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Exclusion Diets for Eczema

August 27, 2019


“湿疹的食物排除疗法” 关于湿疹和饮食的 原始随机双盲对照实验发现 将鸡蛋、鸡肉、牛奶和牛肉
从饮食中剔除后 能显著改善完成本次实验的孩子中 70%的湿疹病情。 随后的研究也发现了相似的结果 但在这项研究中, 似乎只对1/4的孩子有效而已。 在总共13项 避免牛奶或鸡蛋,
或两者皆避免的研究中 其中有10项研究记录了
湿疹病情整体临床改善。 单是普通牛奶配方奶粉 造成湿疹带来的经济负担 就可能达到一年数亿美元的地步 但鸡蛋看上去所带来的结果更糟 这些都是就预测疾病的持续性
和严重性而言的。 对于蛋白和牛奶的敏感性 即使在母乳喂养的婴儿身上也可以体现。 所以,想必暴露原正是 母乳中含有母亲摄入的 鸡蛋和牛奶蛋白了。 然而不试验一下,
怎么会知道呢! 新手妈妈被随机分配到从其饮食中剔除鸡蛋、 剔除牛奶、剔除鱼或继续常规饮食的组中 时间则是在其分娩后 进入哺乳期的前3个月中。 确实,那些从常规饮食中剔除了 鸡蛋、牛奶和鱼的妈妈们 她们的孩子在6个月大前
患湿疹的可能性会显著降低。 即使在6个月之后,
无鸡蛋或牛奶或鱼的组中 湿疹患病率的下降 并不再具有统计上的显著意义。 然而,在跟踪调查这些孩子直到4岁 发现那些当初母亲从饮食中剔除了 鸡蛋、牛奶和奶制品仅仅3个月的孩子 即使在数年后 也能显著降低湿疹发病率。 即在哺乳期母亲摄取防过敏饮食 能将儿童湿疹患病率降低一半。 多吃植物性食物可能也有帮助 大多数关于水果和蔬菜的研究 表明孕期的母亲和幼年的孩子 若更多摄入蔬菜和水果的话 会降低哮喘的发病率 哮喘是另一种过敏性疾病。 这也许是植物中的
酚类植物营养素在起作用 这点已有证据支持,
这些证据表明 特定的素食饮食似乎能改善 成人湿疹患者的皮肤疾病。 不过看看被引用的文献 会发现那是一种非常奇怪的饮食方式。 研究者在减轻湿疹严重性方面 发现了该饮食的惊人益处 且甚至在取消该饮食方式的2个月后 实验对象的状况
仍然比他们在刚开始时乐观。 但这种饮食只包含了蔬菜汁、 糙米、海带、豆腐、
芝麻酱和柿叶茶 以及严格限制热量。 单是直接进行禁食就能改善湿疹 效果就如同进行了严格的植物性饮食。 鉴于数据表明孩子们将鸡蛋和奶制品 从饮食中剔除后病情有了显著的好转 该结论其实是意料之中的。 尽管有了这些数据 多年来皮肤科和儿科医生 都一直否认食物在湿疹中的作用 即使有80%的儿童可能受益于 剔除其饮食中的牛奶和/或鸡蛋 无论多种过敏测试所显示的结果。 在你自己亲身试验前 不一定能知道饮食是否真的起了帮助 而给孩子们做亲身试验,
正是父母们正在做的事情。 他们已经等不及儿科医生做出行动了; 75%湿疹患儿的父母 已经尝试了一些食物排除疗法 其中最常见的就是剔除奶制品和鸡蛋 虽然只有40%的父母 觉得该方法有所帮助。 但就算这样,
试试又何妨呢? 你会在医学文献中看到的典型建议是: “瞧,如果你的孩子患有严重的湿疹 而且吃药并不起作用 那为何不试试从饮食中剔除一些食物呢?” 但在我看来,两者的顺序弄反了。 如果食物是会起作用的 那治疗为什么不从病因开始 剔除那些有影响的食物 如果不够有效的话,再使用药物呢? 目前有一些非常疯狂的湿疹饮食存在 就像所谓的“少食”饮食一样 除了羊肉、土豆、米脆、西兰花和梨之外 其它食物统统不能吃。 让我惊讶的是,
这种饮食竟然还被投入测试了 我不是说了吗,
医生真的是狗急跳墙了! 但是该饮食并未表现出任何益处。 如果你不知道从何处下手,
基本上最简单的方法 就是将牛奶和鸡蛋从饮食中剔除 然后看看会发生何种变化。 不过这是一个有争议的建议 在没有医生监督下 不吃鱼肉、牛肉、鸡蛋和奶制品? 那可能会引发营养不良相关疾病 什么?! 我查了查这个引用文献 发现它只是又一篇没有支持性论点的文章 如果现在你将几乎所有食物,
99%都从饮食中剔除了 比如只以喝米浆为生,
那显然是完全不行的 但对于大多数父母而言,
他们给患湿疹孩子的饮食里 所加的食物中排名第一的是…
蔬菜。 而所剔除的食物中排名第一的是…
垃圾食品。 我想,我们应该不必担心 孩子是否会缺乏垃圾食品吧?

