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 ±...
Autores principales: | , , , , , , , , |
---|---|
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 |