Title Bezglutenska prehrana
Title (english) Gluten-free diet
Author Jelena Rogar
Mentor Jasna Pucarin-Cvetković (mentor)
Committee member Milan Milošević (predsjednik povjerenstva)
Committee member Jagoda Doko Jelinić (član povjerenstva)
Committee member Jasna Pucarin-Cvetković (član povjerenstva)
Granter University of Zagreb School of Medicine (Department of Environmental and Occupational Health) Zagreb
Defense date and country 2018-07-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Health Ecology
Abstract Pšenica je, uz kukuruz i rižu jedna od triju najvažnijih žitarica koje dominiraju u ljudskoj prehrani. Gluten je naziv za mješavinu proteina pšenice (glijadin i glutenini), protein raži naziva se sekalin, a protein ječma je hordein. Navedeni proteini predstavljaju kompleksnu smjesu proteina zvanu prolamini, koji mogu izazvati oštećenje crijevne sluznice te na taj način provocirati imunološki odgovor. Pojam intolerancija glutena može se odnositi na tri tipa poremećaja: autoimuna celijakija, alergija na pšenicu i ne-celijakijska preosjetljivost na gluten. Celijakija je autoimuna enteropatija koja zahvaća sluznicu tankog crijeva kod osoba s genetskom predispozicijom. Alergija na pšenicu spada u IgE posredovane alergijske reakcije te se manifestira simptomima u obliku kožnih reakcija (urtikarije), do težih tipova anafilaksije. Ne-celijakijska preosjetljivost na gluten uključuje pojavu različitih nespecifičnih probavnih smetnji čija je patogeneza još uvijek nejasna. Striktna bezglutenska prehrana uključuje izbjegavanje žitarica i proizvoda koji sadrže gluten, konzumiranje prirodnih namirnica bez glutena i korištenje industrijskih zamjenskih pripravaka bez glutena. Bezglutenska prehrana popularan je način ishrane i u slučaju kada se cilja na poboljšanje zdravstvenog stanja, izgleda ili izdržljivosti pojedinaca, unatoč nedostatku znanstvenih dokaza koji bi išli u prilog navedenom. Kombiniranjem namirnica koje ne sadrže gluten moguće je zadovoljiti potrebe organizma za makronutrijentima, vitaminima i mineralima, bez potrebe za dodatnim unosom suplemenata. Neophodna je edukacija stručnjaka koji će pacijentu dati jasne upute o vrsti namirnica koje ne sadrže gluten, nutritivnoj vrijednosti te kvaliteti takvih proizvoda. Predstavlja stil života koji zahtjeva široko znanje o namirnicama, njihovom kombiniranju te visoku razinu samokontrole, kako bi se omogućila uravnotežena prehrana.
Abstract (english) Wheat (including corn and rice) is one of the most important cereals in the world which dominates in human nutrition. Gluten is a name used for a whey protein mixture (gliadins and glutenins), secalin is a rye protein and barley protein is called hordein. All of them representing a complex compound of proteins called prolamins, which can provoke the damage of the intestinal mucosa, thus inducing an immune response. A term „gluten intolerance“ is related to three types of disorders: celiac disease, wheat allergy and non-celiac gluten sensitivity. Celiac disease is an autoimmune enteropathy that affects small intestine mucosa, in people with genetic predisposition. Wheat allergy is an IgE mediated allergic reaction with symptoms that vary from urticaria to anaphylactic reaction. Non-celiac gluten sensitivity includes different nonspecific gastrointestinal symptoms whose etiology has not yet been explained. Gluten-free diet includes avoiding grains and other gluten-containing products, consuming natural gluten-free foods , as well as using industrial gluten-free products. The gluten-free diet is also a popular way of eating for individuals with an aim to remain healthy, good- looking and full of energy; although there is not enough evidence to confirm those theories. A proper combination of gluten-free foods provides a sufficient daily amount of macronutrients, vitamins and minerals without the need for additional supplements. The role of the nutrition experts is to educate their patients how to select and distinguish proper gluten-free foods and products, their nutritional value, as well as to teach them to read and to understand the food lables and the quality of selected foods. The gluten-free diet represents a restrictive form of eating which demands a wide knowledge of food groups and their combinations, as well as a high level of self-control in individuals, thus providing them a balanced nutrition.
Keywords
gluten
pšenica
preosjetljivost
bezglutenska prehrana
Keywords (english)
gluten
wheat
sensitivity
gluten-free diet
Language croatian
URN:NBN urn:nbn:hr:105:490223
Study programme Title: Studies in Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2019-03-04 08:42:01