Cave Nicholas J
Institute of Veterinary, Animal, and Biomedical Sciences, Massey University, Private Bag 11-222, Palmerston North, New Zealand.
Vet Clin North Am Small Anim Pract. 2006 Nov;36(6):1251-68, vi. doi: 10.1016/j.cvsm.2006.08.008.
The primary aim of a hydrolyzed protein diet is to disrupt the proteins within the diet sufficiently to remove existing allergens. Published assessment of hydrolyzed protein diets includes physiochemical and immunologic assays as well as nutritional and clinical feeding trials. Potential problems include poor palatability, hypoosmotic diarrhea, and a reduced nutritional value, although persistent allergenicity is the most significant. The primary indications for a hydrolyzed protein diet are use in elimination trials for the diagnosis of adverse food reactions, and the initial management of inflammatory bowel disease. Initial studies of hydrolyzed diet efficacy are encouraging. Consideration of the source ingredients should be given when using hydrolyzed protein diets in elimination feeding trials because antigenic sites may not be fully destroyed.
水解蛋白饮食的主要目的是充分分解饮食中的蛋白质,以去除现有的过敏原。已发表的关于水解蛋白饮食的评估包括物理化学和免疫学检测以及营养和临床喂养试验。潜在问题包括适口性差、低渗性腹泻和营养价值降低,尽管持续性过敏原性是最显著的问题。水解蛋白饮食的主要适应证是用于诊断食物不良反应的排除试验以及炎症性肠病的初始管理。水解饮食疗效的初步研究令人鼓舞。在排除喂养试验中使用水解蛋白饮食时,应考虑原料成分,因为抗原位点可能未被完全破坏。