The Possible Role of Food and Diet in the Quality of Life in Patients with COPD-A State-of-the-Art Review.
The Possible Role of Food and Diet in the Quality of Life in Patients with COPD-A State-of-the-Art Review.
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DOI：
10.3390/nu15183902
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发表时间：
2023-09-07
期刊：
影响因子：
5.9
通讯作者：
Varga JT
中科院分区：
文献类型：
--
作者：
Fekete M;Csípő T;Fazekas-Pongor V;Bálint M;Csizmadia Z;Tarantini S;Varga JT
饮食已被描述为慢性疾病发生和发展的可改变的危险因素，并且越来越多的新证据表明其在慢性阻塞性肺疾病（COPD）中的预防和治疗作用。虽然在代谢紊乱、肥胖、糖尿病等疾病中，潜在疾病与饮食之间的关系是自然的，但在慢性阻塞性肺病中，直接影响并不那么明显。饮食质量差和呼吸系统疾病（包括慢性阻塞性肺病）中营养缺乏的发展可能与疾病特异性因素（如呼吸系统症状加剧）有关。这些症状可以通过饮食干预得到改善，从而导致疾病发病机制和患者生活质量的积极变化。因此，我们的目的是回顾最新的随机对照试验（RCTs）饮食干预慢性呼吸系统患者，并描述其对呼吸功能，身体活动，全身炎症参数和生活质量的影响。我们在PubMed、ClinicalTrials.gov和Cochrane中央对照试验注册（Central）数据库中对COPD患者的饮食干预进行了文献检索，重点检索了2018年7月1日至2023年7月1日的出版物。我们使用特定的关键词和MESH术语，专注于随机对照试验。本综述共纳入26篇文章和1811名COPD患者。根据我们的研究结果，饮食干预，特别是地中海饮食的组成部分，如蛋白质、omega-3多不饱和脂肪酸和蔬菜，似乎对慢性呼吸道疾病患者有有益的影响，它们的应用是有益的。然而，仍需要长期的随访研究来检验饮食干预对这一患者群体的影响。
Diet has been described as a modifiable risk factor for the development and progression of chronic diseases, and emerging evidence increasingly points to its preventive and therapeutic role in chronic obstructive pulmonary disease (COPD). While the relationship between the underlying disease and diet is natural in conditions such as metabolic disorders, obesity, diabetes, etc., the direct effect is not so evident in chronic obstructive pulmonary disease. Poor diet quality and the development of nutrient deficiencies in respiratory diseases, including COPD, can be associated with disease-specific factors such as the exacerbation of respiratory symptoms. These symptoms can be improved by dietary interventions, leading to positive changes in the pathogenesis of the disease and the quality of life of patients. Therefore, our aim was to review the latest randomized controlled trials (RCTs) of dietary interventions in chronic respiratory patients and describe their effects on respiratory function, physical activity, systemic inflammatory parameters, and quality of life. We conducted a literature search on dietary interventions for COPD patients in the PubMed, ClinicalTrials.gov, and Cochrane Central Register of Controlled Trials (CENTRAL) databases, focusing on publications from 1 July 2018 to 1 July 2023. We used specific keywords and MESH terms, focusing on RCTs. A total of 26 articles and 1811 COPD patients were included in this review. On the basis of our findings, dietary interventions, in particular components of the Mediterranean diet such as protein, omega-3 polyunsaturated fatty acids, and vegetables, appear to have beneficial effects in patients with chronic respiratory diseases, and their application is beneficial. However, long-term follow-up studies are still needed to examine the effects of dietary interventions in this patient population.
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