{"id":84599,"date":"2026-04-13T10:03:33","date_gmt":"2026-04-13T10:03:33","guid":{"rendered":"https:\/\/www.cofb.org\/?p=84599"},"modified":"2026-04-15T10:06:45","modified_gmt":"2026-04-15T10:06:45","slug":"com-quan-i-per-que-utilitzar-la-suplementacio-amb-enzims-digestius","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2026\/04\/13\/com-quan-i-per-que-utilitzar-la-suplementacio-amb-enzims-digestius\/","title":{"rendered":"Com, quan i per qu\u00e8 utilitzar la suplementaci\u00f3 amb enzims digestius"},"content":{"rendered":"\n

El passat 17 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar una nova sessi\u00f3 del cicle Trending Topics en nutrici\u00f3 \u201cSuplementaci\u00f3 amb enzims digestius: com, quan i per qu\u00e8\u201d<\/strong>, amb el patrocini d\u2019Intoleran<\/a>. La confer\u00e8ncia va anar a c\u00e0rrec d\u2019Anna Par\u00e9<\/strong>, dietista-nutricionista i farmac\u00e8utica, especialitzada en salut digestiva i nutrici\u00f3 cerebral, i va ser coordinada i presentada per Oscar Llans\u00f3<\/strong>, vocal d\u2019Alimentaci\u00f3 i Nutrici\u00f3 del COFB.<\/p>\n\n\n\n

\"\"<\/a>
Anna Par\u00e9 i Oscar Llans\u00f3 en un moment de la presentaci\u00f3 del Trending Topics. <\/figcaption><\/figure>\n\n\n\n

Els objectius<\/strong> del Trending Topics van ser identificar els s\u00edmptomes compatibles amb la S\u00edndrome de l\u2019Intest\u00ed Irritable (SII)<\/strong> i les intoler\u00e0ncies aliment\u00e0ries<\/strong>, aprofundir en els tipus d’enzims digestius i les seves indicacions<\/strong>, introduir el concepte de dieta low FODMAP<\/em><\/strong> i relacionar-la amb els enzims i la seva optimitzaci\u00f3 en relaci\u00f3 amb l’adher\u00e8ncia de la dieta i aconsellar en la dispensaci\u00f3 i seguiment de pacients de la farm\u00e0cia<\/strong> que acudeixen amb consultes d’intoler\u00e0ncies i SII.<\/p>\n\n\n\n

En primer lloc, la dietista i nutricionista va descriure la s\u00edndrome de l\u2019intest\u00ed irritable<\/strong>, que \u00e9s \u201cun trastorn funcional que afecta a tot l\u2019intest\u00ed i que altera la motilitat i sensibilitat intestinal\u201d<\/strong>. El dolor abdominal<\/strong>, acompanyat d\u2019un canvi en la freq\u00fc\u00e8ncia i tipus de les deposicions, \u00e9s el s\u00edmptoma principal<\/strong> de la s\u00edndrome; tot i que poden apar\u00e8ixer altres com inflor, flatul\u00e8ncies, n\u00e0usees, acidesa, sensaci\u00f3 de plenitud postprandial, sensaci\u00f3 d\u2019evacuaci\u00f3 incompleta i s\u00edmptomes extradigestius<\/strong>. Pel que fa a la incid\u00e8ncia, va comentar que sol ser m\u00e9s freq\u00fcent en dones i en menors de 50 anys<\/strong>. Par\u00e9 va aprofundir en el trastorn de la interacci\u00f3 intest\u00ed-cervell, en els criteris de Roma IV, els tipus de SII (amb predomini de restrenyiment, diarrea o alternant restrenyiment i diarrea) i els signes o s\u00edmptomes d\u2019alarma (sang en femtes no deguda a hemorroides o fissures, diarrea o dolor abdominal nocturn, febre, p\u00e8rdua de pes involunt\u00e0ria).<\/p>\n\n\n\n

\"\"<\/a>
Par\u00e9 en un moment de la seva intervenci\u00f3 sobre els enzims digestius. <\/figcaption><\/figure>\n\n\n\n

