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与麸质和其他食物不耐受共存:自我报告的诊断和管理。

Living with Gluten and Other Food Intolerances: Self-Reported Diagnoses and Management.

机构信息

Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7830490, Chile.

Department of Nutrition, Faculty of Medicine, University of Chile, Santiago 8380453, Chile.

出版信息

Nutrients. 2020 Jun 26;12(6):1892. doi: 10.3390/nu12061892.

Abstract

People suffering from a food intolerance (FI) tend to initiate restrictive diets such as a gluten-free diet (GFD), to alleviate their symptoms. To learn about how people live with these problems in daily life (independent of their medical diagnoses), 1203 participants answered a previously validated questionnaire and were divided into: G1 (those self-reporting symptoms after gluten consumption) and G2 (those informing no discomfort after gluten consumption). Self-reported clinical characteristics, diagnoses and diets followed were registered. Twenty nine percent referred some FI (8.5% in G1). In G1, self-reported diagnoses were more frequent ( < 0.0001), including a high proportion of eating and mood disorders. Diagnoses were reported to be given by a physician, but GFD was indicated by professional and nonprofessional persons. In G2, despite declaring no symptoms after gluten consumption, 11.1% followed a GFD. The most frequent answer in both groups was that GFD was followed "to care for my health", suggesting that some celiac patients do not acknowledge it as treatment. Conclusion: close to one third of the population report suffering from some FI. Those perceiving themselves as gluten intolerant report more diseases ( < 0.0001). A GFD is followed by ~11% of those declaring no symptoms after gluten ingestion. This diet is perceived as a healthy eating option.

摘要

患有食物不耐受(FI)的人往往会开始限制饮食,例如无麸质饮食(GFD),以缓解症状。为了了解人们在日常生活中如何应对这些问题(与他们的医疗诊断无关),1203 名参与者回答了之前经过验证的问卷,并分为:G1(那些在摄入麸质后报告有症状的人)和 G2(那些在摄入麸质后没有不适报告的人)。记录了自我报告的临床特征、诊断和所遵循的饮食。29%的人报告有某种 FI(G1 中为 8.5%)。在 G1 中,自我报告的诊断更为常见(<0.0001),包括较高比例的饮食和情绪障碍。诊断报告由医生给出,但 GFD 是由专业和非专业人士指出的。在 G2 中,尽管报告在摄入麸质后没有症状,仍有 11.1%的人遵循 GFD。在这两个组中最常见的回答是,遵循 GFD“是为了照顾我的健康”,这表明一些乳糜泻患者并不将其视为治疗方法。结论:接近三分之一的人口报告患有某种 FI。那些认为自己对麸质不耐受的人报告的疾病更多(<0.0001)。约 11%的人在摄入麸质后没有症状,但仍遵循 GFD。这种饮食被视为一种健康的饮食选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c02f/7353382/5a73a3ab3b25/nutrients-12-01892-g001.jpg

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