Kodi Zakudya Zopanda Gluten Zingakuthandizeni Kutaya Kunenepa?
Kawirikawiri tsiku limapita popanda zonena zatsopano kuti chakudya cha gluten chingakuthandizeni kuchepa thupi. Odyera ochokera ku Oprah Winfrey kupita ku Miley Cyrus (ndipo ndithudi, apeza kuti Celiac Elisabeth Hasselbeck) amatsimikizira kuti ataya kulemera kwauyeso. Malinga ndi maumboni amenewo, anthu ambiri adya zakudya zopanda thanzi monga njira yochezera mapaundi.
Koma kodi zimagwiradi ntchito? Ngati mufunsa ku Academy of Nutrition and Dietetics (yomwe poyamba inkadziwika kuti American Dietetic Association), yankho lake ndi "ayi" mwamphamvu - molingana ndi gululi, palibe njira yotsimikiziridwa yogwiritsira ntchito zakudya zopanda thanzi kuposa matenda a celiac , palibe kanthu kakang'ono ka zakudya zopanda thanzi zomwe zingathandize munthu kulemera. "
Ngakhale kuti "ayi," palibenso maphunziro omwe akuwonekeratu ngati anthu omwe amadya zakudya zowononga amatha kuchepa mosavuta kusiyana ndi anthu omwe amadya zakudya zosiyana, ngakhale kuti oimira masukulu amakhulupirira kuti anthu amatha kuchepa thupi akamadya zakudya zowonongeka, mfulu chifukwa sangapeze chakudya chochuluka chomwe angadye.
Komabe, palinso umboni wina wakuti kudya kwa gluten kungakuthandizeni kuchepa thupi, kaya muli ndi matenda a celiac kapena ayi.
Ngati muli ndi celiac, mndandanda wa maphunziro a zachipatala ambiri omwe ali olemera kwambiri pamene amapezeka kuti amalephera kulemera pamene akusowa.
Koma ngati mulibe vutoli, kutaya kwalemera kwa gluten kungagwiritseni ntchito. Katswiri wa zamagetsi Dr. William Davis, wolemba Wheat Belly , akundiuza kuti amawona kuwonongeka komweku komwe kunayambitsidwa ndi chakudya cha gluten kwa anthu omwe alibe matendawa: odwala amalephera kulemera - kawirikawiri amakhala olemera mapaundi 15 mpaka 20 mwezi - akasiya tirigu ku zakudya zawo.
Kodi pali zakudya zina zomwe zimayambitsa kudya zakudya za tirigu kapena za gluten? Palibe umboni uliwonse mwa njira kapena maphunziro ena azachipatala. Komabe, Dr. Davis akunena kuti ndi zoona kuchokera pafukufuku wake wosasindikizidwa ndi zochitika zake muzochita zake zachipatala: Anthu amadya zakudya zambiri pakadya tirigu, ndipo amachepetsa kulemera kwake - nthawi zina kulemera kwake - akamasiya tirigu ku zakudya zawo.
Onani zambiri pa kutaya kwa kulemera kwa gluteni:
Zakudya Zopanda Gluten Zimapangitsa Kuti Mukhale Wolemera Kwambiri Mu Zambiri Zowonongeka
Kafukufuku wasonyeza bwino kwambiri kuti chakudya cha gluten chimathandiza kwambiri anthu omwe ali ndi matenda enaake olemera.
Mu kafukufuku wina, ofufuza adatsata anthu 191, omwe pafupifupi 32% anali ochepa thupi, 38% anali olemera thupi, 16% anali olemera kwambiri ndipo 14% anali ochepa panthawi ya kuunika. Kuchokera pagulu lonselo, odwala 91 analemera kwambiri atayamba kudya zakudya zopanda thanzi - pafupifupi mapaundi 16.5. Koma odwala ena 25 anawonongeka mapaundi 27.5 ... ndipo kulemera kwawo kunatchulidwa kwambiri kwa odwala omwe anali ochepa kwambiri pa matendawa.
Phunziro lina lomwe linayang'ana anthu 369 linapeza kulemera kwa zakudya zopanda thanzi - mwa kuyankhula kwina, ngati mukupitirira kunenepa kwambiri, mumakhala wolemera, ngakhale mutakhala ochepa thupi, mumakonda kupeza kulemera kwina mukangopita ku guden.
Ndipo kafukufuku wachitatu anayeza chiwerengero cha makilogalamu omwe amadyedwa ndi anthu omwe ali ndi matenda a celiac omwe adatsata chakudya cha gluten poyerekeza ndi a celiacs omwe amanyengerera zakudya zopanda thanzi, ndipo adapeza kuti omwe amanyengerera amadya makilogalamu 418 tsiku lililonse kuposa iwo omwe adya chakudya cha gluten. (Ndizofanana ndi kamphindi kena kakang'ono ka Panera Bread sinamoni kakang'ono tsiku ndi tsiku.)
Koma Kodi Zakudya Zopanda Gluten Zidzatsogolera Kulipira Kwambiri Ngati Mulibe Wachilendo?
