Popov V I, Bavykina I A, Zvyagin A A, Miroshnichenko L A, Bavykin D V
N.N. Burdenko Voronezh State Medical University, Ministry of Health of the Russian Federation, 394035, Voronezh, Russian Federation.
Rusoliva LTD, 394000, Voronezh, Russian Federation.
Vopr Pitan. 2024;93(4):14-21. doi: 10.33029/0042-8833-2024-93-4-14-21. Epub 2024 Jul 15.
The study of gluten intolerance is a modern area of medical science. With the advent of new diagnostic capabilities and data on the forms of the disease, wide opportunities have opened up in optimizing the timing and invasiveness reducing of intervention during diagnosis and further monitoring of the child's health. However, despite all efforts, the basic method of treating all forms of gluten intolerance remains strict adherence to a gluten-free diet (GFD). It is known that GFD itself, as well as low adherence to its observance can lead to nutritional disorders. Therefore, the expansion of the diet at the expense of foods with high nutritional value will greatly contribute to the optimization of diet therapy and compensation for food restrictions. of the review was to evaluate the possibility of using amaranth products in a GFD to fill the need for nutrients in children with gluten intolerance. . The search for literature data was carried out using PubMed, eLIBRARY, scholar.google platforms mainly over the last 5 years, using the keywords: gluten intolerance, children, amaranth, gluten-free diet. . An analysis of modern literary sources has shown that amaranth is a product of choice in diet therapy when following a GFD, since it is a pseudo-grain crop. The article presents data confirming the high nutritional value of amaranth due to the protein component and the features of the lipid fraction. The features of the amino acid composition and squalene content in comparison with other plant crops are discussed. The article contains information on the preservation of the beneficial properties of amaranth in finished foods, in particular, the addition of amaranth flour instead of corn starch increases the protein content by 32% and fiber by 152% in gluten-free bread without affecting the taste. The advantages of the chemical composition of amaranth are shown in comparison with other pseudo-cereals. The research results prove the effectiveness of using amaranth products in GFD to eliminate deficiency states in patients, normalize physical development in children with gluten intolerance, and increase patient adherence to the diet. . The composition of amaranth and the available studies on the effectiveness of amaranth products consumption convincingly prove the advisability of using it in nutrition, especially under dietary restrictions or increased need for nutrients in childhood.
麸质不耐受的研究是现代医学科学的一个领域。随着新的诊断能力以及该疾病形式相关数据的出现,在优化儿童诊断和后续健康监测期间干预的时机以及降低干预的侵入性方面,已经开辟了广阔的机会。然而,尽管付出了所有努力,治疗各种形式麸质不耐受的基本方法仍然是严格坚持无麸质饮食(GFD)。众所周知,GFD本身以及对其遵守程度低都可能导致营养紊乱。因此,以高营养价值的食物来扩展饮食将极大地有助于优化饮食疗法并弥补食物限制。本综述的目的是评估在GFD中使用苋属产品来满足麸质不耐受儿童营养需求的可能性。使用PubMed、eLIBRARY、scholar.google平台主要在过去5年中进行文献数据检索,使用的关键词为:麸质不耐受、儿童、苋属植物、无麸质饮食。对现代文献资料的分析表明,苋属植物是遵循GFD进行饮食治疗时的首选产品,因为它是一种假谷物作物。文章提供的数据证实了苋属植物因其蛋白质成分和脂质部分的特性而具有很高的营养价值。讨论了与其他植物作物相比其氨基酸组成和角鲨烯含量的特点。文章包含了关于苋属植物在成品食品中有益特性得以保留的信息,特别是在无麸质面包中添加苋属植物面粉而不是玉米淀粉,可使蛋白质含量增加32%,纤维含量增加152%,且不影响口感。与其他假谷物相比,展示了苋属植物化学成分的优势。研究结果证明了在GFD中使用苋属产品来消除患者的营养缺乏状态、使麸质不耐受儿童的身体发育正常化以及提高患者对饮食的依从性是有效的。苋属植物的成分以及关于食用苋属产品有效性的现有研究令人信服地证明了在营养中使用它的可取性,尤其是在儿童时期饮食受到限制或对营养需求增加的情况下。