A continuaci\u00f3, va explicar que les reaccions adverses als aliments <\/strong>poden ser: causades pel sistema immunitari<\/strong>, com l\u2019al\u00b7l\u00e8rgia aliment\u00e0ria o la celiaquia; i no causades pel sistema immunitari<\/strong>, com el d\u00e8ficit enzim\u00e0tic, metab\u00f2liques, farmacol\u00f2giques o altres.  <\/strong> <\/p>\n\n\n\n

Pel que fa a les intoler\u00e0ncies aliment\u00e0ries<\/strong>, la dietista i nutricionista va detallar les principals caracter\u00edstiques i simptomatologia associades de la intoler\u00e0ncia a la lactosa, la fructosa i el sorbitol. <\/strong>Tanmateix, va comentar que aquestes intoler\u00e0ncies es poden diagnosticar a partir d\u2019un test d\u2019aire espirat<\/strong>. Per altra banda, tamb\u00e9 va fer refer\u00e8ncia a la intoler\u00e0ncia a la histamina o histaminosi aliment\u00e0ria<\/strong>, als seus s\u00edmptomes, causes, f\u00e0rmacs que bloquegen l’enzim diamina oxidasa (DAO), aix\u00ed com aliments amb histamina i aliments que afavoreixen l\u2019alliberaci\u00f3 d\u2019histamina.<\/p>\n\n\n\n

Enzims digestius i suplementaci\u00f3 enzim\u00e0tica<\/strong><\/h2>\n\n\n\n

La farmac\u00e8utica, dietista i nutricionista tamb\u00e9 va parlar dels enzims digestius<\/strong>, que \u201cs\u00f3n prote\u00efnes que tenen la funci\u00f3 de descompondre els nutrients i funcionen amb el principi de clau i pany, \u00e9s a dir, cada enzim s\u2019adapta a un sol nutrient i no t\u00e9 cap altra funci\u00f3<\/strong>\u201d. En aquest sentit, va esmentar diverses suplementacions, les concentracions, les presentacions i els casos d\u2019\u00fas de la lactasa, la fructosa, fibractasa, l\u2019amilasa i la invertasa, la diamina oxidasa (DAO), les proteases i les lipases<\/strong>.  <\/p>\n\n\n\n

\"\"<\/a>
La dietista i nutricionista durant la seva exposici\u00f3. <\/figcaption><\/figure>\n\n\n\n

Seguidament, Anna Par\u00e9 va exposar qu\u00e8 \u00e9s una dieta baixa en FODMAP<\/strong>, dissenyada per \u201cpal\u00b7liar els s\u00edmptomes associats a la s\u00edndrome de l\u2019intest\u00ed irritable i que tamb\u00e9 \u00e9s efica\u00e7 per millorar els s\u00edmptomes digestius associats a intoler\u00e0ncies aliment\u00e0ries, alguns tipus de SIBO, aix\u00ed com a les malalties inflamat\u00f2ries intestinals\u201d<\/strong>. Aix\u00ed doncs, va concretar quins aliments es poden prendre i quins cal evitar i com reintroduir els FODMAP de nou a la dieta.<\/p>\n\n\n\n

En darrer lloc, Par\u00e9 va incidir en el fet que el que passa a l\u2019intest\u00ed afecta la resta del cos i en la import\u00e0ncia de: tenir, com a base, uns bons h\u00e0bits alimentaris i d\u2019estil de vida; tractar la mucosa, la disbiosi i reparar la hiperpermeabilitat intestinal; i, com a suport addicional, utilitzar suplementaci\u00f3 espec\u00edfica. Per tancar la seva intervenci\u00f3, va oferir alguns consells de dispensaci\u00f3 i seguiment.<\/p>\n\n\n\n

Amb el patrocini:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

El passat 17 de mar\u00e7, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar una nova sessi\u00f3 del cicle Trending Topics en nutrici\u00f3 \u201cSuplementaci\u00f3 amb enzims digestius: com, quan i per qu\u00e8\u201d, amb el patrocini d\u2019Intoleran. La confer\u00e8ncia va anar a c\u00e0rrec d\u2019Anna Par\u00e9, dietista-nutricionista i farmac\u00e8utica, especialitzada en salut […]<\/p>\n","protected":false},"author":3,"featured_media":84602,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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