{"id":1546,"date":"2016-02-29T23:42:15","date_gmt":"2016-02-29T22:42:15","guid":{"rendered":"https:\/\/juliafarre.es\/?p=1546"},"modified":"2026-01-15T11:58:16","modified_gmt":"2026-01-15T10:58:16","slug":"exces-histamina","status":"publish","type":"post","link":"https:\/\/juliafarre.es\/ca\/dietoterapia\/exces-histamina\/","title":{"rendered":"D\u00e8ficit de DAO i exc\u00e9s d&#8217;histamina: Entrevista a Adriana Duelo"},"content":{"rendered":"<p style=\"text-align: justify;\">En aquesta entrevista de \u00abCharlas con Salud\u201d tinc la oportunitat de parlar amb l\u2019<a href=\"http:\/\/www.adrianaduelo.com\/\">Adriana Duelo<\/a>, <strong>especialista en exc\u00e9s d&#8217;histamina provocat per d\u00e8ficit de l&#8217;enzim Diamino Oxidasa<\/strong> o d\u00e8ficit de Dao. L\u2019Adriana \u00e9s directora de la consulta AD Dietistas i dirigeix el departament de nutrici\u00f3 de l&#8217;Institut Cl\u00ednic del D\u00e8ficit DAO en els centres hospitalaris Quir\u00f3nSalud. En l&#8217;\u00e0rea de la investigaci\u00f3, <strong>participa al grup d&#8217;estudi del d\u00e8ficit DAO de la Universitat de Barcelona<\/strong>, que dirigeix la catedr\u00e0tica Dra. Carmen Vidal.<\/p>\n<p><iframe src=\"https:\/\/www.youtube.com\/embed\/EuwneaXt5GM?rel=0\" width=\"700\" height=\"393,25\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: justify;\"><strong>Adriana, qu\u00e8 \u00e9s el d\u00e8ficit de Dao?<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00c9s la falta del principal enzim digestiu (Diamino Oxidasa) encarregat d&#8217;eliminar una determinada subst\u00e0ncia dels aliments que ingerim. Aquesta subst\u00e0ncia, anomenada histamina, no t\u00e9 cap funci\u00f3 en el nostre organisme.<\/p>\n<p style=\"text-align: justify;\"><strong>Quina difer\u00e8ncia hi ha entre un d\u00e8ficit d&#8217;aquest enzim i una intoler\u00e0ncia a la histamina?<\/strong><\/p>\n<p style=\"text-align: justify;\">M&#8217;agrada que em facis aquesta pregunta, ja que \u00e9s un dubte molt com\u00fa. S\u00f3n conceptes similars, per\u00f2 diferents al mateix temps. Des dels primers estudis en els anys vuitanta, s&#8217;ha parlat de la intoler\u00e0ncia a la histamina, d&#8217;un exc\u00e9s d&#8217;aquesta subst\u00e0ncia en l&#8217;organisme. Per\u00f2 no es sabia quin era el motiu d&#8217;aquest exc\u00e9s. En els \u00faltims deu anys, s&#8217;ha descobert que l&#8217;exc\u00e9s d&#8217;histamina es deu a la falta de l&#8217;enzim Diamino Oxidasa (Dao).<\/p>\n<p style=\"text-align: justify;\"><strong>Podr\u00edem dir llavors que un d\u00e8ficit de Diamino Oxidasa produeix l&#8217;anomenada intoler\u00e0ncia a la histamina?<\/strong><\/p>\n<p style=\"text-align: justify;\">A mi m&#8217;agrada m\u00e9s parlar d&#8217;exc\u00e9s d&#8217;histamina, perqu\u00e8 el concepte d&#8217;intoler\u00e0ncia es pot barrejar molt amb altres intoler\u00e0ncies com a la fructosa o a la lactosa i \u00e9s diferent. En una intoler\u00e0ncia, els s\u00edmptomes apareixen al poc temps de prendre un aliment, \u00e9s a dir, es produeix una causa efecte molt r\u00e0pid. Per la seva banda, un exc\u00e9s d&#8217;histamina no ha de presentar un s\u00edmptoma al moment.<\/p>\n<p style=\"text-align: justify;\"><strong>Quins s\u00edmptomes pot presentar una persona amb d\u00e8ficit de DAO?<\/strong><\/p>\n<p style=\"text-align: justify;\">Un d\u00e8ficit de DAO pot donar des de migranya, problemes digestius (com el c\u00f2lon irritable), pell at\u00f2pica, dolors musculars, tamb\u00e9 s&#8217;ha relacionat molt amb l&#8217;aparici\u00f3 d&#8217;ar\u00edtmies card\u00edaques, hipertensi\u00f3, hipotensi\u00f3&#8230; De fet hi ha un quadre molt fam\u00f3s de <a href=\"https:\/\/www.researchgate.net\/profile\/Laura_Maintz\">Laura Maintz<\/a> que reflecteix molt b\u00e9 tots els s\u00edmptomes, el ventall \u00e9s molt gran.