40 Comments

  • Reply Twistedhippy December 4, 2017 at 12:58 pm

    First

  • Reply Dan Brown December 4, 2017 at 12:58 pm

    I know I'm about to learn when I hear that WHHHHHOOOMP in the intro. Very rewarding experience even by that point

  • Reply AlboPepper - Drought Proof Urban Gardening December 4, 2017 at 1:09 pm

    Cutting eggs & dairy "without medical supervision"… oh no! What might happen, IGF1 deficiency??? LOL

  • Reply Troy Tompkins December 4, 2017 at 1:20 pm

    HI DR GREGOR I'M A DIABETIC SINCE 2004 WHEN I WAS SHOT IN THE HEAD, THE DOCTOR OPERATED ON ME MANAGED O GET THE PELLETS,GUNPOWDER, HEADPHONE PIECES AND PARTS OF MY SKULL FROM MY HEAD. I AM BLESS TO BE ALIVE THANKS TO A MERCIFUL GOD WHO BLESSED THE DOCTORS WITH THE KNOWLEDGE OF THE BODY TO OPERATE ON ME AND MEDICINE I HAVE 2 QUESTIONS FOR YOU ONE IS ONE COCO NUT SUGAR AND SEVERAL OTHER QUESTIONS ON LIONS' MANE MUSHROOM. OK THE FIRST QUESTION – COCONUT SUGAR CAN CO CO NUT SUGAR BE HEALTHY FOR DIABETICS? MY SUGAR LEVEL IS HIGH ALL THE TIME , THE REASON WHY IS BECAUSE THE NERVES THAT CONNECTED MY BRAIN TO MY PANCREAS HAS BEN SEVERED AND IS NOT RECEIVING ANY SIGNALS TO MAKE INSULIN.MY SECOND QUESTION IS ABOUT LIONS MAN MUSHROOM I HAVE SEEN VIDEOS ON HOW IT CAN HELP PEOPLE WITH ALZHIMERS AND DEMENTIA IT IS ALSO SAID THAT IT NAN GROW NOW OR REGROW DAMAGED NERVE I WAS WONDERING IF THIS WAS TRUE ABOUT THE NERVES.I WOULD LIKE TO FIND IND SOME AROUND THIS AREA WHERE IT IS SAID THEY ARE GROWN IF I CAN'T FIND IT NEAR OR AROUND SUITLAND, MARYLAND WHAT ARE THE BEST LIONS MANE MUSHROOM SUPPLEMENTS DO YOU RECOMMEND.ANY INFORMATION YOU OR YOUR COLLEAGUES HAVE WOULD GREATLY BE APPRECIATED, THANK YOU.

  • Reply Ms Orlu-Orlu December 4, 2017 at 1:35 pm

    Thank you Dr Gregor. My son already tested positive for eggs, fish, cow's milk, soya, wheat and nuts when he was 1 year old so those were removed from his diet. I made the mistake of switching to goat's milk thinking it was better tolerated. But his eczema never fully got better.

    He is now nearly 5 years old and 4 weeks ago we made the switch to fully plant based and I am keen to see how his skin reacts over the next couple of months

  • Reply Vegan Walk December 4, 2017 at 1:43 pm

    Reptiles eat eggs, maybe eczema is a symptom of our evolving into a reptile! Kids with eczema, little lizard people.

