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高粱(Sorghum vulgare):古老谷物,健康无麸质饮食的新选择。

Sorghum (Sorghum vulgare): an ancient grain, a novel choice for a healthy gluten-free diet.

机构信息

Unit of Internal Medicine, Department of Medical and Surgical Sciences, Columbus-Gemelli Hospital, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.

Unit of Clinical Nutrition, Department of Medical and Surgical Sciences, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.

出版信息

Minerva Gastroenterol (Torino). 2024 Jun;70(2):231-241. doi: 10.23736/S2724-5985.23.03300-4. Epub 2023 Mar 21.

Abstract

Celiac disease (CD) is an autoimmune disease related to gluten consumption. To date, the only effective therapy that can reverse symptoms and prevent complications is the gluten-free diet (GFD), which is challenging to maintain and has potential health risks. Identifying foods that can help diversify the GFD and that best match the nutritional needs of people with CD may improve the health and quality of life of celiac patients. This review, conducted through a non-systematic search of the available literature, aims to gather the most recent research on nutritional issues in CD and GFD. Moreover, it highlights how sorghum characteristics could provide health benefits to CD patients that counteract the nutritional problems due to CD and the nutritional consequences of GFD acceptance. Sorghum contains a wide variety of bioactive compounds, such as flavones and tannins, that have shown anti-inflammatory activity in preclinical studies. They can also regulate blood sugar levels and lower cholesterol to reduce the effects of common chronic diseases such as metabolic and cardiovascular diseases. Because it is gluten-free, its use in making foods for celiac patients is increasing, especially in the United States. In conclusion, sorghum is a fascinating grain with nutritional properties and health benefits for supplementing GFD. However, only one study confirms the short-term safety of sorghum inclusion in the GFD, and further long-term studies with a large sample are needed.

摘要

乳糜泻(CD)是一种与麸质摄入有关的自身免疫性疾病。迄今为止,唯一能有效缓解症状并预防并发症的治疗方法是无麸质饮食(GFD),但这种方法很难坚持,且存在潜在的健康风险。寻找能够丰富 GFD 并能满足 CD 患者营养需求的食物,可能会改善乳糜泻患者的健康和生活质量。本综述通过对现有文献进行非系统性检索,旨在收集有关 CD 和 GFD 营养问题的最新研究。此外,还强调了高粱的特性如何为 CD 患者提供健康益处,以抵消 CD 引起的营养问题和 GFD 接受带来的营养后果。高粱含有多种生物活性化合物,如类黄酮和单宁,这些物质在临床前研究中表现出抗炎活性。它们还可以调节血糖水平,降低胆固醇,从而降低常见慢性病(如代谢和心血管疾病)的影响。由于高粱不含麸质,因此它在为乳糜泻患者制作食品中的使用越来越多,尤其是在美国。总之,高粱是一种具有营养特性和健康益处的谷物,可作为 GFD 的补充。然而,目前仅有一项研究证实了在 GFD 中添加高粱的短期安全性,还需要进一步开展具有较大样本量的长期研究。

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