机构地区:[1]University of Manchester Medical Student,Stopford Building,University of Manchester,Manchester M13 9PG,United Kingdom [2]Neurogastroenterology Unit,Wythenshawe Hospital,Manchester M23 9LT,United Kingdom
出 处:《World Journal of Gastroenterology》2019年第24期2973-2976,共4页世界胃肠病学杂志(英文版)
摘 要:Until recently,with the exception of coeliac disease,gastroenterologists have not been particularly interested in the role of diet in the management of gastrointestinal disorders.However,patients have always felt that diet must play a part in their symptoms and,in the absence of any medical interest,have turned to alternative dietary practitioners for help,which can often have no evidence base.Fortunately,with the advent of the FODMAP diet(fermentable oligosaccharides,disaccharides,monosaccharides,and polyols)and the realisation that diet can have a profound effect on the microbiome,medical opinion is now changing.Nevertheless,research on the various diets that are now available is often completely lacking.Lectins are carbohydrate binding proteins which are widely distributed in nature and are found in a whole variety of commonly consumed foods.It seems likely that the exclusion of lectins from the diet could become the next“food fashion”for alternative practitioners to promote,especially as there is some evidence to suggest that certain lectins may be harmful to health.It is,therefore,the purpose of this viewpoint to try and stimulate research on the dietary effects of lectins,which is currently minimal,so that we can pre-empt a situation where we are unable to give patients or the public evidence based advice on this topic.Until recently, with the exception of coeliac disease, gastroenterologists have not been particularly interested in the role of diet in the management of gastrointestinal disorders. However, patients have always felt that diet must play a part in their symptoms and, in the absence of any medical interest, have turned to alternative dietary practitioners for help, which can often have no evidence base. Fortunately, with the advent of the FODMAP diet(fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) and the realisation that diet can have a profound effect on the microbiome, medical opinion is now changing. Nevertheless, research on the various diets that are now available is often completely lacking. Lectins are carbohydrate binding proteins which are widely distributed in nature and are found in a whole variety of commonly consumed foods. It seems likely that the exclusion of lectins from the diet could become the next "food fashion" for alternative practitioners to promote, especially as there is some evidence to suggest that certain lectins may be harmful to health. It is, therefore, the purpose of this viewpoint to try and stimulate research on the dietary effects of lectins, which is currently minimal, so that we can pre-empt a situation where we are unable to give patients or the public evidence based advice on this topic.
关 键 词:DIETARY LECTINS EXCLUSION diets Gastrointestinal system HARM CARBOHYDRATE
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