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Diet in neurogenic bowel management:A viewpoint on spinal cord injury

World Journal of Gastroenterology 2020年第20期26卷 2479-2497页

作者： Marco Bernardi Anna Lucia Fedullo Elisabetta Bernardi Diego Munzi Ilaria Peluso Jonathan Myers florigio romano lista Tommaso Sciarra Department of Physiology and Pharmacology"V.Erspamer" Sapienza University of RomeRome 00185Italy Italian Paralympic Committee Rome 00191Italy Federazione Italiana Pallacanestro In Carrozzina(FIPIC) Rome 00188Italy Department of Biosciences Biotechnologies and BiopharmaceuticsUniversity of Bari"Aldo Moro"Bari 70121Italy Joint Veteran Center Scientific DepartmentArmy Medical CenterRome 00184Italy Research Centre for Food and Nutrition Council for Agricultural Research and Economics(CREA-AN)Rome 00178Italy VA Palo Alto Health Care System and Stanford University Cardiology DivisionPalo AltoCA 94025United States Scientific Department Army Medical CenterRome 00184Italy

The aim of this review is to offer dietary advice for individuals with spinal cord injury(SCI)and neurogenic bowel *** this in mind,we consider health conditions that are dependent on the level of lesion including skeletal muscle atrophy,autonomic dysreflexia and neurogenic *** addition,SCI is often associated with a sedentary lifestyle,which increases risk for osteoporosis and diseases associated with chronic low-grade inflammation,including cardiovascular and chronic kidney *** Mediterranean diet,along with exercise and dietary supplements,has been suggested as an anti-inflammatory intervention in individuals with ***,individuals with chronic SCI have a daily intake of whole fruit,vegetables and whole grains lower than the recommended dietary allowance for the general *** studies have reported an increase in neurogenic bowel dysfunction symptoms after high fiber intake;therefore,this finding could explain the low consumption of plant *** consumption of fibre induces dysbiosis,which is associated with bothendotoxemia and *** can be reduced by exercise and diet in individuals with ***,to summarize our viewpoint,we developed a Mediterranean diet-based diet and exercise pyramid to integrate nutritional recommendations and exercise *** guidelines come from previously suggested recommendations for military veterans with disabilities and individuals with SCI,chronic kidney diseases,chronic pain and irritable bowel *** also considered the recent exercise guidelines and position stands for adults with SCI to improve muscle strength,flexibility and cardiorespiratory fitness and to obtain cardiometabolic ***,dietary advice for Paralympic athletes is suggested.

关键词： Neurogenic bowel dysfunction Body composition Mediterranean diet Food–drug interactions Microbiota Paralympic athletes

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