<\/p>\n<p style=\"text-align: justify;\"><img decoding=\"async\" class=\"aligncenter wp-image-1547\" src=\"https:\/\/juliafarre.es\/wp-content\/uploads\/2016\/02\/histamina.jpg\" alt=\"migra\u00f1a-histamina\" width=\"705\" height=\"529\" srcset=\"https:\/\/juliafarre.es\/wp-content\/uploads\/sites\/2\/2016\/02\/histamina.jpg 638w, https:\/\/juliafarre.es\/wp-content\/uploads\/sites\/2\/2016\/02\/histamina-300x225.jpg 300w\" sizes=\"(max-width: 705px) 100vw, 705px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>Sovint em trobo amb moltes persones que acudeixen a la meva consulta de nutrici\u00f3 amb l&#8217;objectiu d&#8217;aprimar-se o esportistes que volen millorar el rendiment esportiu. Quan els faig l&#8217;entrevista, els pregunto quines malalties tenen, quina medicaci\u00f3 prenen i em trobo que molts tenen migranyes, que es mediquen per a la migranya per\u00f2 tot i aix\u00ed no es troben b\u00e9&#8230; Quin percentatge de gent pot ser que tingui d\u00e8ficit DAO i no ho s\u00e0piga?<\/strong><\/p>\n<p style=\"text-align: justify;\">El percentatge \u00e9s molt gran, de fet s&#8217;estima que el 15% de la poblaci\u00f3 pot tenir d\u00e8ficit de l&#8217;enzim DAO. \u00c9s un percentatge molt elevat tenint en compte que malalties com la diabetis tipus 1 est\u00e0 sobre el 9% o la celiaquia l&#8217;1%.<\/p>\n<p style=\"text-align: justify;\">Pel que fa a la migranya, en els \u00faltims estudis efectuats sobre poblaci\u00f3 migranyosa, s&#8217;estima que al voltant del 90% de pacients amb migranyes, tenen aquesta patologia deguda a un d\u00e8ficit de l&#8217;enzim DAO.<\/p>\n<p style=\"text-align: justify;\"><span class='bctt-click-to-tweet'><span class='bctt-ctt-text'><a href='https:\/\/x.com\/intent\/tweet?url=https%3A%2F%2Fjuliafarre.es%2Fca%2F%3Fp%3D1546&#038;text=El%2090%25%20de%20les%20persones%20que%20pateixen%20migranya%20%C3%A9s%20a%20causa%20d%27un%20d%C3%A8ficit%20de%20Dao%20%40AdrianaDuelo&#038;via=Julia_farre&#038;related=Julia_farre' target='_blank'rel=\"noopener noreferrer\">El 90% de les persones que pateixen migranya \u00e9s a causa d&#039;un d\u00e8ficit de Dao @AdrianaDuelo <\/a><\/span><a href='https:\/\/x.com\/intent\/tweet?url=https%3A%2F%2Fjuliafarre.es%2Fca%2F%3Fp%3D1546&#038;text=El%2090%25%20de%20les%20persones%20que%20pateixen%20migranya%20%C3%A9s%20a%20causa%20d%27un%20d%C3%A8ficit%20de%20Dao%20%40AdrianaDuelo&#038;via=Julia_farre&#038;related=Julia_farre' target='_blank' class='bctt-ctt-btn'rel=\"noopener noreferrer\">Compartir en X<\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Si alguna persona que pateix migranyes creu que pot estar en aquest grup, com pot saber si la causa dels seus s\u00edmptomes es deu a un d\u00e8ficit de DAO?<\/strong><\/p>\n<p style=\"text-align: justify;\">Primer de tot, la persona que pateix migranya s&#8217;ha de preguntar si pateix algun altre s\u00edmptoma relacionat amb la manca de l&#8217;enzim. Normalment, com a m\u00ednim apareixeran dos o tres s\u00edmptomes.<\/p>\n<p style=\"text-align: justify;\"><strong>\u00bfI per poder tenir un diagn\u00f2stic en ferm?<\/strong><\/p>\n<p style=\"text-align: justify;\">Haurien de fer-se una anal\u00edtica de sang espec\u00edfica, on apareixerien els valors de l&#8217;enzim en el nostre organisme. Si estem per sota de la normalitat, estar\u00edem parlant d&#8217;un cas de d\u00e8ficit de l&#8217;enzim.