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