  • Reply rough rough December 4, 2017 at 1:56 pm

    I've been vegan for 2 years whole plant based foods but my eczema gotten little better but still bad

  • Reply Amit from Israel December 4, 2017 at 1:57 pm

    eggs are super food, what are you talking about, it's vegan craziness

  • Reply Roshni Saxena December 4, 2017 at 2:05 pm

    THANK YOU!

  • Reply Sureal Reality December 4, 2017 at 2:11 pm

    Karen Fischer should put her book, "The Eczema Diet" to the test.

  • Reply JenMetalMajesty December 4, 2017 at 2:24 pm

    I wonder if parents who "tried" the diet excluding eggs and milk but failed to see results remembered to remove the baked goods that also contain these things?

  • Reply Michael December 4, 2017 at 2:24 pm

    Worked for me. No meat, no dairy, no eggs and a high increase of plants and vegetables has reduced any flare ups for me. But the main noticeable difference in the last month or so has come from supplementing with vitamin d. I live in the UK and i recently found out that the government recommends UK citizen to take a vitamin d supplement. Makes sense for our climate here.

  • Reply Tone P December 4, 2017 at 2:33 pm

    I know diet works for eczema, my son has had it chronic since birth. Last year he spent 6 months on a milk/dairy free diet and it improved significantly. But teens knowing best decided to start taking whey powder to build muscle and it came back with a vengeance

  • Reply PsyTech December 4, 2017 at 2:37 pm

    Thank you thank you thank you Doctor Greger!

  • Reply JenMetalMajesty December 4, 2017 at 2:42 pm

    Also, I wonder if chicken was removed? Seems logical that if eggs are a problem then the chicken would be as well?

  • Reply Willow December 4, 2017 at 2:47 pm

    Dr Gregor I'm a vegan of three years and I'm trying to heal my eczema that began 7 years ago during pregnancy. What else is there to do besides cut out animal products?

  • Reply elys3 December 4, 2017 at 3:02 pm

    I agree with all of this but why little to no mention about Gluten? I suffered from severe ezcema my whole life and in my early twenties had it literally from head to toe. My hands were so bad that I couldn't even close them because they had cracks down my palms and I couldn't bend my fingers because they were so swollen.
    I saw countless specialists and tried every medication, topical and oral, short of immuno-suppressants. I even tried light therapy and discovered that I'm actually photosensitive as well and suffer from polymorphous light eruption.
    I went on an elimination diet after reading about it online and cut out the major allergens: Dairy, Eggs, Soy, Nuts, Wheat (and gluten). As I put them back into my diet one at a time I found that gluten had the hugest affect on my eczema.
    So, I've been gluten free for almost 15 years now, which cleared up about 90% of my eczema issues. I also cut my meat consumption down slowly as well as dairy and went vegan a few years ago.
    My adult eczema that none of my doctors could manage without oral prednisone is now under control.
    I always tell people when they ask, every person's body is different. But you definitely should try cutting those things out of your diet to see if they help.
    Some other things that helped me were working on managing stress, adding probiotics and the right supplements for my genetics, getting rid of all body care products (including toothpaste) that contain sodium lauryl sulfate, wearing vinyl powderless gloves when doing anything that will get my hands a little messy (even washing my hair. I did find out that latex makes me break out and even nitrile eventually due to the rubber accelerant chemicals used) and avoiding products made with wool INCLUDING LANOLIN because it causes me to break out as well. Sea Salt (non-iodized) soaks also help to promote healing from eczema.
    Don't give up on yourself, even when doctors do!

  • Reply Eelke Aptroot December 4, 2017 at 3:16 pm

    Junkfood deficiency, might be the only deficiency that saves lives….

  • Reply Olya Olly December 4, 2017 at 3:44 pm

    My son has some eczema on his legs, he used to be on formula, but not anymore. He's not eating any eggs, meat, seafood, as well as no milk, but he still has eczema.( he also scratches it and now got some on the elbows) Could it be just dry skin or reaction to some fruit?or possibly gluten? but my doc tested him for lactose/wheat intolerance, he passed all that, no problems, doctor saying its just dry skin…but it wont go away in months, even though our place is humid enough and we are applying shea butter on him every day. seems like noone know the answer to this..

  • Reply sviluppatoresoftware December 4, 2017 at 3:46 pm

    Great. Now I just need to go back in time and convince my mom to go vegan while pregnant with me.

    Is this going to be an eczema series? If so I would be really looking forward to it.

