Nash David T, Slutzky Amy R
State University of New York Upstate Medical University, Syracuse, New York.
Proc (Bayl Univ Med Cent). 2014 Oct;27(4):377-8. doi: 10.1080/08998280.2014.11929164.
Fueled in part by recent bestselling books that warn of the evils of gluten in our diets, a significant proportion of our population is now either avoiding foods that contain gluten or eliminating gluten entirely from their diets, and these numbers continue to grow. The gluten-free trend-and the accompanying multibillion-dollar industry it has created-stems from the spreading belief that eating foods containing wheat or other gluten-laden grains may not only result in weight gain and obesity, but can also lead to a laundry list of ailments ranging from depression and anxiety to arthritis and autism. One popular book contends that current recommendations for a high-grain/low-fat diet underlie much of today's chronic health problems and that a low-carbohydrate, high-fat/cholesterol diet is ideal. Every major change in our diet carries with it the possibility of unforeseen risks. Concern about the impact of such popularized dietary recommendations on overall well-being-and on cardiovascular health in particular-warrants discussion in the medical community.
近期一些畅销书警告了我们饮食中麸质的危害,在一定程度上受其影响,现在有相当一部分人要么避免食用含麸质的食物,要么完全从饮食中剔除麸质,而且这一数字还在持续增长。无麸质饮食潮流以及随之产生的价值数十亿美元的产业,源于一种日益流行的观念,即食用含小麦或其他富含麸质谷物的食物,不仅可能导致体重增加和肥胖,还会引发一系列疾病,从抑郁、焦虑到关节炎和自闭症。一本畅销书声称,当前高谷物/低脂肪饮食的建议是当今许多慢性健康问题的根源,而低碳水化合物、高脂肪/高胆固醇饮食才是理想选择。我们饮食中的每一次重大变化都伴随着不可预见风险的可能性。关注此类广为人知的饮食建议对整体健康,尤其是心血管健康的影响,值得医学界展开讨论。