Cabrera-Chávez Francisco, Dezar Gimena V A, Islas-Zamorano Anna P, Espinoza-Alderete Jesús G, Vergara-Jiménez Marcela J, Magaña-Ordorica Dalia, Ontiveros Noé
Nutrition Sciences Academic Unit, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa 80019, Mexico.
Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe 3000, Argentina.
Nutrients. 2017 Jan 21;9(1):81. doi: 10.3390/nu9010081.
Previous studies suggest that the prevalence of wheat/gluten sensitivity and adherence to a gluten-free diet (GFD) are high in Latin population despite a poor diagnosis of celiac disease. However, these prevalence rates still remain unknown in most Latin American countries.
A cross-sectional survey study was conducted in Santa Fe, Argentina.
The estimated self-reported prevalence rates were (95% Confidence Interval [CI]): self-reported gluten sensitivity (SR-GS) 7.61% (6.2-9.2), SR-GS currently following a GFD 1.82% (1.2-2.7), celiac disease 0.58% (0.3-1.2), wheat allergy 0.33% (0.12-0.84), self-reported non-celiac gluten sensitivity (SR-NCGS) 6.28% (5.1-7.8), SR-NCGS currently following a GFD 0.91% (0.5-1.6), and adherence to a GFD 6.37% (5.1-7.9). SR-GS was more common in women (6.0%; < 0.001) and associated with irritable bowel syndrome ( < 0.001). Among the GFD followers, 71.4% were doing it for reasons other than health-related benefits and 50.6% without medical/dietitian advice. In the non-SR-GS group, the main motivations for following a GFD were weight control and the perception that a GFD is healthier.
In Argentina, gluten sensitivity is commonly reported and it seems that physicians/gastroenterologists are aware of celiac disease diagnosis. Trustable information about the benefits and potential consequences of following a GFD should be given to the general population.
先前的研究表明,尽管乳糜泻的诊断率较低,但拉丁裔人群中对小麦/麸质敏感的患病率以及坚持无麸质饮食(GFD)的比例较高。然而,在大多数拉丁美洲国家,这些患病率仍然未知。
在阿根廷圣菲进行了一项横断面调查研究。
自我报告的估计患病率为(95%置信区间[CI]):自我报告的麸质敏感(SR-GS)7.61%(6.2 - 9.2),目前遵循GFD的SR-GS为1.82%(1.2 - 2.7),乳糜泻为0.58%(0.3 - 1.2),小麦过敏为0.33%(0.12 - 0.84),自我报告的非乳糜泻麸质敏感(SR-NCGS)6.28%(5.1 - 7.8),目前遵循GFD的SR-NCGS为0.91%(0.5 - 1.6),以及坚持GFD的比例为6.37%(5.1 - 7.9)。SR-GS在女性中更常见(6.0%;<0.001),并与肠易激综合征相关(<0.001)。在遵循GFD的人群中,71.4%这样做的原因并非与健康益处相关,50.6%的人没有医学/营养师的建议。在非SR-GS组中,遵循GFD的主要动机是控制体重以及认为GFD更健康。
在阿根廷,麸质敏感的报告较为普遍,而且医生/胃肠病学家似乎了解乳糜泻的诊断。应向普通人群提供关于遵循GFD的益处和潜在后果的可靠信息。