Ingabe I-Gluten-Free Diet Ingakusiza Ulahlekelwe Isisindo?
Ngokuvamile usuku luhamba ngaphandle kokumangalelwa okusha ukuthi ukudla okungenalutho kwe-gluten kungakusiza ukuba ulahlekelwe isisindo. Izidumi ezivela ku-Oprah Winfrey kuya ku-Miley Cyrus (futhi-ke, kutholakala ukuthi uLeliac Elisabeth Hasselbeck) zigcina ukuthi zilahlekelwe isisindo esingenalutho. Ngokusekelwe kulabo bobufakazi, abantu abaningi baye bathola ukudla okungenamsoco njenge-gluten njengendlela yokuchitha amakhilogremu.
Kodwa ingabe isebenza ngempela? Uma ubuza i-Academy of Nutrition and Dietetics (eyayaziwa ngokuthi i-American Dietetic Association), impendulo ingu "cha" eqinile - ngokusho kweqembu, ayikho ukusetshenziswa okuqinisekisiwe yokudla okungenayo i-gluten ngaphandle kwesifo se-celiac , futhi "kukhona khona akuyona into ekhethekile mayelana nokudla okungenamsoco okungasiza umuntu ukuba alahlekelwe isisindo. "
Naphezu kwaleyo "cha" eqinile, empeleni akuzange kube khona noma yikuphi ukuhlola okucatshangelwa ukuthi abantu abadla i-gluten-free balahlekelwa isisindo kalula kunabantu abalandela ukudla okuhlukile, nakuba ummeleli wezemfundo ethi abantu bangase banciphise isisindo uma bedla i-gluten- mahhala ngoba abakutholi ukudla okuningi abangakudla.
Kodwa-ke, empeleni kukhona ubufakazi obunye bokuthi ukudla i-gluten-free kungakusiza ukuba ulahlekelwe isisindo, kungakhathaliseki ukuthi unesifo se-celiac noma cha.
Uma unayo i-celiac, inothi lezincwadi zezokwelapha eziningana ukuthi ama-celiacs abakhuluphele kakhulu uma ehlolwe ukuthi athambekele ekutheni alahlekelwe isisindo lapho ehamba engenayo gluten.
Kodwa uma ungenayo isimo, ukulahleka kwesisindo se-gluten kungasasebenza kuwe. Udokotela wezinhliziyo uDkt. William Davis, umbhali weB wheat Belly , ungitshela ukuthi ubona ukulahlekelwa kwesisindo esifanayo kubangelwa ukudla okungenalutho kwe-gluten kubantu abangenayo isifo se-celiac: iziguli zilahlekelwa isisindo njalo-ngokuvamile ziba ngu-15 kuya kwangu-20 amakhilogremu ekuqaleni inyanga - lapho behlehlisa ukolweni kusuka ekudleni kwabo.
Ingabe kukhona okunye kokudla okukolweni noma okudla okubangela ukuba abantu badle ngokweqile? Ayikho ubufakazi ngenye indlela noma enye ekufundeni kwezokwelapha. Noma kunjalo, uDkt. Davis uthi kuyiqiniso ngokusekelwe ocwaningweni lwakhe olungashicilelwa kanye nolwazi phakathi kwendlela yakhe yokwelapha: abantu badla amakholori amaningi uma bedla ukolweni, futhi bathambekele ekunciphiseni isisindo - ngezinye izikhathi isisindo esiningi - lapho behleka ukolweni kusuka ekudleni kwabo.
Bona okuningi ngokulahlekelwa kwesisindo se-gluten:
Ukudla Okungenayo I-Gluten Kuholela Ekulahlekelweni Kwesisindo Ku-Overweight Celiacs
Ucwaningo luye lwabonisa kahle ukuthi ukudla okungenalutho kwe-gluten kusiza kakhulu abantu abanesifo se-celiac ukuthi banciphise isisindo.
