Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise
Ano de defesa: | 2022 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade do Oeste Paulista
|
Programa de Pós-Graduação: |
Mestrado em Ciências da Saúde
|
Departamento: |
Mestrado em Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bdtd.unoeste.br:8080/jspui/handle/jspui/1450 |
Resumo: | Inflammatory bowel diseases (IBD) has shown an increase in incidence worldwide. The main proven risk factor for both IBD is a positive family history in 10-25% of patients. Crohn's disease (CD) can affect individuals aged 15 to 40 years and 50 to 80 years, has a higher percentage in women, and has increased around 15 times in the last decades. Ulcerative colitis (UC), the disease can start at any age. The peak of incidence seems to occur from 20 to 40 years and many studies show a second peak of incidence in the elderly. The pathogenesis of IBD is that genetically susceptible individuals develop intolerance to the dysregulated gut microbiota (dysbiosis) and chronic inflammation develops as a result of poor food triggers. Thus, the diet plays an important role in the modulation of the intestinal microbiota and can be applied as a therapeutic tool to improve the course of the disease. To carry out a systematic review and meta-analysis on the main interactions between dietary therapy, gut microbiota, and inflammatory bowel disease, to elucidate the main clinical outcomes of the disease after nutritional treatment. The present study followed the international model of systematic review and meta-analysis, following the rules of PRISMA. The inclusion criteria were clinical studies, involving randomized controlled, prospective, and retrospective (observational/epidemiological) studies, published from 2010 to 2020 on the main clinical outcomes of the nutritional treatment of inflammatory bowel diseases. The quality of scientific evidence in the studies covered was classified as high, moderate, low, or very low, according to the GRADE rules and the risk of bias according to a Cochrane instrument. The present study found seventeen important prospective randomized controlled clinical studies in the last ten years that showed the important role of dietary modulation in the control of IBD. In this sense, they showed important reductions in persistent intestinal symptoms, improvement in intestinal microbiota, reduction in circulating markers of inflammation, and improvement in quality of life, with p<0.05 (95% CI). Most of the studies listed were homogeneous (98.95%) in their clinical responses, suggesting the broad impact of dietary interventions on inflammation and clinical outcomes. The important role of modulation of the diet in the control and even in the remission of IBD was evidenced. |
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Keller, Rogériahttps://orcid.org/0000-0002-7315-986Xhttp://lattes.cnpq.br/4996769898641332Bremer Neto, Hermannhttps://orcid.org/0000-0001-9592-8896http://lattes.cnpq.br/6532684654837173Gasparini, Rodrigo Galhardihttp://lattes.cnpq.br/6869471852631006http://lattes.cnpq.br/3463020586226102AVANCE, Aline Damasceno2022-12-13T20:32:18Z2022-09-26AVANCE, Aline Damasceno. Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise. 2022. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2022.http://bdtd.unoeste.br:8080/jspui/handle/jspui/1450Inflammatory bowel diseases (IBD) has shown an increase in incidence worldwide. The main proven risk factor for both IBD is a positive family history in 10-25% of patients. Crohn's disease (CD) can affect individuals aged 15 to 40 years and 50 to 80 years, has a higher percentage in women, and has increased around 15 times in the last decades. Ulcerative colitis (UC), the disease can start at any age. The peak of incidence seems to occur from 20 to 40 years and many studies show a second peak of incidence in the elderly. The pathogenesis of IBD is that genetically susceptible individuals develop intolerance to the dysregulated gut microbiota (dysbiosis) and chronic inflammation develops as a result of poor food triggers. Thus, the diet plays an important role in the modulation of the intestinal microbiota and can be applied as a therapeutic tool to improve the course of the disease. To carry out a systematic review and meta-analysis on the main interactions between dietary therapy, gut microbiota, and inflammatory bowel disease, to elucidate the main clinical outcomes of the disease after nutritional treatment. The present study followed the international model of systematic review and meta-analysis, following the rules of PRISMA. The inclusion criteria were clinical studies, involving randomized controlled, prospective, and