Zofukufuku zosonyeza zakudya zopanda thanzi zingayambitse kulemera kwa anthu ena omwe ali ndi matenda a leliac sagwiritsidwa ntchito kwa anthu opanda chikhalidwe, ndithudi.
Komabe, Dr. Davis amakhulupirira kuti kuthetsa tirigu kuchokera ku zakudya zanu kumabweretsa kulemera ngakhale kuti mulibe matenda a celiac - akuti akuwona kuti zikuchitika mu odwala zikwi zingapo omwe amachiza matenda a mtima. Amanena kuti mapuloteni ambiri ndi tirigu wowonjezera - osati mapuloteni a gluten - amakhala ovulaza, ndipo nthawi zonse amalangiza odwala ake kusiya zakudya zonse za tirigu (akugogomezera tirigu - tirigu wochuluka kwambiri wochuluka - kuposa balere kapena rye, omwe amawoneka mu zakudya zochepa chabe).
Malingana ndi Dr. Davis, kudya tirigu kumayambitsa thupi lanu kuti likhale ndi maulendo apamwamba a insulini, mahomoni omwe amasuntha shuga m'magazi anu mumaselo a thupi lanu. Matenda othamanga kwambiri amachititsa kuti thupi lanu likhale ndi mafuta pamimba. Pamene thupi lanu liri ndi insulini yochuluka, imathandizanso kuti mukhale ndi shuga wotsika kwambiri, zomwe zimakupangitsani kukhala ndi njala. Mumagwira zozizira mofulumira (makapu omwe amapezeka mosavuta mofanana ndi ena osokoneza kapena mufini) ndipo kayendetsedwe kameneka kamayambiranso.
Dr. Davis amakhulupirira kuti kutenga tirigu kunja kwa zakudya kungathetsere vutoli lokhala ndi insulini yambiri ndi shuga wotsika magazi, ndipo pafupifupi nthawi zonse kumatsogolera munthu wodya makilogalamu ochepa ... zomwe zimadzetsa kulemera kwake.
"Kawirikawiri, iwe udzawona kupweteka kwa mapaundi 15 mpaka 20 mkati mwa mwezi," Dr. Davis anandiwuza mu mafunso. "Dontho lalikulu kwambiri ndilo mwezi woyamba .. Ena mwa iwo ndi edema [ie, kusungira madzi]. Zikuwoneka kuti ndikutaya mimba, ndipo pali kuchepa kwakukulu m'chiuno."
Dr. Davis akuti odwala omwe amatha kulemera kwambiri ndi omwe samalowetsa zakudya za gluteni ndi zakudya zambiri zopanda thanzi, zomwe zimakhala zamakono komanso zakudya zochepa. M'malo mwake, anthu omwe amalephera kulemera kwambiri amataya mankhwala ambiri (kapena mankhwala omwe ali ndi gluten) komanso zakudya zopangidwa ndi shuga, akuti. Mwachidziwitso chake, anthuwa amachitanso zabwino kuchokera ku matenda a mtima omwe amawopsa kwambiri (omwe ndi cholinga chachikulu cha Dr. Davis).
Pali kwenikweni phunziro lachipatala losangalatsa lomwe limatsitsimula maganizo a Dr. Davis pa izi. Phunzirolo, lofalitsidwa mu 2013 mu Journal of Nutritional Biochemistry , linapeza kuti mbewa zotsatila zakudya zopanda mafuta zamtundu wa gluten zinalemera pang'ono ndipo zinapanga minofu yochepa kwambiri kusiyana ndi mbewa zomwe zimadyetsa zakudya zamtundu wa mafuta okhwima. Ofufuzawa adatchulanso zifukwa zenizeni za chilengedwe za zotsatira zawo.
"Deta yathu imathandizira phindu la zakudya zopanda mphamvu za gluten pofuna kuchepetsa kuperewera, kupweteka ndi insulini kukana," atero anamaliza. "Deta imasonyeza kuti kusungunuka kwa zakudya zowonongeka kumafunika kuyesedwa ngati njira yatsopano yopezera zakudya kuti zisawonongeke kunenepa kwambiri ndi matenda osokoneza bongo."
Kufufuza kwa China Study Data Imasonyeza Udindo Wa Tirigu Mu Zolemera
Palinso umboni wambiri wosonyeza kuti tirigu amapeza phindu lolemera kuchokera ku Denise Minger, chakudya chofiira / Paleo diet blogger ndi wolemba. Minger, yemwe amadziwika bwino mu zakudya zochepa kwambiri za carb kuti ayambe kufufuza za China Study, taonani zomwe deta likuwonetsa za chiwerengero cha misala ya thupi ndi kukolola tirigu.
Ngati simukudziŵa bwino China Study, lolembedwa ndi T. Colin Campbell, ndi buku lokhazikika pamaphunziro a matenda a matenda a matenda a matenda a Campbell omwe akhalapo kwa nthawi yayitali m'madera akumidzi a ku China. Koma Minger sanagwiritse ntchito bukulo - mmalo mwake, adagwiritsa ntchito deta yophunzira, zambiri zomwe zilipo pa intaneti, kuti ziwononge nambala makamaka za tirigu ndi kukula kwa thupi.
