Rehabilitation effect of dietary management combined with exercise therapy on patients with functional dyspepsia

doi:10.3877/cma.j.issn.2095-2015.2025.04.021

Abstract

Abstract:

Objective

To evaluate the application value of dietary management combined with exercise therapy in the rehabilitation of patients with functional dyspepsia (FD).

Methods

A total of 161 patients diagnosed with functional dyspepsia at Taihe County People's Hospital from March 2021 to March 2024 were prospectively selected, with 100 patients meeting the inclusion criteria. They were randomly assigned to the control group (50 cases, receiving routine treatment) and the observation group (50 cases, receiving dietary management combined with exercise therapy in addition to routine treatment). Clinical efficacy was assessed using the Rome Ⅳ Criteria, and the time to symptom resolution was recorded. Gastrin, motilin, and somatostatin (SS) levels were measured. The Nipin Indigestion Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate quality of life and sleep quality.

Results

In terms of clinical efficacy, the postprandial bloating, early satiety, upper abdominal pain, and upper abdominal burning sensation scores in the observation group were significantly lower than those in the control group. Regarding the resolution time of clinical symptoms, the recovery time for each symptom in the observation group was significantly shorter than that in the control group. After intervention, the gastrin and motilin of the observation group were higher than those of the control group, and the SS level was lower than that of the control group. The symptom index (NDSI) of the observation group after intervention was significantly lower, while the quality of life index (NDLQI) was significantly higher compared to the control group. Additionally, the PSQI score of the observation group was significantly lower than that of the control group after the intervention.

Conclusion

Dietary management combined with exercise therapy can effectively enhance the clinical efficacy and rehabilitation outcomes for FD patients, shorten symptom resolution time, improve gastrointestinal hormone levels, and enhance both quality of life and sleep quality. It can be used as a beneficial supplement to routine rehabilitation treatment.

Key words: Functional dyspepsia, Dietary management, Exercise therapy, Rehabilitation outcomes, Quality of life, Sleep quality

Yuzhen Liu, Zheng Wang, Shujun Li, Rui Zhao, Qinghua Xu. Rehabilitation effect of dietary management combined with exercise therapy on patients with functional dyspepsia[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2025, 15(04): 412-416.

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Figures/Tables 5

References 30

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组别	例数	餐后饱胀	早饱感	上腹部疼痛	上腹部灼热感
对照组	50	2.22±0.67	2.00±0.45	1.66±0.35	1.68±0.38
观察组	50	1.25±0.38	1.05±0.30	1.02±0.28	0.92±0.25
t		8.91	12.42	10.10	11.81
P		<0.001	<0.001	<0.001	<0.001

组别	例数	餐后饱胀	早饱感	上腹部疼痛	上腹部灼热感
对照组	50	2.22±0.67	2.00±0.45	1.66±0.35	1.68±0.38
观察组	50	1.25±0.38	1.05±0.30	1.02±0.28	0.92±0.25
t		8.91	12.42	10.10	11.81
P		<0.001	<0.001	<0.001	<0.001

组别	例数	腹痛	腹胀	食欲不振	恶心
对照组	50	15.41±3.25	12.67±2.52	24.62±2.65	12.50±1.68
观察组	50	11.50±2.56	9.10±1.34	19.14±2.16	8.92±1.45
t		6.68	8.85	11.33	11.41
P		<0.001	<0.001	<0.001	<0.001

组别	例数	腹痛	腹胀	食欲不振	恶心
对照组	50	15.41±3.25	12.67±2.52	24.62±2.65	12.50±1.68
观察组	50	11.50±2.56	9.10±1.34	19.14±2.16	8.92±1.45
t		6.68	8.85	11.33	11.41
P		<0.001	<0.001	<0.001	<0.001

组别	例数	胃泌素(ng/L)		胃动素(pg/mL)		生长抑素(pg/mL)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
对照组	50	68.54±5.33	99.45±10.51^*	89.74±8.97	130.77±11.45^*	62.52±6.31	47.62±6.39^*
观察组	50	67.96±5.48	135.77±12.30^*	89.53±8.69	174.86±12.65^*	61.63±5.95	39.28±5.17^*
t		0.54	15.87	0.12	18.27	0.73	7.18
P		0.593	<0.001	0.906	<0.001	0.470	<0.001

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