Cargando…

Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study

Background: Elimination of gluten-containing cereals and consumption of ultra-processed gluten-free foods might cause an unbalanced diet, deficient in fiber and rich in sugar and fat, circumstances that may predispose celiac children to chronic constipation. Aim: to evaluate if counseling with a reg...

Descripción completa

Detalles Bibliográficos
Autores principales: Suárez-González, Marta, Bousoño-García, Carlos, Jiménez-Treviño, Santiago, Díaz-Martín, Juan José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065720/
https://www.ncbi.nlm.nih.gov/pubmed/33800620
http://dx.doi.org/10.3390/nu13041108
_version_ 1783682406972129280
author Suárez-González, Marta
Bousoño-García, Carlos
Jiménez-Treviño, Santiago
Díaz-Martín, Juan José
author_facet Suárez-González, Marta
Bousoño-García, Carlos
Jiménez-Treviño, Santiago
Díaz-Martín, Juan José
author_sort Suárez-González, Marta
collection PubMed
description Background: Elimination of gluten-containing cereals and consumption of ultra-processed gluten-free foods might cause an unbalanced diet, deficient in fiber and rich in sugar and fat, circumstances that may predispose celiac children to chronic constipation. Aim: to evaluate if counseling with a registered dietitian (RD) was capable of improving eating and bowel habits in a celiac pediatric population. Methods: Dietetic, lipid profile and stool modifications were analyzed, comparing baseline assessments with those twelve months after receiving heathy eating and nutrition education sessions. At both time points, 3-day food records, a bowel habit record and a lipid panel were conducted. Calculated relative intake of macro- and micro-nutrients were compared with current recommendations by the European Food Safety Authority (EFSA). Student’s paired t-test, McNemar test, Mandasky test and Pearson correlation tests were used. Results: Seventy-two subjects (58.3% girls) with a mean (standard deviation (SD)) age of 10.2 (3.4) years were included. Baseline diets were imbalanced in macronutrient composition. Significant improvements were observed in their compliance with dietary reference values (DRVs), where 50% of the subjects met fat requirements after the education and 67% and 49% with those of carbohydrates and fiber, respectively (p < 0.001). Celiac children decreased red meat and ultra-processed foods consumption (p < 0.001) and increased fruits and vegetables intake (p < 0.001), leading to a reduction in saturated fat (p < 0.001) and sugar intake (p < 0.001). Furthermore, 92% of the patients achieved a normal bowel habit, including absence of hard stools in 80% of children constipated at baseline (p < 0.001). Conclusions: RD-led nutrition education is able to improve eating patterns in children with celiac disease (CD).
format Online
Article
Text
id pubmed-8065720
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80657202021-04-25 Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study Suárez-González, Marta Bousoño-García, Carlos Jiménez-Treviño, Santiago Díaz-Martín, Juan José Nutrients Article Background: Elimination of gluten-containing cereals and consumption of ultra-processed gluten-free foods might cause an unbalanced diet, deficient in fiber and rich in sugar and fat, circumstances that may predispose celiac children to chronic constipation. Aim: to evaluate if counseling with a registered dietitian (RD) was capable of improving eating and bowel habits in a celiac pediatric population. Methods: Dietetic, lipid profile and stool modifications were analyzed, comparing baseline assessments with those twelve months after receiving heathy eating and nutrition education sessions. At both time points, 3-day food records, a bowel habit record and a lipid panel were conducted. Calculated relative intake of macro- and micro-nutrients were compared with current recommendations by the European Food Safety Authority (EFSA). Student’s paired t-test, McNemar test, Mandasky test and Pearson correlation tests were used. Results: Seventy-two subjects (58.3% girls) with a mean (standard deviation (SD)) age of 10.2 (3.4) years were included. Baseline diets were imbalanced in macronutrient composition. Significant improvements were observed in their compliance with dietary reference values (DRVs), where 50% of the subjects met fat requirements after the education and 67% and 49% with those of carbohydrates and fiber, respectively (p < 0.001). Celiac children decreased red meat and ultra-processed foods consumption (p < 0.001) and increased fruits and vegetables intake (p < 0.001), leading to a reduction in saturated fat (p < 0.001) and sugar intake (p < 0.001). Furthermore, 92% of the patients achieved a normal bowel habit, including absence of hard stools in 80% of children constipated at baseline (p < 0.001). Conclusions: RD-led nutrition education is able to improve eating patterns in children with celiac disease (CD). MDPI 2021-03-28 /pmc/articles/PMC8065720/ /pubmed/33800620 http://dx.doi.org/10.3390/nu13041108 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Suárez-González, Marta
Bousoño-García, Carlos
Jiménez-Treviño, Santiago
Díaz-Martín, Juan José
Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title_full Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title_fullStr Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title_full_unstemmed Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title_short Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study
title_sort gluten-free diet: nutritional strategies to improve eating habits in children with celiac disease: a prospective, single-arm intervention study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065720/
https://www.ncbi.nlm.nih.gov/pubmed/33800620
http://dx.doi.org/10.3390/nu13041108
work_keys_str_mv AT suarezgonzalezmarta glutenfreedietnutritionalstrategiestoimproveeatinghabitsinchildrenwithceliacdiseaseaprospectivesinglearminterventionstudy
AT bousonogarciacarlos glutenfreedietnutritionalstrategiestoimproveeatinghabitsinchildrenwithceliacdiseaseaprospectivesinglearminterventionstudy
AT jimeneztrevinosantiago glutenfreedietnutritionalstrategiestoimproveeatinghabitsinchildrenwithceliacdiseaseaprospectivesinglearminterventionstudy
AT diazmartinjuanjose glutenfreedietnutritionalstrategiestoimproveeatinghabitsinchildrenwithceliacdiseaseaprospectivesinglearminterventionstudy