Living with Gluten and Other Food Intolerances: Self-Reported Diagnoses and Management
Living with Gluten and Other Food Intolerances: Self-Reported Diagnoses and Management
复制标题
DOI：
10.3390/nu12061892
复制
发表时间：
2020-06-01
期刊：
影响因子：
5.9
通讯作者：
Ontiveros, Noe
中科院分区：
文献类型：
--
作者：
Araya, Magdalena;Bascunan, Karla A.;Ontiveros, Noe
患有食物不耐受（FI）的人倾向于开始限制性饮食，如无麸质饮食（GFD），以减轻症状。为了了解人们在日常生活中如何处理这些问题（独立于他们的医疗诊断），1203名参与者回答了先前验证的问卷，并被分为：G1（那些自我报告面筋消费后的症状）和G2（那些告知面筋消费后没有不适）。记录自我报告的临床特征、诊断和饮食。29%的人提到了一些FI（G1中为8.5%）。在G1中，自我报告的诊断更频繁（p< 0.0001），包括高比例的饮食和情绪障碍。据报告，诊断是由医生给出的，但GFD是由专业和非专业人员指示的。在G2中，尽管在食用麸质后没有症状，但11.1%的人遵循GFD。两组中最常见的答案是遵循GFD“照顾我的健康”，这表明一些乳糜泻患者不承认它是治疗方法。结论：近三分之一的人口报告患有某种FI。那些认为自己是麸质不耐受的人报告了更多的疾病（p< 0.0001）。GFD之后是类似于11%的人宣称摄入麸质后没有症状。这种饮食被认为是一种健康的饮食选择。
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 (p< 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 (p< 0.0001). A GFD is followed by similar to 11% of those declaring no symptoms after gluten ingestion. This diet is perceived as a healthy eating option.