University of Sheffield, Academic Unit of Radiology, Royal Hallamshire Hospital, Sheffield S10 2JF, UK.
Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK.
Nutrients. 2019 Jun 5;11(6):1276. doi: 10.3390/nu11061276.
It is unclear how the prevalence of people who believe the gluten-free diet (GFD) to be generally healthy ("Lifestylers") is impacting the overall rates of self-reported gluten sensitivity (GS). We repeated a population survey from 2012 in order to examine how attitudes towards GS have changed over time. Our survey ( = 1004) was administered in Sheffield (UK) in 2015, replicating the 2012 experiment. The questionnaire included a food frequency survey and assessed self-reported GS as well as associated variables (prevalence, current diet, pre-existing conditions, etc.). The overall rates of key variables and chi-squared analysis in comparison to the previous survey were as follows: self-reported GS was 32.8% (previously 12.9%, < 0.001), pre-existing coeliac disease (CD) was 1.2% (previously 0.8%, = 0.370), following a GFD was 3.7% (previously 3.7%, = 0.997). Self-reported GS was positively associated with some pre-existing conditions, including anxiety, depression, chronic fatigue, headaches, and other food allergies/intolerances (including irritable bowel syndrome (IBS); chi-squared analyses, all < 0.001). Over a 3-year period, the fraction of people who self-reported GS increased by over 250%. Despite this, arguably more meaningful indications of underlying physiological GS remained comparable. This research suggests that the public perception of gluten is causing a marked increase in the number of people who erroneously believe they are sensitive to it.
目前尚不清楚有多少人认为无麸质饮食(GFD)普遍健康(“生活方式者”),这对总体报告的麸质敏感性(GS)的发生率有何影响。我们重复了 2012 年的一项人群调查,以研究人们对 GS 的态度随时间的变化。我们的调查(n=1004)于 2015 年在谢菲尔德(英国)进行,复制了 2012 年的实验。该问卷包括食物频率调查,并评估了自我报告的 GS 以及相关变量(患病率、当前饮食、预先存在的疾病等)。与之前的调查相比,所有关键变量的总体率和卡方分析如下:自我报告的 GS 为 32.8%(之前为 12.9%,<0.001),预先存在的乳糜泻(CD)为 1.2%(之前为 0.8%,=0.370),遵循 GFD 的比例为 3.7%(之前为 3.7%,=0.997)。自我报告的 GS 与一些预先存在的疾病呈正相关,包括焦虑、抑郁、慢性疲劳、头痛和其他食物过敏/不耐受(包括肠易激综合征(IBS);卡方分析,均<0.001)。在 3 年期间,自我报告 GS 的人数增加了 250%以上。尽管如此,更有意义的潜在生理 GS 指标仍然保持可比。这项研究表明,公众对麸质的看法导致了错误地认为自己对其敏感的人数显著增加。
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