Kwesinye isifundo, abacwaningi balandela abantu abangu-191, okungaba ngu-32% abangaphansi kwesisindo, 38% kwaba isisindo esivamile, ama-16% ayenamandla kakhulu futhi abangu-14% babekhuluphele ngesikhathi sokuxilongwa. Kulelo qembu lonke, iziguli ezingu-91 zathola isisindo ngemuva kokuqala ukudla okungenalutho kwe-gluten - isilinganiso samakhilogremu angu-16.5. Kodwa ezinye iziguli ezingu-25 zalahlekelwa isilinganiso samaphilisi angu-27.5 ... futhi ukulahlekelwa kwesisindo kwaziwa kakhulu ezigulini ezazitholakalayo kakhulu.
Olunye ucwaningo olwalubheka abantu abangu-369 oluthola isisindo luvame ukulunga ngokudla okungekho gluten - kwamanye amazwi, uma ukhuluphele ngokweqile, uzothambekela ekunciphiseni isisindo, kanti uma unesisindo esiphansi, uzovame ukuzuza isisindo esisodwa uma uhamba ngaphandle kwe-gluten.
Futhi isifundo sesithathu silinganise inani lamakholori abedwe ngabantu abanesifo se-celiac abahamba ngokudla okungenalutho kwe-gluten uma kuqhathaniswa ne-celiacs abakhohlisa ekudleni okungenalutho lwe-gluten, futhi bathola ukuthi labo abakhohlisa badla isilinganiso samakhilomitha angu-418 ngaphezulu ngosuku ngalunye abedla i-gluten-free. (Lokhu kungalingana nesinye se-Panel Bread cinnamon crunch crunch nsuku zonke.)
Kodwa Ingabe Ukudla Okungenayo I-gluten Kuyoholela Ekulahlekelweni Kwesisindo Uma Ungenayo I-Celiac?
Izifundo ezibonisa ukudla okungenayo i-gluten kungaholela ekulahlekeni kwesisindo kwabanye abantu abanesifo se-celiac akusebenzi kubantu abangenalo isimo, kunjalo.
Noma kunjalo, uDkt. Davis ukholelwa ukuthi ukuqeda ukolweni ekudleni kwakho kuyoholela ekulahlekelweni kwesisindo ngisho noma ungenayo isifo se-celiac - uthi ubonile ukuthi kwenzeke ezigulini eziyizinkulungwane eziningana azithathele izifo zenhliziyo. Uthi amaprotheni amaningi kanye ne-starch ehlanganiswa ngokolweni - hhayi nje amaprotheni - ayingozi futhi njalo uyala iziguli zakhe ukuba zilahle yonke imikhiqizo yengqolowa ekudleni kwazo (ugcizelela ukolweni - okusanhlamvu okungavamile kakhulu kwe-gluten - okungaphezu kwebhali noma rye, okuvela emikhiqizweni embalwa yokudla).
NgokukaDkt. Davis, ukudla ukolweni kukhuthaza umzimba wakho ukuba ukhiqize amazinga aphakeme kakhulu e-insulini, i-hormone eshukumisa ushukela egazini lakho emangqamuzaneni omzimba wakho. Amazinga aphezulu e-insulin enza ukuba umzimba wakho uqoqe amafutha eduze kwesisu sakho. Uma umzimba wakho une-insulini eningi ejikelezayo, kungabangela nokuzwa ushukela wegazi ophansi, okwenza ulambile. Uthatha isiphuzo esheshayo (ama-carbohydrate amaningi aphethwe kalula kalula njengabanqamuli noma ama-muffin) futhi umjikelezo uqala futhi.
UDkt. Davis ukholelwa ukuthi ukuthatha ukolweni ngaphandle kokudla kwakho kunganciphisa lo mjikelezo ohlanganisa i-insulini ephezulu neshukela ephansi yegazi, futhi cishe njalo kuholela kumuntu odla ama-calories ambalwa ... okuphumela ekulahlekeni kwesisindo.
"Ngokuvamile, uzobona ukulahleka kwesisindo esingaba ngu-15 kuya kwangu-20 phakathi nenyanga," kusho uDkt. Davis engxoxweni. "Ukudonsa okukhulu kunawo wonke ngenyanga yokuqala. Ezinye zazo ziyi-edema [okungukuthi, ukulondolozwa kwamanzi]. Kubonakala sengathi ukulahleka okukhethiwe esiswini, futhi kunciphisa okuphawulekayo kwesikhumba."
