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Good adherence to mediterranean diet can prevent gastrointestinal symptoms:A survey from Southern Italy

World Journal of Gastrointestinal Pharmacology and Therapeutics 2016年第4期7卷 564-571页

作者： Francesco Paolo Zito Barbara Polese Letizia Vozzella Antonietta Gala Daniela Genovese Viviana Verlezza Fabiana Medugno Antonello Santini Luigi Barrea Martina Cargiolli Paolo Andreozzi Giovanni Sarnelli Rosario Cuomo Department of Surgery Gastroenterology and EndocrinologyUniversity of Naples "Federico Ⅱ" Department of Pharmacy University of Naples "Federico Ⅱ" IOS s.r.l and COLEMAN S.p.A.

AIM To evaluate how different levels of adherence to a mediterranean diet(MD) correlate with the onset of functional gastrointestinal *** As many as 1134 subjects(598 M and 536 F;age range 17-83 years) were prospectively investigated in relation to their dietary habits and the presence of functional gastrointestinal *** with relevant chronic organic disease were excluded from the *** Mediterranean Diet Quality index for children and adolescents(KIDMED) and the Short Mediterranean Diet Questionnaire were *** subjects were grouped into five categories according to their ages:14-24 years;25-34;35-49;50-64;above *** On the basis of the Rome Ⅲ criteria,our population consisted of 719(63.4%) individuals who did not meet the criteria for any functional disorder and were classified as controls(CNT),172(13.3%) patients meetingcriteria for prevalent irritable bowel syndrome(IBS),and 243(23.3%) meeting criteria for prevalent functional dyspepsia(FD).A significantly lower adherence score in IBS(0.57 ± 0.23,P < 0.001) and FD(0.56 ± 0.24,P < 0.05) was found compared to CNT(0.62 ± 0.21).Females with FD and IBS exhibited significantly lower adherence scores(respectively 0.58 ± 0.24,P < 0.05 and 0.56 ± 0.22,P < 0.05) whereas males were significantly lower only for FD(0.53 ± 0.25,P < 0.05).Age cluster analyses showed a significantly lower score in the 17-24 years and 25-34 year categories for FD(17-24 years:0.44 ± 0.21,P < 0.001;25-34 years:0.48 ± 0.22,P < 0.05) and IBS(17-24 years:0.45 ± 0.20,P < 0.05;24-34 years:0.44 ± 0.21,P < 0.001) compared to CNT(17-24 years:0.56 ± 0.21;25-34 years:0.69 ± 0.20).CONCLUSION Low adherence to MD may trigger functional gastrointestinal symptoms,mainly in younger ***,with increasing age,patients tend to adopt dietary regimens closer to MD.

关键词：地中海饮食急躁的肠症候群饮食的政体功能的胃肠的混乱功能的消化不良

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