retrospective (observational/epidemiological) studies, published from 2010 to 2020 on the main clinical outcomes of the nutritional treatment of inflammatory bowel diseases. The quality of scientific evidence in the studies covered was classified as high, moderate, low, or very low, according to the GRADE rules and the risk of bias according to a Cochrane instrument. The present study found seventeen important prospective randomized controlled clinical studies in the last ten years that showed the important role of dietary modulation in the control of IBD. In this sense, they showed important reductions in persistent intestinal symptoms, improvement in intestinal microbiota, reduction in circulating markers of inflammation, and improvement in quality of life, with p<0.05 (95% CI). Most of the studies listed were homogeneous (98.95%) in their clinical responses, suggesting the broad impact of dietary interventions on inflammation and clinical outcomes. The important role of modulation of the diet in the control and even in the remission of IBD was evidenced.O principal fator de risco para as doenças inflamatórias intestinais (DII) é uma história familiar positiva de 10-25% dos pacientes. A doença de Crohn (DC) pode afetar indivíduos de 15 a 40 anos e de 50 a 80 anos, com maior frequência nas mulheres. Já a retocolite ulcerativa (RCU) pode iniciar em qualquer idade. A patogênese da DII está ligada a indivíduos geneticamente suscetíveis, a microbiota intestinal desregulada (disbiose), a inflamação crônica e a padrões alimentares ruins. A dieta tem papel importante na modulação do microbiota intestinal, podendo ser aplicada como ferramenta terapêutica para melhorar o curso da doença. O objetivo foi realizar uma revisão sistemática e meta-análise sobre as principais interações entre terapia dietética, microbiota intestinal e doença inflamatória intestinal, a fim de elucidar os principais desfechos clínicos após o tratamento nutrológico. O presente estudo seguiu o modelo internacional de revisão sistemática e meta-análise (PRISMA). Incluiu-se estudos clínicos, envolvendo estudos randomizados controlados, prospectivos e retrospectivos publicados de 2010 a 2020. Encontrou-se 17 estudos clínicos randomizados controlados e demais estudos clínicos sobre a modulação da dieta alimentar no controle das DII. Esses estudos mostraram reduções nos sintomas intestinais persistentes, melhora da microbiota intestinal, redução de marcadores de inflamação e melhora na qualidade de vida, com p<0,05 (IC 95%). Os estudos foram homogêneos (I2 = 98,95%), o que aumenta a confiabilidade dos resultados clínicos sobre a importância dietética na modulação das DII. Evidenciou-se o importante papel da modulação da dieta alimentar no controle e até mesmo na remissão das DII.Submitted by Jakeline Ortega (jakortega@unoeste.br) on 2022-12-13T20:32:18Z No. of bitstreams: 2 Aline Damasceno Avance.pdf: 6708637 bytes, checksum: fd3fedf50ba2e87d412ad71e871f3036 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2022-12-13T20:32:18Z (GMT). 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dc.title.por.fl_str_mv |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
dc.title.alternative.eng.fl_str_mv |
Interactions between dietary therapy and gut microbiota in inflammatory bowel disease: A systematic review and meta-analysis |
title |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
spellingShingle |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise AVANCE, Aline Damasceno Doença inflamatória intestinal Nutrição funcional Terapia dietética Tratamento nutrológico Microbiota intestinal Qualidade de vida Inflammatory bowel disease Functional Nutrition Diet therapy Nutrological treatment Intestinal microbiota Quality of life CIENCIAS DA SAUDE::MEDICINA |
title_short |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
title_full |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
title_fullStr |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
title_full_unstemmed |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
title_sort |
Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise |
author |
AVANCE, Aline Damasceno |
author_facet |
AVANCE, Aline Damasceno |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Keller, Rogéria |
dc.contributor.advisor1ID.fl_str_mv |
https://orcid.org/0000-0002-7315-986X |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4996769898641332 |
dc.contributor.referee1.fl_str_mv |
Bremer Neto, Hermann |
dc.contributor.referee1ID.fl_str_mv |
https://orcid.org/0000-0001-9592-8896 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6532684654837173 |
dc.contributor.referee2.fl_str_mv |
