Programa de Pós-Graduação em Nutrição e Saúde, Departamento de Nutrição, Universidade Federal de Minas Gerais, Brazil.
Programa de Pós-Graduação em Ciência de Alimentos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Brazil.
Biomed Pharmacother. 2022 Jan;145:112414. doi: 10.1016/j.biopha.2021.112414. Epub 2021 Nov 19.
Inflammatory bowel diseases, irritable bowel syndrome, and mucositis are characterized by intestinal inflammation, but vary according to their pathological mechanisms, severity, location, and etiology. Significant intestinal inflammation that occurs in these diseases induces weight loss, nutritional depletion, and gastrointestinal tract dysfunction. Nutritional support is important in alleviating symptoms and improving patients' quality of life. In this review, we summarize some nutritional components used to manage intestinal disorders. These include fatty acids, probiotics, parabiotics, postbiotics, prebiotics, synbiotics, and low FODMAP (LFD) diets. These components and LFD diets have been studied and clinical trials have been designed to develop new strategies to alleviate intestinal inflammation and improve the quality of life. Clinical trials on their use in intestinal inflammation do not allow firm conclusions to be drawn mainly because of the heterogeneity of the dose used and the study design or their inconclusive results. However, in the majority of cases, the use of omega-3, probiotics, parabiotics, postbiotics, prebiotics, synbiotics, and LFD improve the health.
炎症性肠病、肠易激综合征和黏膜炎的特征是肠道炎症,但根据其病理机制、严重程度、部位和病因而有所不同。这些疾病中发生的显著肠道炎症会导致体重减轻、营养耗竭和胃肠道功能障碍。营养支持对于缓解症状和提高患者生活质量非常重要。在这篇综述中,我们总结了一些用于管理肠道紊乱的营养成分。这些成分包括脂肪酸、益生菌、合生菌、后生元、益生元、合生素和低 FODMAP(LFD)饮食。这些成分和 LFD 饮食已被研究,并设计了临床试验,以开发新的策略来缓解肠道炎症和提高生活质量。关于它们在肠道炎症中的应用的临床试验主要由于所用剂量的异质性以及研究设计或其不确定结果而无法得出明确结论。然而,在大多数情况下,使用 ω-3、益生菌、合生菌、后生元、益生元、合生素和 LFD 饮食可以改善健康状况。