Løvik Astrid, Lundin Knut E A
Enhet for klinisk ernaering, Madisinsk avdeling, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 2003 Nov 20;123(22):3237-40.
Life-long gluten-free diet is the established therapy for coeliac disease and dermatitis herpetiformis. Diet therapy allows the intestinal mucosa to recover, improves nutrient malabsorption, osteoporosis and a weakened general condition. A gluten-free diet is without wheat, rye and barley and related products. Oats tested free of contamination by other cereals has recently been allowed for adult coeliac patients, but concern still remains regarding its general safety. Gluten-free flour mixes contain more starch and less proteins, vitamins, minerals and fibre compared to regular flour. Recently some questions have been raised as to the nutritional quality of the gluten-free diet. Successful therapy with gluten-free diet requires motivation and dietary counselling, including knowledge of the nutritional value of foods, labelling of prepackaged foods and practical training in cooking. The local chapters of the Norwegian Coeliac Society are active partners, as are the clinical nutritionists that work in most major hospitals. The physician making the diagnosis has a duty to see to it that all coeliac patients get adequate dietary counselling and management.
终身无麸质饮食是乳糜泻和疱疹样皮炎的既定疗法。饮食疗法可使肠黏膜恢复，改善营养吸收不良、骨质疏松和身体虚弱的状况。无麸质饮食不含小麦、黑麦、大麦及相关产品。最近，经检测不含其他谷物污染的燕麦已被允许用于成年乳糜泻患者，但人们对其总体安全性仍存在担忧。与普通面粉相比，无麸质面粉混合物含有更多的淀粉，而蛋白质、维生素、矿物质和纤维含量较少。最近，人们对无麸质饮食的营养质量提出了一些问题。成功实施无麸质饮食疗法需要患者有积极性并接受饮食咨询，包括了解食物的营养价值、预包装食品的标签以及烹饪实践培训。挪威乳糜泻协会的地方分会是积极的合作伙伴，在大多数大型医院工作的临床营养师也是如此。做出诊断的医生有责任确保所有乳糜泻患者获得充分的饮食咨询和管理。
