Diet as a treatment for inflammatory bowel disease: is it ready for prime time?
Diet as a treatment for inflammatory bowel disease: is it ready for prime time?
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饮食作为炎症性肠病的治疗方法：它准备好了吗？
DOI：
10.1097/mog.0000000000000850
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发表时间：
2022-07-01
影响因子：
2.5
通讯作者：
Damas, Oriana M.
中科院分区：
文献类型：
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作者：
Cusimano, Frank A.;Damas, Oriana M.
饮食仍然是炎症性肠病（IBD）患者的一个重要话题，但很少有饮食建议指南。人们对使用饮食作为溃疡性结肠炎（UC）和克罗恩病（CD）的治疗或辅助治疗越来越感兴趣。在这里，我们强调了使用饮食治疗UC和CD症状，活动性疾病和维持缓解的最新证据。克罗恩病排除饮食（CDED）和特定碳水化合物饮食（SCD）是研究的饮食，已获得普及，但对限制较少的饮食（如地中海饮食）的使用和功效越来越感兴趣。最近的数据表明，健康的饮食模式本身，重点是富含植物纤维的全食品，并促进减少超加工食品的消费，也可能有助于缓解溃疡性结肠炎和克罗恩病患者。在这篇综述中，我们总结了饮食作为IBD治疗的文献。我们强调了最新的临床饮食研究，随机临床试验，以及治疗IBD的新的和新兴的饮食。
Diet remains an important topic for patients with inflammatory bowel disease (IBD) yet few guidelines for dietary recommendations exist. There is growing interest in the use of diet as treatment or adjuvant therapy for both ulcerative colitis (UC) and Crohn’s Disease (CD). Here we highlight the latest evidence on the use of diet for treatment of symptoms, active disease, and maintenance of remission in UC and CD. The Crohn’s Disease Exclusion Diet (CDED) and the Specific Carbohydrate Diet (SCD) are studied diets that have gained popularity but there is growing interest in the use and efficacy of less restrictive diets like the Mediterranean Diet. Recent data suggests healthful dietary patterns alone, with an emphasis on whole foods that are high in vegetable fiber and that promote less consumption of ultra-processed foods may also help achieve remission in ulcerative colitis and Crohn’s disease patients. In this review, we summarize the literature on diet as treatment for IBD. We highlight the latest clinical dietary studies, randomized clinical trials, as well as new and emerging diets for the treatment of IBD.