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Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease

Evidence on the consumption of ultra-processed foods (UPF) in adults with celiac disease (CD) and its impact on Mediterranean Diet (MD) adherence is still limited. Our aim was to determine UPF consumption and its relationship with MD adherence in a group of adults, according to the presence of CD. T...

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Autores principales: Tristan Asensi, Marta, Pagliai, Giuditta, Lotti, Sofia, Corrao, Abigail, Colombini, Barbara, Giangrandi, Ilaria, Sofi, Francesco, Dinu, Monica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965528/
https://www.ncbi.nlm.nih.gov/pubmed/36839296
http://dx.doi.org/10.3390/nu15040938
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author Tristan Asensi, Marta
Pagliai, Giuditta
Lotti, Sofia
Corrao, Abigail
Colombini, Barbara
Giangrandi, Ilaria
Sofi, Francesco
Dinu, Monica
author_facet Tristan Asensi, Marta
Pagliai, Giuditta
Lotti, Sofia
Corrao, Abigail
Colombini, Barbara
Giangrandi, Ilaria
Sofi, Francesco
Dinu, Monica
author_sort Tristan Asensi, Marta
collection PubMed
description Evidence on the consumption of ultra-processed foods (UPF) in adults with celiac disease (CD) and its impact on Mediterranean Diet (MD) adherence is still limited. Our aim was to determine UPF consumption and its relationship with MD adherence in a group of adults, according to the presence of CD. This case-control study included 103 adults with CD and 312 without CD. UPF intake was assessed using the NOVA Food Frequency Questionnaire (NFFQ), while MD adherence was assessed using the Medi-Lite score. UPF represented 14.5% of the diet of participants with CD (246 g/day) and came mainly from cereals-based products (29%) and sweets (24.2%). UPF consumption did not differ with the presence of CD, but participants with CD had significantly (p < 0.05) higher consumption of precooked pasta and pre-packaged breads. Participants with CD also reported a significantly lower MD adherence than participants without CD (9.4 vs. 10.4), with higher intake of meat and dairy products, and lower consumption of vegetables and fish. An inverse trend was found between UPF consumption and MD adherence in adults with CD, although not statistically significant. These findings highlight the importance of improving nutrition education for subjects with CD, which should not only focus on gluten exclusion.
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spelling pubmed-99655282023-02-26 Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease Tristan Asensi, Marta Pagliai, Giuditta Lotti, Sofia Corrao, Abigail Colombini, Barbara Giangrandi, Ilaria Sofi, Francesco Dinu, Monica Nutrients Article Evidence on the consumption of ultra-processed foods (UPF) in adults with celiac disease (CD) and its impact on Mediterranean Diet (MD) adherence is still limited. Our aim was to determine UPF consumption and its relationship with MD adherence in a group of adults, according to the presence of CD. This case-control study included 103 adults with CD and 312 without CD. UPF intake was assessed using the NOVA Food Frequency Questionnaire (NFFQ), while MD adherence was assessed using the Medi-Lite score. UPF represented 14.5% of the diet of participants with CD (246 g/day) and came mainly from cereals-based products (29%) and sweets (24.2%). UPF consumption did not differ with the presence of CD, but participants with CD had significantly (p < 0.05) higher consumption of precooked pasta and pre-packaged breads. Participants with CD also reported a significantly lower MD adherence than participants without CD (9.4 vs. 10.4), with higher intake of meat and dairy products, and lower consumption of vegetables and fish. An inverse trend was found between UPF consumption and MD adherence in adults with CD, although not statistically significant. These findings highlight the importance of improving nutrition education for subjects with CD, which should not only focus on gluten exclusion. MDPI 2023-02-13 /pmc/articles/PMC9965528/ /pubmed/36839296 http://dx.doi.org/10.3390/nu15040938 Text en © 2023 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
Tristan Asensi, Marta
Pagliai, Giuditta
Lotti, Sofia
Corrao, Abigail
Colombini, Barbara
Giangrandi, Ilaria
Sofi, Francesco
Dinu, Monica
Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title_full Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title_fullStr Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title_full_unstemmed Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title_short Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease
title_sort adherence to the mediterranean diet and ultra-processed foods consumption in a group of italian patients with celiac disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965528/
https://www.ncbi.nlm.nih.gov/pubmed/36839296
http://dx.doi.org/10.3390/nu15040938
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