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儿童哮喘患者的牛奶摄入量与黏液生成。

Milk consumption and mucus production in children with asthma.

机构信息

BC Children's Hospital, Department of Pediatrics, Vancouver, Canada.

出版信息

Can Fam Physician. 2012 Feb;58(2):165-6.

PMID:22337739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3279269/
Abstract

QUESTION

Many parents of children with asthma are becoming increasingly reluctant to add milk to their children's diet because they believe it will worsen their children's asthma owing to increased mucus secretion. Recognizing the importance of milk as part of a healthy diet in supporting growth and calcium consumption, is it advisable to restrict milk in the diet?

ANSWER

Dating back to the 12th century, milk has been proscribed for patients with asthma. However, to this very date studies have not been able to provide a definitive link for this recommendation. As there is a need for more conclusive evidence to determine the effect of milk among children with asthma and further understanding of mechanisms involved in mucus production, milk should not be eliminated or restricted. Health Canada recommends 2 servings of milk (0.5 L) a day for children 2 to 8 years of age and 3 to 4 servings of milk a day (0.75 to 1 L) for children 9 to 13 years of age for unrestricted healthy development.

摘要

问题

许多哮喘患儿的家长越来越不愿意在孩子的饮食中添加牛奶,因为他们认为牛奶会增加黏液分泌,使孩子的哮喘恶化。认识到牛奶作为健康饮食的一部分对支持生长和钙的摄入很重要,那么限制饮食中的牛奶摄入量是否合理?

答案

早在 12 世纪,哮喘患者就被禁止饮用牛奶。然而,直到今天,研究仍未能为这一建议提供明确的依据。由于需要更多确凿的证据来确定牛奶对哮喘儿童的影响,并进一步了解参与黏液产生的机制,因此不应禁止或限制牛奶的摄入。加拿大卫生部建议 2 至 8 岁儿童每天饮用 2 份(0.5 升)牛奶,9 至 13 岁儿童每天饮用 3 至 4 份(0.75 至 1 升)牛奶,以促进健康发育,不受限制。

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本文引用的文献

1
The effects of adult-type hypolactasia on body height growth and dietary calcium intake from childhood into young adulthood: a 21-year follow-up study--the Cardiovascular Risk in Young Finns Study.成人型乳糖不耐受对从儿童期到青年期身高增长和膳食钙摄入量的影响:一项21年随访研究——芬兰青年人心血管风险研究
Pediatrics. 2006 Oct;118(4):1553-9. doi: 10.1542/peds.2006-0542.
2
Milk consumption does not lead to mucus production or occurrence of asthma.饮用牛奶不会导致黏液产生或引发哮喘。
J Am Coll Nutr. 2005 Dec;24(6 Suppl):547S-55S. doi: 10.1080/07315724.2005.10719503.
3
Do you believe milk makes mucus?你相信牛奶会产生黏液吗?
Arch Pediatr Adolesc Med. 2004 Jun;158(6):601-3. doi: 10.1001/archpedi.158.6.601-b.
4
The effects of exclusion of dietary egg and milk in the management of asthmatic children: a pilot study.排除饮食中鸡蛋和牛奶对哮喘儿童治疗的影响:一项初步研究。
J R Soc Promot Health. 2004 Mar;124(2):74-80. doi: 10.1177/146642400412400211.
5
Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health.不喝牛奶的儿童膳食钙摄入量低,骨骼健康状况不佳。
Am J Clin Nutr. 2002 Sep;76(3):675-80. doi: 10.1093/ajcn/76.3.675.
6
The role of calcium in prevention of chronic diseases.钙在预防慢性病中的作用。
J Am Coll Nutr. 1999 Oct;18(5 Suppl):371S-372S. doi: 10.1080/07315724.1999.10718900.
7
Do dairy products induce bronchoconstriction in adults with asthma?乳制品会诱发成年哮喘患者的支气管收缩吗?
J Allergy Clin Immunol. 1998 Jan;101(1 Pt 1):45-50. doi: 10.1016/S0091-6749(98)70192-7.
8
The milk-mucus belief: sensory analysis comparing cow's milk and a soy placebo.牛奶-黏液假说:比较牛奶与大豆安慰剂的感官分析
Appetite. 1993 Feb;20(1):61-70. doi: 10.1006/appe.1993.1006.
9
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10
Moses Maimonides' Treatise on Asthma.摩西·迈蒙尼德的《论哮喘》
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