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[食土癖:在理解其成因及后果方面的进展]

[Geophagia: progress toward understanding its causes and consequences].

作者信息

Lambert V, Boukhari R, Misslin-Tritsch C, Carles G

机构信息

Service de gynécologie obstétrique, centre hospitalier de l'Ouest Guyanais, Saint-Laurent-du-Maroni, Guyane française.

出版信息

Rev Med Interne. 2013 Feb;34(2):94-8. doi: 10.1016/j.revmed.2012.07.012. Epub 2012 Sep 14.

DOI:10.1016/j.revmed.2012.07.012
PMID:22981463
Abstract

Geophagia is an ancient practice subject to many prejudices. Recent animal experiments have shed light on its causes and consequences. Geophagia, a form of pica, may be induced by various factors. Clay, the material preferentially ingested by geophagic subjects, interacts with the food bolus and the digestive mucosa. Its capacity to form colloids and to adsorb and exchange ions results in both beneficial and harmful effects. In a less civilized age, the ingestion of clay may have reinforced digestive barriers against alkaloids and toxins, conferring a selective advantage on individuals practicing geophagia. However, in the modern Western world, complex interactions of clay with metals and ions are likely to generate low-level poisoning and deficiencies, potentially damaging the health of geophagic individuals and their offspring.

摘要

食土癖是一种饱受诸多偏见的古老行为。近期的动物实验揭示了其成因及后果。食土癖作为异食癖的一种形式,可能由多种因素诱发。黏土是食土者优先摄取的物质,它与食团及消化黏膜相互作用。其形成胶体以及吸附和交换离子的能力会产生有益和有害两种影响。在文明程度较低的时代,摄入黏土可能增强了对生物碱和毒素的消化屏障,赋予了有食土癖行为的个体一种选择优势。然而,在现代西方世界,黏土与金属和离子的复杂相互作用很可能导致低水平中毒和营养缺乏,有可能损害食土者及其后代的健康。

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[Geophagia: progress toward understanding its causes and consequences].[食土癖:在理解其成因及后果方面的进展]
Rev Med Interne. 2013 Feb;34(2):94-8. doi: 10.1016/j.revmed.2012.07.012. Epub 2012 Sep 14.
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Geophagic clay materials from Nigeria: a potential source of heavy metals and human health implications in mostly women and children who practice it.来自尼日利亚的食土性黏土材料:对主要是食用这种材料的妇女和儿童而言,它是重金属的一个潜在来源及对人类健康的影响。
Environ Geochem Health. 2015 Apr;37(2):363-75. doi: 10.1007/s10653-014-9653-0. Epub 2014 Nov 23.
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Cultural and medical perspectives on geophagia.关于食土癖的文化与医学观点。
Med Anthropol. 1992 Jan;13(4):337-51. doi: 10.1080/01459740.1992.9966056.
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[Geophagy and pregnancy: current knowledge and management. Clinical experiences of an obstetrical department in French Guiana].[食土癖与妊娠:当前认知与管理。法属圭亚那某产科的临床经验]
J Gynecol Obstet Biol Reprod (Paris). 2014 Sep;43(7):496-503. doi: 10.1016/j.jgyn.2013.06.001. Epub 2013 Jul 17.
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[Pica: the portrait of a little known clinical entity].[异食癖:一种鲜为人知的临床病症的写照]
Nutr Hosp. 2006 Sep-Oct;21(5):557-66.
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Effects of maternal geophagia on infant and juvenile rats.母体食土癖对幼鼠和幼年大鼠的影响。
J Natl Med Assoc. 1983 Sep;75(9):895-902.
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Radiological changes in pica.异食癖的放射学改变。
Am J Clin Nutr. 1975 Oct;28(10):1095-8. doi: 10.1093/ajcn/28.10.1095.
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A cross-sectional analytical study of geophagia practices and blood metal concentrations in pregnant women in Johannesburg, South Africa.南非约翰内斯堡孕妇食土行为与血液金属浓度的横断面分析研究。
S Afr Med J. 2014 Jun 19;104(8):568-73. doi: 10.7196/samj.7466.
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Toward a comprehensive approach to the collection and analysis of pica substances, with emphasis on geophagic materials.迈向对食土癖物质进行全面收集和分析的方法,重点关注食土材料。
PLoS One. 2008 Sep 5;3(9):e3147. doi: 10.1371/journal.pone.0003147.
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Geophagia leading to hypokalemic quadriparesis in a postpartum patient.产后患者食土癖导致低钾性四肢瘫。
J Assoc Physicians India. 2005 Mar;53:205-7.

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