在长期患有乳病的成年人中对无质饮食的坚持评估
Marek K Kowalski1, Danuta Domżał-Magrowska1, Piotr Szcześniak2
1Department of Digestive Tract Diseases, Medical University of Lodz, 90-153 Lodz, Poland.
Foods (Basel, Switzerland)
|January 11, 2025
概括
许多乳患者在无质饮食中扎,犯了影响健康的错误. 增加关于乳病和饮食坚持的教育对于控制症状至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 饮食科学 饮食科学
背景情况:
- 病 (CD) 是一种自身免疫性疾病,受遗传,免疫和环境因素的影响.
- 无质饮食是主要的治疗方法,但坚持是具有挑战性的,导致患者频繁偏离.
- 目前的定义将乳病分为典型,非典型,无症状,潜在和耐火形式.
研究的目的:
- 评估长期患有乳病的患者意识和无意识的无质饮食错误的频率.
- 为了确定这些饮食错误对典型和非典型的乳病症状的发生的影响.
主要方法:
- 该研究包括38名成年乳病患者 (30名女性,8名男性) 经过验证的典型乳病诊断.
- 通过IgA抗组织转质酶II (anti-tTG) 和IgG抗体对去胺基胺的评估无质饮食的有效性.
- 收集了有关症状,肠道习惯,并发病,饮食,体力活动和社会经济因素的数据.
主要成果:
- 65.78%的患者报告严格遵守无质饮食,但18.4%的患者显示抗tTG抗体升高.
- 在那些承认饮食错误的人中,46.2%的人增加了抗tTG水平.
- 在犯错误的患者和坚持饮食的患者之间,没有发现症状频率 (肠道或肠外) 的显著差异.
结论:
- 超过一半的乳患者有意识或无意识地犯了饮食错误,这凸显了改善患者教育的必要性.
- 典型和非典型的乳病症状持续不管严格遵守无质饮食.
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