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乳糜泻与无麸质饮食:过去、现在与未来。

Celiac disease and gluten-free diet: past, present, and future.

作者信息

Makovicky Peter, Makovicky Pavol, Caja Fabian, Rimarova Kvetoslava, Samasca Gabriel, Vannucci Luca

机构信息

Czech Centre for Phenogenomics, Division BIOCEV, Prumyslova 595, 252 50 Vestec. Czech Republic.

Department of Biology, Faculty of Education, Selye Janos University, Bratislavska 3322, Komarno. Slovak Republic.

出版信息

Gastroenterol Hepatol Bed Bench. 2020 Winter;13(1):1-7.

Abstract

A gluten-free diet is a special type of diet intended for people with celiac disease. The objective of this article is to report the past, present production, supply of gluten-free products as well as their future position in our market. In the past, there were only limited gluten-free products available and the awareness of the diet was limited to paediatric community. There were only few raw gluten-free materials and almost all the production was created in households. Later with the introduction of targeted screening into the practice, celiac diagnosis has improved, with an increase in newly diagnosed patients who have remained life-long dependents on a gluten-free diet. This was associated with an increased production of gluten-free products, referred to as weight loss diet, with their positive effects on health. Subsequently, the gluten-free diet has also been voluntarily adopted by both people with other diseases and healthy individuals. In the future, the gluten-free diet consumption is expected to increase, due to its increased popularity in populations. In this regard, gluten-free diets have been misinterpreted as a "miracle drug" that is effective on a variety of problems. The medical community will be confronting the future problems of people who are dependent on a gluten-free diet as well as the complications arising from the consumers of a gluten-free diet for no medical reasons. Compliance to the principles of a gluten-free diet should be maintained and should not be recommended to healthy individuals or those without relevant reasons.

摘要

无麸质饮食是一种专门为患有乳糜泻的人设计的特殊饮食类型。本文的目的是报告无麸质产品的过去、当前生产、供应情况以及它们在我们市场中的未来地位。过去,无麸质产品供应有限,对这种饮食的认知仅限于儿科领域。无麸质原料很少,几乎所有生产都在家庭中进行。后来随着针对性筛查应用于实践,乳糜泻的诊断得到改善,新诊断出的患者增加,这些患者终生依赖无麸质饮食。这与无麸质产品产量增加相关,这些产品被视为减肥饮食,对健康有积极影响。随后,其他疾病患者和健康个体也开始自愿采用无麸质饮食。未来,由于其在人群中的受欢迎程度提高,预计无麸质饮食的消费量将会增加。在这方面,无麸质饮食被误解为对各种问题都有效的“神奇药物”。医学界将面临依赖无麸质饮食的人群未来出现的问题,以及无医学原因食用无麸质饮食的消费者所引发的并发症。应坚持无麸质饮食原则,不应向健康个体或无相关原因的人推荐。

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