Størsrud Stine, Hulthén Lena R, Lenner Ragnhild A
Department of Clinical Nutrition, Göteborg University, Gothenburg, Sweden.
Br J Nutr. 2003 Jul;90(1):101-7. doi: 10.1079/bjn2003872.
In several studies oats have been reported to be tolerated by coeliac patients. The aim of the present study was to investigate the nutritional and symptomatic effects of including oats in the gluten-free diet, as well as the patients' subjective experiences. Twenty adult coeliac patients included large amounts of oats in their diet. Food intake, gastrointestinal symptoms, blood samples and body weight were examined and compared with examination at baseline. Diet compliance was checked monthly. The results are based on fifteen patients eating oats for 2 years plus three with only 6-months consumption. The median daily intake of oats was 93 (range 27-137) g/d, and the compliance was good. The mean intakes of Fe and dietary fibre increased (P<0.001) with the oat diet, as well as the intakes of thiamin and Zn (P<0.02). The bioavailability of Fe tended to decrease; this seems not to have influenced the Fe status. Temporary increased flatulence was experienced the first few weeks, as well as improved bowel function with oats in the diet. All patients who carried out the whole study period wanted to continue eating oats after the study, as they found that addition of oats in the gluten-free diet gave more variation, better taste and satiety. Oats improved the nutritional value of the gluten-free diet, had no negative effects on nutritional status and were appreciated by the subjects. Including oats can help coeliac patients following a strict gluten-free diet.
在多项研究中，据报道乳糜泻患者能够耐受燕麦。本研究的目的是调查在无麸质饮食中加入燕麦的营养和症状影响，以及患者的主观体验。20名成年乳糜泻患者在饮食中摄入了大量燕麦。对食物摄入量、胃肠道症状、血液样本和体重进行了检查，并与基线检查结果进行了比较。每月检查饮食依从性。结果基于15名食用燕麦2年的患者以及3名仅食用6个月燕麦的患者。燕麦的日均摄入量中位数为93（范围27 - 137）克/天，依从性良好。食用燕麦饮食后，铁和膳食纤维的平均摄入量增加（P<0.001），硫胺素和锌的摄入量也增加（P<0.02）。铁的生物利用度有下降趋势；但这似乎并未影响铁的状态。在最初几周出现了暂时性肠胃胀气增加的情况，且饮食中含有燕麦时肠道功能有所改善。所有完成整个研究期的患者在研究结束后都希望继续食用燕麦，因为他们发现无麸质饮食中添加燕麦后饮食种类更多样、味道更好且更有饱腹感。燕麦提高了无麸质饮食的营养价值，对营养状况没有负面影响，且受到受试者的喜爱。加入燕麦有助于严格遵循无麸质饮食的乳糜泻患者。