  • Reply Em S December 4, 2017 at 4:06 pm

    Dr Greger is the best

  • Reply m0L3ify December 4, 2017 at 4:12 pm

    God, I'm so sick of doctors crying "malnutrition!!!" from cutting out one or two things from a kid's diet. As if most doctors even know anything about nutrition. It's a farce.

  • Reply Free Art Lessons December 4, 2017 at 4:41 pm

    The reason doctors cannot pinpoint a single cause of the disease is because it's a combination of food

  • Reply Kaweta December 4, 2017 at 4:45 pm

    A junk food deficiency is a serious threat to human health tho. It makes people smug and prone to accidents of overconfidence.

  • Reply conrado k December 4, 2017 at 4:56 pm

    anything about seborrheic dermatitis?

  • Reply lightdark00 December 4, 2017 at 5:16 pm

    Junk food deficiency is grey hair. Just look what happens as people get older eating less junk food.

  • Reply Christine Taylor December 4, 2017 at 9:15 pm

    Seems like the gmo animal feed may be a contributing factor since eczema seems
    to have increased since gmo feed came to market.

  • Reply Judy Spencer December 5, 2017 at 5:04 am

    When I was breastfeeding my son, he would fuss all night if I had eggs for breakfast. So I stopped eggs. I reported it to my doctor and nurse but they said there could be no correlation. But I knew if I wanted to sleep I couldn't eat eggs. I was thankful that I didn't eat them every day because if I had, I wouldn't have been able to figure it out.

  • Reply True_ Remedyz December 5, 2017 at 5:39 am

    Isn't eczema a fancy Medical term for un diagnosed skin rash???

  • Reply iSuperninja89 December 5, 2017 at 10:21 am

    I've had eczema for 16 years and now after eating plant based (with supplementation) for only 3 months they are finally almost completely gone. My skin has never been better.
    However I can't really say if it was cutting out milk, eggs and cheese or the supplements that did the trick.

  • Reply sooooooooDark December 5, 2017 at 12:35 pm

    eczema related to water % in ur body
    buy a scale that shows u body water%
    oh look u got like 60% water even tho u should be close to 70%
    guess what causes that?
    dehydrating food
    aka starchy crap like rice sweet potato pizza etc
    stahp eatin' dat shiaat

    eat raw foods

  • Reply ariana m December 5, 2017 at 3:57 pm

    Thank you so much for this video. Please upload more about eczema and the link with diet.

  • Reply Gabrielle Ferguson December 5, 2017 at 5:04 pm

    When I was a child I had ezcema so bad I would scratch until I bled. But then my mother made the connection. Eggs and tomatoes. Once those were out, it disappeared. Now, tomatoes don't give me a rash but they will still make my joints swell up.

  • Reply Hakuna Matata December 5, 2017 at 6:36 pm

    Junk food deficiency 😆

  • Reply Mr Bulgaria pepi December 6, 2017 at 1:33 am

    YouTube is removing my like everytime I put a like and I don't finish the video and go back to watch the video the like is gone dr. Greger seems like YouTube is messing with your likes man do they want to hide the truth evil never Prevail eventually loses the battle

  • Reply Larry Hutcherson Sr December 6, 2017 at 5:16 pm

    Another great video doc, but what about Psoriasis? Could it be that what is good for Eczema is good for Psoriasis?

  • Reply Chris Gaist December 8, 2017 at 2:20 am

    I had severe eczema on my hands and other parts of the body since the beginning of my life.
    I was vegeterian for 2 years and since 3 months I'm completly vegan. and… Since 2 months and a half I don't have any eczema anymore… I thought it was due to the climate of the new place I moved in.
    But apparently it's not the only reason 🙂

  • Reply schniamhy December 9, 2017 at 1:56 pm

    My integrative MD told me this 10 years ago. Catch up mainstream!

  • Reply Butterfly Lullaby December 30, 2017 at 3:03 pm

    I've donated! And hope others will do the same. http://butterflylullaby.blogspot.co.uk/2017/12/why-i-support-dr-michael-greger-please.html

  • Reply jhunt5578 June 23, 2018 at 10:17 am

    I starting eating whole foods plant based for environmental and ethical reasons. I noticed that the symptoms of my eczema and asthma dropped dramatically. I guess this is why.

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