GLUTEN-FREE DIET IN NON-CELIAC ATHLETES - BENEFITS AND POTENTIAL HARMFUL EFFECTS

L. Bjelaković, M. Bratić, S. Pantelić, Nebojša Ranđelović, Ana Lilić, D. Piršl
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Abstract

The aim of this paper is to present the latest scientific data related to a gluten-free diet, the justification of the introduction of a diet, the advantages and disadvantages of this dietary approach in the population of athletes. Non-celiac gluten sensitivity, previously defined as gluten sensitivity, is a relatively new clinical entity first defined in 2011. This disorder is characterized by intestinal symptoms (abdominal pain, bloating, diarrhea, and constipation) and extra intestinal symptoms such as headache, chronic fatigue, impaired concentration or “brain fog”, numbness and muscle or bone pain are frequently reported. Since most of the symptoms are subjective without accompanying clinical signs, and since no specific biomarker for diagnostics exists in clinical practice, there is always a dilemma whether this is really a health problem. A gluten-free diet has become popular among athletes due to the opinion that it has ergogenic effects. It should also be borne in mind that the introduction of a gluten-free diet has its drawbacks. Several studies suggest that a gluten-free diet is deficient in whole grains, dietary fiber, micronutrients and minerals. The data collected from the National Health and Nutrition Examination Survey study indicate the existence of higher concentrations of heavy metals in urine and blood samples taken from people following a gluten-free diet as a result of narrowed food choices. These data remind us to keep in mind the justification of the introduction of a gluten-free diet and the potential damage to health when observed adherence to this pattern of nutrition in the long run.
无麸质饮食对非乳糜泻运动员的好处和潜在的有害影响
本文的目的是介绍与无麸质饮食有关的最新科学数据,引入无麸质饮食的理由,这种饮食方法在运动员群体中的优点和缺点。非乳糜泻谷蛋白敏感,以前被定义为谷蛋白敏感,是一个相对较新的临床实体,于2011年首次定义。这种疾病的特点是肠道症状(腹痛、腹胀、腹泻和便秘)和肠道外症状,如头痛、慢性疲劳、注意力不集中或“脑雾”、麻木和肌肉或骨骼疼痛,经常被报道。由于大多数症状是主观的,没有伴随的临床体征,并且在临床实践中没有特定的生物标志物用于诊断,因此这是否真的是一个健康问题总是存在一个困境。无麸质饮食在运动员中很受欢迎,因为人们认为它具有人体免疫作用。我们还应该记住,引入无麸质饮食有其缺点。几项研究表明,无麸质饮食缺乏全谷物、膳食纤维、微量营养素和矿物质。从国家健康和营养检查调查研究中收集的数据表明,由于食物选择范围的缩小,无麸质饮食者的尿液和血液样本中重金属浓度较高。这些数据提醒我们要记住引入无谷蛋白饮食的理由,以及长期坚持这种营养模式对健康的潜在损害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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