Cargando…

Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children

A lifelong strict gluten-free diet is the only available treatment for patients with coeliac disease (CD). As with any restrictive diet, it may potentially lead to nutritional deficits. Seventy-six patients with CD (mean age 9.0 ± 4.3 years, 57% female) and 590 healthy controls (HC) (mean age 9.9 ±...

Descripción completa

Detalles Bibliográficos
Autores principales: Sila, Sara, Mašić, Mario, Kranjčec, Draženka, Niseteo, Tena, Marić, Lucija, Radunić, Ana, Hojsak, Iva, Jadrešin, Oleg, Mišak, Zrinjka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601191/
https://www.ncbi.nlm.nih.gov/pubmed/36291532
http://dx.doi.org/10.3390/children9101595
_version_ 1784816996703010816
author Sila, Sara
Mašić, Mario
Kranjčec, Draženka
Niseteo, Tena
Marić, Lucija
Radunić, Ana
Hojsak, Iva
Jadrešin, Oleg
Mišak, Zrinjka
author_facet Sila, Sara
Mašić, Mario
Kranjčec, Draženka
Niseteo, Tena
Marić, Lucija
Radunić, Ana
Hojsak, Iva
Jadrešin, Oleg
Mišak, Zrinjka
author_sort Sila, Sara
collection PubMed
description A lifelong strict gluten-free diet is the only available treatment for patients with coeliac disease (CD). As with any restrictive diet, it may potentially lead to nutritional deficits. Seventy-six patients with CD (mean age 9.0 ± 4.3 years, 57% female) and 590 healthy controls (HC) (mean age 9.9 ± 0.1 years, 54% female) were recruited and requested to keep a 3-day food record (3DFR). In HC patients, anthropometric data were determined at the time when 3DFRs were collected. In CD patients, anthropometric data were determined at two time points: at diagnosis and at the time of 3DFRs collection. Intake of energy, macronutrients, and micronutrients was determined using PRODI expert 6.9 software and expressed as a percentage of recommended daily intake. In CD patients, all measured anthropometric measures (body weight (BW), body height (BH), and body mass index (BMI) z-scores) increased significantly after the mean duration of 34.1 months of a GFD. Overall, CD patients had significantly lower BW and BH z-scores compared to healthy controls. Patients with CD were generally more compliant with the recommended dietary intakes of macronutrients and some micronutrients, as compared to HC. Three participants were not compliant with the GFD; 42.1% of participants took oral nutritional supplements at the start of their GFD. Our study showed that patients with CD have better compliance with dietary recommendations compared to healthy controls, showing that a well-balanced GFD diet can provide necessary macro- and micronutrients.
format Online
Article
Text
id pubmed-9601191
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96011912022-10-27 Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children Sila, Sara Mašić, Mario Kranjčec, Draženka Niseteo, Tena Marić, Lucija Radunić, Ana Hojsak, Iva Jadrešin, Oleg Mišak, Zrinjka Children (Basel) Article A lifelong strict gluten-free diet is the only available treatment for patients with coeliac disease (CD). As with any restrictive diet, it may potentially lead to nutritional deficits. Seventy-six patients with CD (mean age 9.0 ± 4.3 years, 57% female) and 590 healthy controls (HC) (mean age 9.9 ± 0.1 years, 54% female) were recruited and requested to keep a 3-day food record (3DFR). In HC patients, anthropometric data were determined at the time when 3DFRs were collected. In CD patients, anthropometric data were determined at two time points: at diagnosis and at the time of 3DFRs collection. Intake of energy, macronutrients, and micronutrients was determined using PRODI expert 6.9 software and expressed as a percentage of recommended daily intake. In CD patients, all measured anthropometric measures (body weight (BW), body height (BH), and body mass index (BMI) z-scores) increased significantly after the mean duration of 34.1 months of a GFD. Overall, CD patients had significantly lower BW and BH z-scores compared to healthy controls. Patients with CD were generally more compliant with the recommended dietary intakes of macronutrients and some micronutrients, as compared to HC. Three participants were not compliant with the GFD; 42.1% of participants took oral nutritional supplements at the start of their GFD. Our study showed that patients with CD have better compliance with dietary recommendations compared to healthy controls, showing that a well-balanced GFD diet can provide necessary macro- and micronutrients. MDPI 2022-10-21 /pmc/articles/PMC9601191/ /pubmed/36291532 http://dx.doi.org/10.3390/children9101595 Text en © 2022 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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sila, Sara
Mašić, Mario
Kranjčec, Draženka
Niseteo, Tena
Marić, Lucija
Radunić, Ana
Hojsak, Iva
Jadrešin, Oleg
Mišak, Zrinjka
Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title_full Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title_fullStr Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title_full_unstemmed Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title_short Quality of Diet of Patients with Coeliac Disease in Comparison to Healthy Children
title_sort quality of diet of patients with coeliac disease in comparison to healthy children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9601191/
https://www.ncbi.nlm.nih.gov/pubmed/36291532
http://dx.doi.org/10.3390/children9101595
work_keys_str_mv AT silasara qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT masicmario qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT kranjcecdrazenka qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT niseteotena qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT mariclucija qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT radunicana qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT hojsakiva qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT jadresinoleg qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren
AT misakzrinjka qualityofdietofpatientswithcoeliacdiseaseincomparisontohealthychildren