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高中生自述的非乳糜泻小麦敏感性:人口统计学和临床特征。

Self-Reported Non-Celiac Wheat Sensitivity in High School Students: Demographic and Clinical Characteristics.

机构信息

Internal Medicine, Dipartimento di Biologia e Medicina Interna e Specialistica, University of Palermo, 90133 Palermo, Italy.

Internal Medicine Department, Giovanni Paolo II Hospital, 92019 Sciacca, Italy.

出版信息

Nutrients. 2017 Jul 19;9(7):771. doi: 10.3390/nu9070771.


DOI:10.3390/nu9070771
PMID:28753927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5537885/
Abstract

BACKGROUND: Non-Celiac Wheat Sensitivity (NCWS) has recently been included among the gluten-related disorders. As no biomarkers of this disease exist, its frequency has been estimated based on self-reported symptoms, but to date no data are available about self-reported NCWS in teenagers. AIM: To explore the prevalence of self-reported NCWS in a group of high school students and to study their demographic and clinical characteristics. METHODS: The study was performed between April 2015 and January 2016 in two high schools of a coastal town in the south of Sicily (Italy). A total of 555 students (mean age 17 years, 191 male, 364 female) completed a modified validated questionnaire for self-reported NCWS. The subjects who self-reported NCWS were then compared with all the others. RESULTS: Seven individuals (1.26%) had an established diagnosis of CD. The prevalence of self-reported NCWS was 12.2%, and 2.9% were following a gluten-free diet (GFD). Only 15 out of 68 (23%) NCWS self-reporters had consulted a doctor for this problem and only nine (14%) had undergone serological tests for celiac disease. The NCWS self-reporters very often had IBS symptoms (44%). CONCLUSIONS: Self-reported NCWS was found to be common in teenagers, with a frequency of 12.2%; the frequency of GFD use was 2.9%, which was much higher than the percentage of known CD in the same population (1.26%). A greater awareness of the possible implications on the part of the subjects involved, and a more thorough medical approach to the study of self-reported wheat-induced symptoms are required.

摘要

背景:非乳糜泻小麦敏感性(NCWS)最近已被纳入与麸质相关的疾病之列。由于这种疾病没有生物标志物,其频率是基于自我报告的症状来估计的,但迄今为止,关于青少年自我报告的 NCWS 尚无数据。

目的:探讨一组高中生中自我报告的 NCWS 的患病率,并研究其人口统计学和临床特征。

方法:该研究于 2015 年 4 月至 2016 年 1 月在西西里岛南部沿海城镇的两所高中进行。共有 555 名学生(平均年龄 17 岁,男性 191 名,女性 364 名)完成了一份经过修改的用于自我报告 NCWS 的经过验证的问卷。然后将自我报告 NCWS 的受试者与所有其他受试者进行比较。

结果:7 人(1.26%)患有确诊的 CD。自我报告 NCWS 的患病率为 12.2%,2.9%的人遵循无麸质饮食(GFD)。在 68 名 NCWS 自我报告者中,只有 15 名(23%)因该问题咨询过医生,只有 9 名(14%)进行了针对乳糜泻的血清学检测。NCWS 自我报告者经常出现 IBS 症状(44%)。

结论:青少年中自我报告的 NCWS 很常见,发生率为 12.2%;GFD 的使用率为 2.9%,远高于同一人群中已知的 CD 百分比(1.26%)。需要提高相关人员对可能影响的认识,并对自我报告的小麦诱导症状进行更彻底的医学研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/92583dce1fe5/nutrients-09-00771-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/2601e39e8934/nutrients-09-00771-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/96f90202523c/nutrients-09-00771-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/92583dce1fe5/nutrients-09-00771-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/2601e39e8934/nutrients-09-00771-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/96f90202523c/nutrients-09-00771-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eabf/5537885/92583dce1fe5/nutrients-09-00771-g003.jpg

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本文引用的文献

[1]
Persistence of Nonceliac Wheat Sensitivity, Based on Long-term Follow-up.

Gastroenterology. 2017-3-30

[2]
Prevalence and Characterization of Self-Reported Gluten Sensitivity in The Netherlands.

Nutrients. 2016-11-8

[3]
Suspected Nonceliac Gluten Sensitivity Confirmed in Few Patients After Gluten Challenge in Double-Blind, Placebo-Controlled Trials.

Clin Gastroenterol Hepatol. 2016-8-12

[4]
Self-Reported Prevalence of Symptomatic Adverse Reactions to Gluten and Adherence to Gluten-Free Diet in an Adult Mexican Population.

Nutrients. 2015-7-21

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Nutrients. 2015-6-18

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Gastroenterology. 2015-1-9

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Gastroenterology. 2014-7-30

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BMC Med. 2014-5-23

[9]
Characterization of Adults With a Self-Diagnosis of Nonceliac Gluten Sensitivity.

Nutr Clin Pract. 2014-8

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Motivations for avoiding wheat consumption in Australia: results from a population survey.

Public Health Nutr. 2015-2

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