UDkt. Davis uthi iziguli ezilahlekelwa isisindo esikhulu kunazo zonke yizo ezingenalo ukudla okunezinto ze-gluten ezinemikhiqizo yokudla engenama-gluten, okuvame ukuba phezulu kwamakholori kanye nezakhi ezincane. Esikhundleni salokho, abantu abalahlekelwa isisindo esikhulu kunabo bonke noma yonke imikhiqizo esekelwe okusanhlamvu (ngisho nemikhiqizo ebizwa nge-gluten-free) kanye nokudla okusetshenziselwa ukushukela, uthi. Esihlangenweni sakhe, labo bantu benza okusemandleni okubuka ingozi yesifo senhliziyo (okungukuthi uDkt Davis 'ugxile kakhulu).
Kukhona ngempela isifundo sezokwelapha ezithakazelisayo esenza isiphakamiso sikaDkt Davis 'sombono ngalokhu. Ucwaningo olwanyatheliswa ngo-2013 ku- Journal of Nutritional Biochemistry , lathola ukuthi amagundane alandela ukudla okungenamafutha aphezulu-gluten athola isisindo esincane futhi ahlakulela izicubu ezincane kakhulu kunezinkoma ezidla ukudla okunamafutha aphezulu. Abacwaningi baphinde babone izizathu ezithile zezinto eziphilayo zemizwa yabo.
"Idatha yethu isekela imiphumela ezuzisayo yokudla okungekho gluten ekunciphiseni inzuzo yokungena, ukuvuvukala nokuphikiswa kwe-insulin," kusho abalobi. "Idatha ibonisa ukuthi ukukhishwa kwe-gluten kufanele kuhlolwe njengendlela entsha yokudla okuvimbela ukuthuthukiswa kokukhuluphala ngokweqile nokukhathazeka komzimba."
Ukuhlaziywa kwedatha yezifundo zaseChina kubonisa indima yebolweni ku-Weight
Kunobufakazi obuningi bokuthi inkokhelo yenzani inzuzo yesisindo evela kuDenise Minger, ukudla okuluhlaza / i-Paleo yokudla nge-blogger nomlobi. U-Minger, owaziwa kakhulu emibuthanweni yokudla ephansi-carb yokuhlaziywa kwakhe kwe-China Study, ubheke lokho idatha ebonisa mayelana nenqwaba yezinhlamvu zomzimba kanye nokondla ukolweni.
Uma ungajwayelene ne-China Study, ebhalwe nguT. Colin Campbell, yincwadi esekelwe ekutadisheni kwe-long-term epidemiological kwe-epidemiological yokudla nezifo kubantu abahlala emazweni angama-65 aseRussia. Kodwa uMinger akazange asebenzise le ncwadi ngokwayo - esikhundleni salokho, wasebenzisa idatha yokufunda eluhlaza, eziningi zazo ezitholakalayo ku-intanethi, ukuze ziqoqe izinombolo ngokukhethekile ngotshani nosayizi womzimba.
Ekuhlaziyweni okuningiliziwe okuningiliziwe kwedatha (etholakala lapha), wathola ukuthi ukolweni uketshezi oluqine kakhulu lwesisindo somzimba, futhi luhlotshaniswa kakhulu nenkomba yomzimba womzimba.
Ukuhumusha: uma udla ukolweni, kunzima kangakanani, kungakhathaliseki ukuthi ubude kangakanani.
Ukuze ubone ukuthi isiphetho sakhe siphenduke, uMinger naye ugijimele izinombolo ngokusebenzisa izibalo ezihlukene zokulinganisa ngezibalo ezihlukahlukene. Akukho lutho olushintsha phansi, okuwukuthi ukudla okukolweni kwakuhlobene nokuba nenani eliphakeme lomzimba womzimba.
Yiqiniso, ucwaningo lukaMinger alubonakali lutho - uvele lubonise izinhlangano ezibalwe phakathi kwekolweni nesisindo, hhayi ukubonisa ngokucacile ukuthi ukolweni ubangela inzuzo yesisindo.
