gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLC10.22416/1382-4376-2023-33-3-61-65gastro-j-752Research ArticleНАЦИОНАЛЬНАЯ ШКОЛА ГАСТРОЭНТЕРОЛОГИИ, ГЕПАТОЛОГИИNATIONAL COLLEGE OF GASTROENTEROLOGY, HEPATOLOGYМесто диетотерапии в лечении функциональной диспепсии: спорные и нерешенные вопросыDiet in the Management of Functional Dyspepsia: Controversial and Unresolved Issueshttps://orcid.org/0000-0002-1395-9566ШептулинА. А.SheptulinA. A.

Шептулин Аркадий Александрович — доктор медицинских наук, профессор кафедры пропедевтики   внутренних болезней, гастроэнтерологии и гепатологии Института клинической медицины им. Н.В. Склифосовского 

119435, г. Москва, ул. Погодинская, 1, стр. 1

Arkadiy A. Sheptulin — Dr. Sci. (Med.), Professor of the Department of Internal Diseases Propedeutics, Gastroenterology and Hepatology, Sklifosovsky Institute of Clinical Medicine

119435, Moscow, Pogodinskaya str., 1, bld. 1

arkalshep@gmail.comhttps://orcid.org/0000-0002-5116-2144КардашеваС. С.KardashevaS. S.

Кардашева Светлана Станославовна — кандидат медицинских наук, доцент кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии Института клинической медицины им.   Н.В.   Склифосовского   

119435, г. Москва, ул. Погодинская, 1, стр. 1

Svetlana S. Kardasheva — Cand. Sci. (Med.), Associate Professor of the Department of Internal Diseases Propedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

svetlanakardasheva@gmail.comhttps://orcid.org/0000-0002-6154-8163КурбатоваА. А.KurbatovaA. A.

Курбатова Анастасия Александровна — кандидат медицинских наук, ассистент кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии Института клинической медицины им. Н.В. Склифосовского 

119435, г. Москва, ул. Погодинская, 1, стр. 1

Anastasia A. Kurbatova — Cand. Sci. (Med.), Teaching Assistant of the Department of Internal Diseases Propedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

maksnastia@mail.ruФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)Sechenov First Moscow State Medical University (Sechenov University)2023220820233336165Copyright © Шептулин А.А., Кардашева С.С., Курбатова А.А., 20232023Шептулин А.А., Кардашева С.С., Курбатова А.А.Sheptulin A.A., Kardasheva S.S., Kurbatova A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/752Цель исследования

Цель исследования: провести анализ публикаций, посвященных изучению роли различных продуктов питания в возникновении функциональной диспепсии (ФД), а также возможностям применения диетического питания в ее лечении.

Основные положения

Основные положения. Во многих работах показано, что острая пища, пища с высоким содержанием насыщенных жиров, кофе, газированные напитки могут приводить к возникновению симптомов ФД. Непереносимость определенных продуктов (в частности, пшеницы) может быть связана с их способностью выступать в роли аллергенов. В ряде работ отмечено, что элиминационные диеты (диета с низким содержанием продуктов FODMAP и аглютеновая диета) уменьшают выраженность диспепсических расстройств, однако убедительные доказательства эффективности данных диет отсутствуют.

Заключение

Заключение. Значение питания в возникновении ФД и возможности применения различных диет в ее лечении изучены недостаточно и требуют дальнейших исследований.

Аim

Аim: to analyze publications devoted to the study of the role of food in the occurrence of functional dyspepsia (FD), as well as the possibilities of using dietary nutrition in its treatment.

Key findings

Key findings. Many studies have shown that spicy food, food with a high content of saturated fats, coffee, carbonated drinks can lead to symptoms of FD. Intolerance to certain foods (in particular, wheat) may be associated with their ability to act as allergens. A number of studies have noted that elimination diets (a diet with a low content of FODMAP products and a gluten-free diet) reduce the severity of dyspeptic disorders, however, there is no convincing evidence of the effectiveness of these diets.

Conclusion

Conclusion. The role of nutrition in the occurrence of FD and the possibility of using various diets in its treatment have not been sufficiently studied and require further research.

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The authors declare that there are no conflicts of interest present.