<\/p>\n<p style=\"text-align: justify;\">[vc_column][vc_cta h2=\u00bb\u00bb add_button=\u00bbright\u00bb btn_title=\u00bbIr al art\u00edculo\u00bb btn_color=\u00bbwarning\u00bb btn_i_align=\u00bbright\u00bb btn_i_icon_fontawesome=\u00bbfa fa-hand-o-right\u00bb btn_add_icon=\u00bbtrue\u00bb btn_link=\u00bburl:http%3A%2F%2Fjuliafarre.es\/ca%2Fdieta-esportiva%2Fcurses-de-muntanya%2F||\u00bb]Article recomenat: \u00abCharlas con salud:\u00a0Entrevista a Anna Saul\u00f3\u00bb[\/vc_cta][\/vc_column]<\/p>\n<p style=\"text-align: justify;\"><strong>Quan la prova surt positiva, qu\u00e8 pot fer la persona per millorar els seus s\u00edmptomes? Podria solucionar-se a trav\u00e9s d&#8217;una dieta adequada o haurien de comen\u00e7ar algun tipus de tractament farmacol\u00f2gic?<\/strong><\/p>\n<p style=\"text-align: justify;\">En primer lloc s&#8217;ha d&#8217;acudir al professional que ha pautat l&#8217;anal\u00edtica. En cas de ser un metge, aquest hauria de derivar el pacient al dietista &#8211; nutricionista, ja que \u00e9s l&#8217;especialista que ha d&#8217;encarregar-se del tractament d&#8217;aquest trastorn.<\/p>\n<p style=\"text-align: justify;\">Un cop a mans del dietista &#8211; nutricionista, es seguir\u00e0 una dieta baixa en histamina.<\/p>\n<p style=\"text-align: justify;\"><strong>Nom\u00e9s seguint una dieta correcta \u00e9s possible de controlar?<\/strong><\/p>\n<p style=\"text-align: justify;\">La dieta suposar\u00e0 una millora, per\u00f2 sempre ser\u00e0 necess\u00e0ria una suplementaci\u00f3.<\/p>\n<p style=\"text-align: justify;\"><strong>De quin tipus?<\/strong><\/p>\n<p style=\"text-align: justify;\">En una primera fase, aportarem una suplementaci\u00f3 basada en l&#8217;enzim DAO, per eliminar la poca histamina que la persona ingereixi, ja que \u00e9s impossible no ingerir-ne gens. Tamb\u00e9 ser\u00e0 important aportar omega-3 en forma de suplement, ja que no es consumiran ni nous ni peix blau.<\/p>\n<p style=\"text-align: justify;\"><strong>\u00c9s a dir, que una dieta baixa en histamina t&#8217;obliga a prescindir d&#8217;alguns aliments i aix\u00f2 podria provocar-te el d\u00e8ficit d&#8217;alguns nutrients.<\/strong><\/p>\n<p style=\"text-align: justify;\">Exactament, seria el cas de l&#8217;omega-3 i la vitamina C. Molta gent es preocupa ja que en la dieta suprimim els c\u00edtrics i el tom\u00e0quet, tanmateix, hi ha molts altres aliments que contenen vitamina C i que s\u00ed que poden prendre.<\/p>\n<p style=\"text-align: justify;\"><strong>Quin seria el r\u00e0nquing dels aliments amb histamina prohibits en aquest tipus de dietes?<\/strong><\/p>\n<p style=\"text-align: justify;\">Com n\u00famero u les begudes alcoh\u00f2liques, ja que l&#8217;alcohol directament bloqueja l&#8217;enzim DAO. En segon lloc, diria els aliments processats, tamb\u00e9 els enllaunats com la tonyina en llauna i despr\u00e9s vindrien els formatges curats i els l\u00e0ctics en general. El llistat \u00e9s molt llarg, per\u00f2 com a principals aliments amb histamina jo posaria aquests.<\/p>\n<p style=\"text-align: justify;\"><strong>Quins entrarien en una dieta baixa en histamina?<\/strong><\/p>\n<p style=\"text-align: justify;\">En general, fruites, verdures i cereals, serien segurs en una dieta baixa en histamina. Tots els farinacis s\u00f3n segurs. \u00c9s important recalcar aix\u00f2 ja que s&#8217;ha posat de moda treure el gluten de la dieta i no \u00e9s aix\u00ed. Si no hi ha una celiaquia o una sensibilitat al gluten no hem suprimir-lo.<\/p>\n<p style=\"text-align: justify;\">Pel que fa a les verdures, hem de vigilar amb els espinacs, alberg\u00ednia, carbassa, carbass\u00f3 i tom\u00e0quet. Les fruites, totes serien segures excepte el pl\u00e0tan les maduixes, la papaia i els c\u00edtrics.