Ngezansi: Ukudla Okungenayo I-Gluten Kungakusiza Ukulahlekelwa Isisindo ... Uma Ukwenzile Ngokufanele
Ngabe ukudla okungenalutho kwe-gluten kungakusiza yini ukuthi ulahlekelwe isisindo? Nakhu esikuyazi ngokuqinisekile:
• Uma unesifo se-celiac futhi ukhuluphele kakhulu noma ukhuluphele uma uthola ukuxilongwa, cishe uzolahlekelwa isisindo uma uhamba ungenawo gluten.
• Uma ungenayo isifo se-celiac, kungenzeka ukuthi ukungena kwe-gluten kungakusiza ukulahlekelwa isisindo esiningi, nakuba kungekho isifundo sezokwelapha esishicilelwe esibonisa ukuthi sisebenza noma cha. (UDkt. Davis 'ucwaningo nolwazi olwenzayo aluzange lushicilelwe kumagazini wezokwelapha obuyekezwa kontanga.)
• Kungakhathaliseki ukuthi unesifo se-celiac noma cha, cishe ngeke ulahlekelwe isisindo esikhulu ekudleni okungenalutho lwe-gluten - noma kungenzeka noma yikuphi - uma ulayishwa kwimikhiqizo engena esikhundleni se-gluten njengezinkwa, amakhukhi, amakhekhe kanye okusanhlamvu, ngoba lezo zitshalo zivame ukuphakama (noma kwezinye izimo, ngisho eziphakeme) ngamakhilomitha ngaphezu kwemikhiqizo esekelwe ukolweni.
Ngokusho kukaDkt. Davis, uzothola imiphumela emihle kakhulu yokulahlekelwa isisindo uma ubuyeka kakhulu kakhulu kuwo wonke ama-carbohydrates omzimba. Nakuba ngombono wakhe, ukolweni uyisoni esibi kunazo zonke uma kuziwa ngamazinga e-insulin, wonke ama-carbs we-starchy - okungukuthi, ama-gluten-mahhala nemikhiqizo yokusanhlamvu, kanye namazambane, i-legumes kanye noshukela - angakhulisa amazinga akho e-insulin, okwenza ube nethonya lokudla ngokweqile , uthi.
Ngakho-ke, kunokuba uthengise ikakhulukazi emikhiqizweni engenakuthola esitolo esitolo, kufanele ugweme leyo mikhiqizo bese ubeka ukudla kwakho emifino, amantongomane, amafutha, amaqanda kanye noshizi, enezithelo ezithile kanye nezinhlamvu ezingenalutho ze-gluten ephonswe ku, uDkt Davis uthi.
Imithombo:
Cheng J. et al. Inkomba yomzimba womzimba kulesi sifo se-celiac: umphumela ozuzisayo wokudla okungenayo i-gluten. Journal of Gastroenterology Clinic. 2010 Mga; 44 (4): 267-71.
UDavis, uWilliam. Wheat Belly . U-Rodale Press, ngo-2011.
UMarcason, W. Kukhona Ubufakazi bokusekela isimangalo sokuthi isidlo se-Gluten-Free Kufanele Sisebenziselwe Ukulahlekelwa Isisindo? I-Journal ye-American Dietetic Association. 2011 Nov; 111 (11): 1786.
Minger, Denise. I-Raw Food Raw: I-China Study, Wheat, kanye Nezifo Zenhliziyo; HHhawu kodwa! . Ishicilelwe ngo-2, 2010, ifinyelelwe ngoFebhuwari 5, 2012.
U-Murray J. et al. Imiphumela yokudla okungenayo i-gluten ekubonakalweni kwamathumbu emzimbeni we-celiac. I-American Journal of Nutrition Clinic. 2004 Ngo-Apr; 79 (4): 669-73.
Smecuol E. et al. Ucwaningo lwesikhathi eside mayelana nomphumela wokwelashwa ekubunjweni komzimba kanye ne-anthropometry yeziguli zesifo se-celiac. I-American Journal ye-Gastroenterology. 1997 Apr; 92 (4): 639-43.
Soares FL et al. Ukudla okungenalutho kwe-gluten kunciphisa ukubekezela, ukuvuvukala nokuphikiswa kwe-insulin okuhlobene nokufakwa kwe-PPAR-alpha ne-PPAR-gamma inkulumo. I-Journal of Biochemistry yeZempilo. 2013 Jun; 24 (6): 1105-11.