焦虑症状在麸质紊乱

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Anxiety is a pretty common symptom both in celiac disease and in non-celiac gluten sensitivity—plenty of newly diagnosed people (and more than a few who've been diagnosed for some time) report feelings of bothanxiety and depression。Celiac disease is an autoimmune condition that causes people to have an immune reaction in the small intestine when they consume gluten.

It's not clear whether or not gluten in the diet actually causes anxiety, or whether the anxiety is related to something else.

营养缺陷和营养不良可能会导致乳糜泻诊断的人患有焦虑(患有肠道损伤,导致它们吸收营养素)。但含有麸质敏感性的人不会患同一种肠道损伤,但有些经历类似或潜在的甚至更高的焦虑。

研究人员并不确定导致腹腔疾病和麸质敏感性的焦虑导致这种焦虑。它可能是因素的组合,包括对无麸质饮食的必要性的焦虑反应,并且甚至可能直接影响麸质本身对大脑。

在第一次诊断中患有腹腔的人群中常见的焦虑

在首次被诊断时,几项研究发现腹腔疾病的人们患有高水平的焦虑。

根据一项研究,国家焦虑(一种临时焦虑的一种焦虑,涉及高度的自主神经系统反应)和特质焦虑(衡量您对焦虑的倾向令人焦虑的衡量标准)在刚刚了解他们患有乳糜泻的人中升高了。

那个研究,它看着35个腹腔,并将它们与59个对策进行比较,发现:

  • 71% of people with celiac disease had high levels of state anxiety.
  • 24%的对照受试者具有高焦虑水平。
  • 26%的新诊断的腹菌患者表现出作为特质的焦虑。
  • 15%的对照表现出焦虑作为特征(但是,这种差异没有达到统计学意义,这意味着它可能是由于机会的影响)。

经过一年的无麸质饮食,腹腔的焦虑水平已经下降。然而,26%的人仍然受到国家焦虑的影响,17%仍然表现出作为特质的焦虑。

这项研究的作者指出,特点:安溪的下降ety did not reach statistical significance, again indicating it could have been due to chance.

“这些研究结果表明,乳糜泻患者的焦虑主要作为反应性形式存在,而不是作为人格特点, probably related to the presence of the main symptoms such as abdominal pain, diarrhea, and weight loss, often reported by the patients as a reason for work and relationship invalidity and it may not be 'disease-specific' to sprue, but rather to features of chronic illness," the authors wrote.

Another study looked specifically at anxiety anddepressionlevels in 441 adults who had celiac and who had been on a gluten-free diet for at least a year. It found a probable anxiety disorder in nearly 17% of study subjects, which is significantly higher than the 6% found in control subjects. Women had a higher risk of probable anxiety disorder than men.

有趣的是,独自生活与A有关减少有可能焦虑症的风险。作者推测,在共享厨房中饮食无麸质的问题并与无麸质无麸质的家庭成员可能导致“金融和人际关系”,这反过来促进了患有焦虑症的风险。

它也可能独自生活来保护您免受次要麸质暴露,有些人说提高了他们的焦虑。

There is some evidence that supplementing B vitamins might help improve anxiety in diagnosed celiacs. A study conducted in Sweden found improvement in well-being and in anxiety and depressive symptoms in celiac adults who took folic acid, vitamin B12, and vitamin B6 for six months.

含有麸质敏感性的神经系统症状

Although researchers only are beginning to define non-celiac gluten sensitivity, there already are indications that it may have a significant neurological component.

马里兰大学塞拉斯科·索萨诺博士塞氏塞加斯队研究总监神经系统症状such as brain fog occur in about one-third of people with diagnosed gluten sensitivity, a much higher percentage than is reported in celiac disease. Gluten-related depression and anxiety also occur at high rates, he says.

It's not clear why this is so—research into gluten sensitivity is just beginning, and many physicians don't even agree it exists yet.

Dr. Rodney Ford, a New Zealand-based pediatrician and author of麸质综合征, postulates that gluten harms your nervous system directly, leading to the wide spectrum of symptoms experienced in both gluten sensitivity and celiac disease, including anxiety.

Further Research Is Needed

麸质和焦虑之间的联系仍然是未知的,需要进一步的研究来探索这种可能的连接。由于肠道和大脑连接,可能存在炎症和心理健康/疾病之间的关系,但焦虑增加了许多潜在的原因。万博手机客户端这还可以包括炎症之间的联系,其实际造成增加的焦虑和降低的情绪。

A Word From Verywell

Many people with celiac disease and non-celiac gluten sensitivity report symptoms of anxiety. However, there's good news: symptoms of anxiety seem to decline when you go gluten-free. Many people do report experiencing resurgences ofanxiety symptomswhen they get glutened, but these symptoms generally seem to be short-lived.

Still, the medical studies do show that many people struggle with high levels of anxiety even when they're eating gluten-free, possibly because of the stresses involved in maintaining the diet, especially when they live in a household shared with people who eat gluten.

If you're experiencing high levels of anxiety despite eating strictly gluten-free, you might want to consider talking to your physician about it—she might recommend you see a mental health professional fortreatment这可能包括咨询和/或药物以缓解焦虑症状。

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  1. Addolorato G, Capristo E, Ghittoni G, et al.焦虑而不是抑郁症在无麸质饮食一年后乳糜泻患者减少:纵向研究。Scandinavian Journal of Gastroenterology. 2001 May;36(5):502-6.

  2. Häuser W, Janke KH, Klump B, et al.Anxiety and Depression in Adult Patients With Celiac Disease on a Gluten-Free Diet。World Journal of Gastroenterology. 2010 Jun 14;16(22):2780-7.

  3. Hallert C, Svensson M, Tholstrup J, et al.临床试验:B维生素改善乳糜泻患者的健康,生活在无麸质饮食中。Alimentary Pharmacology and Therapeutics. 2009 Apr 15;29(8):811-6.

额外阅读
  • CATASSI C.麸质敏感性Annals of Nutrition and Metabolism。2015; 67 4:16-26。

  • 福特R.麸质综合征Medical Hypotheses。2009 Sep;73(3):438-40. Epub 2009 Apr 29.