Volume 22 Issue 11
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YANG Mei, TONG Jingfei, GAO Ying, YU Xueyao. Effect of continuous care with low FODMAP dietary guidance on nutritional status and intestinal flora in patients with ulcerative colitis[J]. Chinese Journal of General Practice, 2024, 22(11): 1990-1994. doi: 10.16766/j.cnki.issn.1674-4152.003781
Citation: YANG Mei, TONG Jingfei, GAO Ying, YU Xueyao. Effect of continuous care with low FODMAP dietary guidance on nutritional status and intestinal flora in patients with ulcerative colitis[J]. Chinese Journal of General Practice, 2024, 22(11): 1990-1994. doi: 10.16766/j.cnki.issn.1674-4152.003781

Effect of continuous care with low FODMAP dietary guidance on nutritional status and intestinal flora in patients with ulcerative colitis

doi: 10.16766/j.cnki.issn.1674-4152.003781
Funds:

 2023ZL112

 2022ZB245

  • Received Date: 2024-05-18
    Available Online: 2024-12-31
  •   Objective  Constructing a continuous nursing program guided by a low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet to help patients with ulcerative colitis improve their nutritional status, regulate intestinal flora, and optimize the quality of care.  Methods  A total of 141 patients with ulcerative colitis treated in Hangzhou Hospital of Traditional Chinese Medicine from July 2022 to January 2024 were selected and divided into a control group (71 cases) and an experimental group (70 cases) by random number table method. The control group was given routine continuous care, and the experimental group was given continuous care with low FODMAP dietary guidance on the basis of the above. Dietary compliance, modified Mayo score, intestinal flora number, and nutritional status of the two groups were compared before and after care.  Results  After 12 weeks of nursing, the scores of diet-related knowledge and diet management behavior in the experimental group were higher than those of the control group (P < 0.05); The modified Mayo score [(3.11±1.12) vs.(4.09±1.76) points] in the experimental group was lower than that of the control group (P < 0.05). The number of Escherichia coli colonies in the experimental group was lower than that of the control group (P < 0.05), and bifidobacterium and lactobacillus colonies in the experimental group were higher than those of the control group (P < 0.05). Serum albumin [ALB, (32.09±8.03) vs.(30.56±7.24) g/L], prealbumin [PAB, (190.09±20.77) vs.(182.44±15.38) mg/L], and hemoglobin [HGB, (109.34±11.34) vs.(95.77±10.71) g/L] in the experimental group were higher than those in the control group (P < 0.05).  Conclusion  The continuous nursing of low FODMAP dietary guidance can not only improve the dietary compliance of patients with ulcerative colitis, and relieve the clinical symptoms of patients, but also help balance the intestinal flora and improve the nutritional status of patients.

     

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