Doubtful Justification of the Gluten-Free Diet in the Course of Hashimoto's Disease.

Autor: Szczuko M; Department of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, Poland., Syrenicz A; Department of Endocrinology, Metabolic Diseases and Internal Diseases, Pomeranian Medical University, 70-252 Szczecin, Poland., Szymkowiak K; Department of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, Poland., Przybylska A; Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, 60-834 Poznań, Poland., Szczuko U; Department of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, Poland., Pobłocki J; Department of Endocrinology, Metabolic Diseases and Internal Diseases, Pomeranian Medical University, 70-252 Szczecin, Poland., Kulpa D; Department of Genetics, Plant Breeding and Biotechnology, Faculty of Environmental Management and Agriculture, West Pomeranian University of Technology, 71-434 Szczecin, Poland.
Jazyk: angličtina
Zdroj: Nutrients [Nutrients] 2022 Apr 21; Vol. 14 (9). Date of Electronic Publication: 2022 Apr 21.
DOI: 10.3390/nu14091727
Abstrakt: The popularization of the gluten-free diet brings with it a fashion for its use, which can harm the treatment of Hashimoto's disease. The few studies in this regard do not confirm positive changes resulting from a gluten-free diet. At the same time, the presence of other comorbid autoimmune diseases in this group of patients is increasing. This may have important implications for the interpretation of test results and the need for a gluten-free diet in some patients. In this review, the PubMed database was searched for links between a gluten-free diet, Hashimoto's disease, and autoimmune diseases. When analyzing the available literature, we found no basis for introducing a gluten-free diet for the standard management of Hashimoto patients. The recommended diet is instead an anti-inflammatory diet that levels the supply (to compensate for deficiencies) of vitamin D, iodine, and selenium, which are found in plant products rich in polyphenols, antioxidants, and omega-3 fatty acids, as illustrated in this article.
Databáze: MEDLINE