非性谷蛋白/小麦敏感性趋势:一个自我管理的问题?
F Manza1,2, S A Raju2,3, R M Harrop4
1Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
Scandinavian journal of gastroenterology
|September 4, 2025
概括
尽管无质产品销量上升,但对非性/小麦敏感性 (NCGWS) 患者的坚持不佳. 许多NCGWS患者继续寻求医疗建议,这表明饮食管理存在挑战.
科学领域:
- 胃肠病学
- 饮食科学
- 公共卫生
背景情况:
- 非性谷蛋白/小麦敏感性 (NCGWS) 影响没有性疾病或小麦过敏的个体.
- 无质饮食 (GFD) 是NCGWS的主要治疗策略.
- 最近的趋势表明,COVID-19流行后的NCGWS诊断可能会下降.
研究的目的:
- 分析英国无质产品的市场趋势.
- 评估自己报告的NCGWS患者的长期GFD坚持.
- 在NCGWS患者中评估感知到的GFD疗效和需要进一步的医疗建议.
主要方法:
- 分析了英国GF产品销售和消费者观点的市场数据.
- 在2006年至2018年期间诊断的NCGWS患者接受了后续调查问卷.
- 使用Biagi得分测量GFD粘附度,并与腹腔疾病 (CD) 队列进行比较.
主要成果:
- GF的产品销售额从2014年的2.14亿英大幅增加到2024年的6.07亿英.
- 在GF产品购买者中,NCGWS患者占9. 7%.
- 与CD患者相比,NCGWS患者的GFD坚持率显著降低 (p < 0. 05).
- 36% 的NCGWS患者在出院后寻求进一步的医疗建议.
结论:
- 尽管转诊人数可能有所减少,但很大一部分人使用GF饮食来治疗NCGWS.
- 在NCGWS患者中长期坚持GFD是不理想的.
- 可能需要进一步的研究来了解NCGWS管理中的持续医疗需求.
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