Kufufuza kwa Minger mwatsatanetsatane wa deta (yomwe ili pano), iye adapeza kuti tirigu amawoneka bwino kwambiri, ndipo amagwirizana kwambiri ndi chiwerengero cha mthupi.
Kutembenuza: ngati tirigu wochuluka mumadya, ndiwe wolemera kwambiri, mosasamala kanthu kuti ndinu wamtali bwanji.
Kuti awone ngati mathero ake adakalipo, Minger adathamangiranso nambalayo kudzera mndandanda wa zowerengera zosiyanasiyana zosiyana siyana. Palibe chomwe chinasintha maziko, chomwe chinali kudya tirigu chinagwirizanitsidwa ndi kukhala ndi chiwerengero chapamwamba cha thupi.
Zoonadi, kufufuza kwa Minger sikungatsimikizire chilichonse - akungosonyeza mayanjano owerengeka pakati pa tirigu ndi kulemera, osati kusonyeza kuti tirigu amapangitsa kulemera.
Pansi: Zakudya Zakudya za Gluten Zikhoza Kukuthandizani Kutaya Kunenepa ... Ngati Mwachita Moyenera
Kodi chakudya cha gluten chingakuthandizeni kuchepa thupi? Nazi zomwe ife tikudziwa bwino:
• Ngati muli ndi matenda a celiac ndipo ndinu olemera kwambiri kapena ochepa kwambiri pa matendawa, mwinamwake mutaya kulemera mukamapanda kusuta.
• Ngati mulibe matenda a celiac, ndizotheka kuti kusuta kwa gluteni kukuthandizani kutaya kulemera kwakukulu, ngakhale palibe phunziro lachipatala lofalitsidwa lomwe likuwonetsa ngati likugwira ntchito kapena ayi. (Kafukufuku wa Dr. Davis ndikuchita zochitika sizinatchulidwe mu magazini yachipatala yowonedwa ndi anzawo.)
• Mosasamala kanthu kuti muli ndi matenda a celiac kapena ayi, simungathe kulemera kwambiri pa zakudya zopanda thanzi - kapena mutha kulikonse - ngati mutakweza katundu wotsalira m'malo mwa gluteni monga mkate, cookies, mikate ndi mbewu zambewu, chifukwa mankhwalawa amakhala olemera kwambiri (kapena nthawi zina, ngakhale apamwamba) mu makilogalamu kusiyana ndi zomwe tirigu amagwiritsa ntchito.
Malingana ndi Dr. Davis, mutapeza zotsatira zabwino kwambiri zothandizira kulemera kwa thupi ngati mumachepetsa kwambiri pazakudya zonse zowonjezera. Ngakhale akuwona kuti tirigu ndi amene amachititsa kuti tizirombo toyambitsa matenda, tizilombo tosungunuka komanso zakudya za tirigu, kuphatikizapo mbatata, nyemba ndi shuga, zingathe kuwonjezera mphamvu ya insulini, zomwe zimakupangitsani kuti muzidya kwambiri , akuti.
Choncho, m'malo mogula m'misika ya chipinda cha gluten, mumayenera kupewa mankhwalawa m'malo mwa masamba, mtedza, nyama zowonda, mazira ndi tchizi, ndi zipatso zochepa komanso mbewu zopanda thanzi kuponyedwa mkati, Dr. Davis akuti.
Zotsatira:
Cheng J. et al. Mndandanda wa misala ya thupi mu matenda a celiac: zakudya zopatsa thanzi. Journal of Clinical Gastroenterology. 2010 Apr; 44 (4): 267-71.
Davis, William. Tirigu Belly . Rodale Press, 2011.
Marcason, W. Kodi Pali Umboni Wothandizira Kuvomereza Kuti Zakudya Zopanda Gluten Ziyenera Kugwiritsidwa Ntchito Poti Mukhale Wolemera? Journal ya American Dietetic Association. 2011 Nov; 111 (11): 1786.
Minger, Denise. Chakudya Chakuda SOS: China China, Tirigu, ndi Matenda a Mtima; O! . Idasindikizidwa pa Sept. 2, 2010, idapezeka pa Feb. 5, 2012.
Murray J. et al. Zotsatira za zakudya zopanda zakudya za gluten pa m'mimba zizindikiro za matendawa. American Journal of Clinical Nutrition. 2004 Apr; 79 (4): 669-73.
Smecuol E. et al. Kufufuza kwa nthawi yaitali pa zotsatira za mankhwala pa thupi ndi anthropometry a odwala celiac matenda. American Journal of Gastroenterology. 1997 Apr; 92 (4): 639-43.
Soares FL et al. Zakudya zopanda mphamvu za Gluten zimachepetsanso kuchepa, kutukusira ndi insulin kukana ndi kulowetsedwa kwa PPAR-alpha ndi PPAR-gamma. Journal of Zakudya Zakudya Zamagetsi. 2013 Jun; 24 (6): 1105-11.