was shown to have improved in five studies. All of the selected studies obtained good methodological quality in their assessment scales. In the PVI, one RCT showed good internal validity, five RCTs showed moderate internal quality, while five of them were limited. Current research shows that consensus on the effects of an IF diet on pain improvement, in either the short or the long term, is lacking. A caloric restriction diet may be a good long term treatment option for people suffering from pain. Time restricted food and ketogenic diets may improve the quality of life in chronic conditions. However, more studies analyzing the effects of different nutritional strategies, not only in isolation but in combination with other therapies in the short and the long term, are needed.
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影响因子：
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