<\/p>\n<p style=\"text-align: justify;\"><span class='bctt-click-to-tweet'><span class='bctt-ctt-text'><a href='https:\/\/x.com\/intent\/tweet?url=https%3A%2F%2Fjuliafarre.es%2Fca%2F%3Fp%3D1546&#038;text=Si%20tens%20d%C3%A8ficit%20de%20Dao%20evita%20el%20tom%C3%A0quet%2C%20la%20taronja%2C%20processats%2C%20alcohol%20i%20l%C3%A0ctics%20%40AdrianaDuelo&#038;via=Julia_farre&#038;related=Julia_farre' target='_blank'rel=\"noopener noreferrer\">Si tens d\u00e8ficit de Dao evita el tom\u00e0quet, la taronja, processats, alcohol i l\u00e0ctics @AdrianaDuelo <\/a><\/span><a href='https:\/\/x.com\/intent\/tweet?url=https%3A%2F%2Fjuliafarre.es%2Fca%2F%3Fp%3D1546&#038;text=Si%20tens%20d%C3%A8ficit%20de%20Dao%20evita%20el%20tom%C3%A0quet%2C%20la%20taronja%2C%20processats%2C%20alcohol%20i%20l%C3%A0ctics%20%40AdrianaDuelo&#038;via=Julia_farre&#038;related=Julia_farre' target='_blank' class='bctt-ctt-btn'rel=\"noopener noreferrer\">Compartir en X<\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><strong>Ja per acabar, quin consell li donaries a aquelles persones que creuen que poden tenir un d\u00e8ficit de DAO per\u00f2 el metge que els tracta no els ha prescrit la prova diagn\u00f2stica?<\/strong><\/p>\n<p style=\"text-align: justify;\">En primer lloc paci\u00e8ncia amb el metge. En la medicina \u00e9s normal que un nou diagn\u00f2stic com aquest costi que entri en tota la comunitat m\u00e8dica. Pensa que els primers estudis amb histamina daten dels anys 80 i de d\u00e8ficit de Diamino Oxidasa, en concret, estem parlant de 2007. Fa vint anys ning\u00fa parlava de la celiaquia i ara \u00e9s impensable que un metge no s\u00e0piga que \u00e9s la celiaquia. Estem en un inici, per tant, paci\u00e8ncia. Recomanaria no acudir a llistats d&#8217;Internet i, si \u00e9s possible, recomano que vagin directament a realitzar-se la prova anal\u00edtica a un laboratori. Un cop rebut el diagn\u00f2stic, haurien d&#8217;acudir al dietista &#8211; nutricionista.<\/p>\n<p style=\"text-align: justify;\"><strong>Moltes gr\u00e0cies per tot Adriana.<\/strong><\/p>\n<p style=\"text-align: justify;\">Gr\u00e0cies a tu J\u00falia. Un plaer.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En aquesta entrevista de \u00abCharlas con Salud\u201d tinc la oportunitat de parlar amb l\u2019Adriana Duelo, especialista en exc\u00e9s d&#8217;histamina provocat per d\u00e8ficit de l&#8217;enzim Diamino Oxidasa o d\u00e8ficit de Dao. L\u2019Adriana \u00e9s directora de la consulta AD Dietistas i dirigeix el departament de nutrici\u00f3 de l&#8217;Institut Cl\u00ednic del D\u00e8ficit DAO en els centres hospitalaris Quir\u00f3nSalud. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1549,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[15],"tags":[],"class_list":["post-1546","post","type-post","status-publish","format-standard","has-post-thumbnail","category-dietoterapia","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dieta per al \u00e8ficit de DAO i exc\u00e9s d&#039;histamina | J\u00falia Farr\u00e9<\/title>\n<meta name=\"description\" content=\"Un d\u00e8ficit de DAO (Diamino Oxidasa) provoca un exc\u00e9s d&#039;histamina a l&#039;organisme causant del 90% de les migranyes i altres s\u00edmptomes cutanis i intestinals.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/juliafarre.es\/ca\/dietoterapia\/exces-histamina\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dieta per al \u00e8ficit de DAO i exc\u00e9s d&#039;histamina | J\u00falia Farr\u00e9\" \/>\n<meta property=\"og:description\" content=\"Un d\u00e8ficit de DAO (Diamino Oxidasa) provoca un exc\u00e9s d&#039;histamina a l&#039;organisme causant del 90% de les migranyes i altres s\u00edmptomes cutanis i intestinals.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/juliafarre.es\/ca\/dietoterapia\/exces-histamina\/\" \/>\n<meta property=\"og:site_name\" content=\"Dietista - 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