Gasparini, Rodrigo Galhardi |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6869471852631006 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3463020586226102 |
dc.contributor.author.fl_str_mv |
AVANCE, Aline Damasceno |
contributor_str_mv |
Keller, Rogéria Bremer Neto, Hermann Gasparini, Rodrigo Galhardi |
dc.subject.por.fl_str_mv |
Doença inflamatória intestinal Nutrição funcional Terapia dietética Tratamento nutrológico Microbiota intestinal Qualidade de vida |
topic |
Doença inflamatória intestinal Nutrição funcional Terapia dietética Tratamento nutrológico Microbiota intestinal Qualidade de vida Inflammatory bowel disease Functional Nutrition Diet therapy Nutrological treatment Intestinal microbiota Quality of life CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Inflammatory bowel disease Functional Nutrition Diet therapy Nutrological treatment Intestinal microbiota Quality of life |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Inflammatory bowel diseases (IBD) has shown an increase in incidence worldwide. The main proven risk factor for both IBD is a positive family history in 10-25% of patients. Crohn's disease (CD) can affect individuals aged 15 to 40 years and 50 to 80 years, has a higher percentage in women, and has increased around 15 times in the last decades. Ulcerative colitis (UC), the disease can start at any age. The peak of incidence seems to occur from 20 to 40 years and many studies show a second peak of incidence in the elderly. The pathogenesis of IBD is that genetically susceptible individuals develop intolerance to the dysregulated gut microbiota (dysbiosis) and chronic inflammation develops as a result of poor food triggers. Thus, the diet plays an important role in the modulation of the intestinal microbiota and can be applied as a therapeutic tool to improve the course of the disease. To carry out a systematic review and meta-analysis on the main interactions between dietary therapy, gut microbiota, and inflammatory bowel disease, to elucidate the main clinical outcomes of the disease after nutritional treatment. The present study followed the international model of systematic review and meta-analysis, following the rules of PRISMA. The inclusion criteria were clinical studies, involving randomized controlled, prospective, and retrospective (observational/epidemiological) studies, published from 2010 to 2020 on the main clinical outcomes of the nutritional treatment of inflammatory bowel diseases. The quality of scientific evidence in the studies covered was classified as high, moderate, low, or very low, according to the GRADE rules and the risk of bias according to a Cochrane instrument. The present study found seventeen important prospective randomized controlled clinical studies in the last ten years that showed the important role of dietary modulation in the control of IBD. In this sense, they showed important reductions in persistent intestinal symptoms, improvement in intestinal microbiota, reduction in circulating markers of inflammation, and improvement in quality of life, with p<0.05 (95% CI). Most of the studies listed were homogeneous (98.95%) in their clinical responses, suggesting the broad impact of dietary interventions on inflammation and clinical outcomes. The important role of modulation of the diet in the control and even in the remission of IBD was evidenced. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-12-13T20:32:18Z |
dc.date.issued.fl_str_mv |
2022-09-26 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
AVANCE, Aline Damasceno. Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise. 2022. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2022. |
dc.identifier.uri.fl_str_mv |
http://bdtd.unoeste.br:8080/jspui/handle/jspui/1450 |
identifier_str_mv |
AVANCE, Aline Damasceno. Estudo das interações entre a terapia dietética e a microbiota intestinal na doença inflamatória intestinal: Uma revisão sistemática e meta-análise. 2022. Dissertação (Mestrado em Ciências da Saúde) - Universidade do Oeste Paulista, Presidente Prudente, SP, 2022. |
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http://bdtd.unoeste.br:8080/jspui/handle/jspui/1450 |
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por |
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Mestrado em Ciências da Saúde |
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Universidade do Oeste Paulista |
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Biblioteca Digital de Teses e Dissertações da UNOESTE - Universidade do Oeste Paulista (UNOESTE) |
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bdtd@unoeste.br |
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