Uztura paradumi pacientiem ar iekaisīgām zarnu slimībām
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Date
2020
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Journal Title
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Volume Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Aktualitāte : Iekaisīgas zarnu slimības ir problēma , kas pasliktina cilvēku dzīves kvalitāti un veselības stāvokli. Ar katru gadu piaug Krona slimības un čūlaina kolīta slimnieku skaits pasaulē, kurš ir sasniedzis 5 miljonus un dažādās valstīs un reģionos strauji mainās slimības pakāpe. Pašlaik trūkst pētījumu par nepieciešamām uztura izmaiņām pacientiem ar IZS, lai samazinātu slimības simptomu uzliesmojumus.
Darba mērķis: Noskaidrot pacientu ar iekaisīgām zarnu slimībām (čūlains kolīts un Krona slimība) uztura paradumus un to saistību ar slimības simptomātiku.
Metodes: Pētījumā piedalījās 31 Paula Stradiņa Klīniskās Universitātes slimnīcas Gastroenteroloģijas nodaļas un poliklīnikas pacienti , kuri bija stacionēti , vai bija vērsušies vizītē pie gastroenterologa. Ar aptaujas anketu tika iegūta informācija par dalībnieku uztura paradumiem pēc diagnozes noteikšanai un to saistību ar slimības simptomātiku.
Rezultāti: Rekomendētās zivju porcijas uzņem 38% pacientu un gaļu rekomendētās porciju skaitu nedēļā uzņem 94% pacientu , toties rekomendētās dārzeņu porcijas nedēļas laikā neuzņem neviens no pacientiem. Lielākā daļa no pacientiem ar IZS nelieto saldos dzērienus . Pacienti ierobežo tādu pārtikas produktu lietošanu, kā asie ēdieni , dārzeņi, piena produkti, gaļa un svaigie augļi slimības simptomu provocēšanas dēļ. Analizējot saistību starp pacientu slimības ilgumu un ķermeņa masas indeksu, netika atrastas statistiski nozīmīgas sastības starp ĶMI un slimības ilgumu. Visbiežāk pacienti izmanto internetu , lai atrastu uztura rekomendāciju informācijas avotus.
Secinājumi: Pacientu uzturs atbilst veselīga uztura un IZS simptomu mazināšanās pamatprincipiem, izņemot ieteicamo dārzeņu , augļu un zivju lietošanas devu. Daļa uztura ierobežojumu, kā dārzeņu , augļu , piena produktu un aso ēdienu lietošanas ierobežošana, saistīti ar pacientu raizēm par slimības simptomu pastiprināšanos. Nav vērojama ķermeņa masas indeksa saistība ar pacientu slimības ilgumu. Pacienti visbiežāk izmanto internetu , ka uzturu rekomendāciju informācijas avotu.
Background: Inflammatory bowel disease have the potential to impair people's quality of life as well as worsen their health. The number of people with Crohn's disease and ulcerative colitis in the world is growing every year, reaching 5 million , with substantial variation in levels and trends of disease in different countries and regions. There is currently a lack of recommendations for necessary dietary changes in patients with IBD to reduce the onset of symptoms. Objective : Determine the dietary habits of patients with inflammatory bowel diseases (ulcerative colitis and Crohn's disease) and their relation to the symptoms of the disease. Methods : The study embrace 31 patients of the Department of Gastroenterology and Polyclinic of Pauls Stradiņš Clinical University Hospital, that have been hospitalized or had visited a gastroenterologist. The questionnaire answers provide information on the participants dietary habits and their relationship with the symptoms of the disease. Results : The recommended servings of fish are consumed daily by 38% of patients and the recommended number of servings of meat per week are consumed by 94% of patients, yet none of the patients consume recommended servings of vegetables . Most of the patients with IBD do not consume sweet drinks. Patients restrict usage of food such as: spicy food, vegetables, dairy products, meat and fresh fruit due to the provocation of symptoms. When analyzing the relationship between patient disease duration and body mass index, no statistically significant correlations were found between BMI and disease duration. Most patients use the Internet and books to find information regarding dietary recommendations. Conclusion : Patients diets are in line with the basic principles of a healthy diet and reduction of IBD symptoms, with the exception of the recommended consumption of vegetables fruits and fish. Some of the dietary restrictions, such as restrictions on the use of vegetables, fruits, dairy products and spicy foods, are related to patients concerns about worsening symptoms. There is no relationship between body mass index and patient duration. Patients most often use the Internet as a source of information for dietary recommendations.
Background: Inflammatory bowel disease have the potential to impair people's quality of life as well as worsen their health. The number of people with Crohn's disease and ulcerative colitis in the world is growing every year, reaching 5 million , with substantial variation in levels and trends of disease in different countries and regions. There is currently a lack of recommendations for necessary dietary changes in patients with IBD to reduce the onset of symptoms. Objective : Determine the dietary habits of patients with inflammatory bowel diseases (ulcerative colitis and Crohn's disease) and their relation to the symptoms of the disease. Methods : The study embrace 31 patients of the Department of Gastroenterology and Polyclinic of Pauls Stradiņš Clinical University Hospital, that have been hospitalized or had visited a gastroenterologist. The questionnaire answers provide information on the participants dietary habits and their relationship with the symptoms of the disease. Results : The recommended servings of fish are consumed daily by 38% of patients and the recommended number of servings of meat per week are consumed by 94% of patients, yet none of the patients consume recommended servings of vegetables . Most of the patients with IBD do not consume sweet drinks. Patients restrict usage of food such as: spicy food, vegetables, dairy products, meat and fresh fruit due to the provocation of symptoms. When analyzing the relationship between patient disease duration and body mass index, no statistically significant correlations were found between BMI and disease duration. Most patients use the Internet and books to find information regarding dietary recommendations. Conclusion : Patients diets are in line with the basic principles of a healthy diet and reduction of IBD symptoms, with the exception of the recommended consumption of vegetables fruits and fish. Some of the dietary restrictions, such as restrictions on the use of vegetables, fruits, dairy products and spicy foods, are related to patients concerns about worsening symptoms. There is no relationship between body mass index and patient duration. Patients most often use the Internet as a source of information for dietary recommendations.
Description
Uzturs
Nutrition
Veselības aprūpe
Health Care
Nutrition
Veselības aprūpe
Health Care
Keywords
Atslēgas vārdi: čūlains kolīts, Krona slimība, uzturs., Keywords : ulcerative colitis, Crohn's disease, nutrition.