Fahri Bayiroglu, Nilgun Erdonmez, Leyla Aydin, Mehmet Salih Kaya
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引用次数: 0
Abstract
Background: The rise in childhood asthma has increased interest in nutraceutical treatment options such as specific nutritional supplements, as medical treatments may not always produce the desired results. Despite treatment, between 30 and 50% of children with asthma do not attain adequate control.
Objectives: For the first time, the effects of adding fermented wheat germ to the daily diet of children with atopic asthma on respiratory function-related disease symptoms, serum IgE, and eosinophil levels were studied.
Methods: The study comprised 52 patients (control group n = 26, experimental group n = 26) aged 12-18 years with a clear diagnosis of atopic asthma. The experimental group consumed 100 g of fermented wheat bread with 5% wheat germ every day for three months, while the control group consumed standard bread. The groups were assessed at baseline and at the end of each month with spirometry (FVC, FEV1, PEF), serum eosinophil and IgE measurements, and the application of the Asthma Control Test (ACT) scale.
Results: There was no significant difference between the control and experimental groups in terms of any measurement. The experimental group had significant increases in PEF (p < 0.05), FVC, and IgE levels (p < 0.001) compared to monthly measurements. Both groups showed statistically significant improvements in ACT and FEV1 (p < 0.001). Nonetheless, the control and experimental groups showed no significant difference in time-dependent eosinophil levels (p > 0.05).
Conclusions: Although the inclusion of fermented wheat germ to asthmatic children's diets has been shown to improve PEF and IgE levels, these findings require further investigation.
背景:儿童哮喘的增加增加了对营养治疗选择的兴趣,如特定的营养补充剂,因为医学治疗不一定总能产生预期的结果。尽管接受了治疗,但仍有30%至50%的哮喘患儿没有得到充分控制。目的:首次研究特应性哮喘患儿日粮中添加发酵小麦胚芽对呼吸功能相关疾病症状、血清IgE及嗜酸性粒细胞水平的影响。方法:选取年龄12 ~ 18岁、明确诊断为特应性哮喘的患者52例(对照组26例,实验组26例)。试验组连续3个月每天食用含5%小麦胚芽的发酵小麦面包100 g,对照组食用标准面包。在基线和每月末对各组进行肺活量测定(FVC、FEV1、PEF)、血清嗜酸性粒细胞和IgE测量以及哮喘控制测试(ACT)量表的应用评估。结果:对照组与实验组在各项指标上均无显著差异。实验组PEF显著升高(p p p p > 0.05)。结论:虽然在哮喘儿童的饮食中加入发酵小麦胚芽已被证明可以提高PEF和IgE水平,但这些发现还需要进一步的研究。
期刊介绍:
Providing an authoritative open forum on asthma and related conditions, Journal of Asthma publishes clinical research around such topics as asthma management, critical and long-term care, preventative measures, environmental counselling, and patient education.