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2024 | 75 | 4 |

Tytuł artykułu

Evaluation of the diet of a selected group of children with coeliac disease

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Introduction. Gluten-free diet (GFD) is the only effective treatment for coeliac disease. The aim of GFD is to provide all necessary nutrients, excluding products containing gluten or products contaminated with it. Objective. The aim of the study was to assess the diet of a selected group of children with coeliac disease by analysing the frequency of consumption of basic food groups. Material and Methods. The study involved a group of 50 children between the ages of 1 and 10, whose parents completed food frequency questionnaires and a 7-day diary of current notes. The large age range precluded quantitative assessment of intake, so further analysis was qualitative. The assessment was based on the Diet Quality Indicators (DQI). Results. The results indicated a low variety of vegetables consumed, especially raw, and the proportion of fruit and fruit preparations significantly exceeding the amount of vegetables consumed. The GFD was dominated by light gluten-free bread and rice and millet groats. The main sources of animal protein were meat and its products and eggs, there was a very low consumption of fish and low consumption of legumes and unsweetened fermented dairy drinks. Water, flavoured waters and fruit juices and drinks were the main liquids consumed in the study group of children. In school-aged children were observed to consume frequent (daily, several times a week) sweet snacks and toast. The majority of patients complied with the GFD, however, deviations were noted, of which the children’s parents were informed. Conclusions. The assessment of GFD quality in most of the studied children indicated a need to improve its quality, particularly in terms of increasing the intake of vegetables and reducing the intake of easily digestible carbohydrates. Regular monitoring of GFD quality and education of children and parents on the principles of GFD and proper nutrition.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

75

Numer

4

Opis fizyczny

p.1-7,ref.

Twórcy

  • Department of Functional and Organic Food, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska 159 c, 02-776 Warsaw, Poland

Bibliografia

  • 1. Luque V, Crespo-Escobar P, Hård Af Segerstad EM, Koltai T, Norsa L, Roman E, et al. Gluten‑free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease. J Pediatr Gastroenterol Nutr. 2024;78(4):973-995. doi: 10.1002/jpn3.12079.
  • 2. Simón E, Molero-Luis M, Fueyo-Díaz R, Costas-Batlle C, Crespo-Escobar P, Montoro-Huguet MA. The Gluten-Free Diet for Celiac Disease: Critical Insights to Better Understand Clinical Outcomes. Nutrients. 2023;15(18):4013. doi: 10.3390/nu15184013.
  • 3. Crespo-Escobar P, Vázquez-Polo M, van der Hofstadt M, Nuñez C, Montoro-Huguet MA, Churruca I, et al: Knowledge gaps in gluten‑free diet awareness among patients and healthcare professionals: A call for enhanced nutritional education. Nutrients, 2024;16(15):2512. doi: 10.3390/nu16152512.
  • 4. Ting A, Katz T, Sutherland R, Liu V, Tong CW, Gao Y, et al. Evaluating the Dietary Intakes of Energy, Macronutrients, Sugar, Fiber, and Micronutrients in Children With Celiac Disease. J Pediatr Gastroenterol Nutr. 2020;71(2):246-251. doi: 10.1097/MPG.0000000000002743.
  • 5. McDermid JM, Almond MA, Roberts KM, Germer EM, Geller MG, Taylor TA et al. Celiac Disease: An Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guideline. J Acad Nutr Diet. 2023;123(12):1793-1807.e4. doi: 10.1016/j.jand.2023.07.018.
  • 6. Rostami K, Bold J, Parr A, Johnson MW. Gluten-Free Diet Indications, Safety, Quality, Labels, and Challenges. Nutrients. 2017;9(8):846. doi: 10.3390/nu9080846.
  • 7. Allen B, Orfila C. The Availability and Nutritional Adequacy of Gluten-Free Bread and Pasta. Nutrients. 2018;10(10):1370. doi: 10.3390/nu10101370.
  • 8. Huybrechts I, Vereecken C, De Bacquer D, Vandevijvere S, Van Oyen H, Maes L, et al. Reproducibility and validity of a diet quality index for children assessed using a FFQ. Br J Nutr. 2010;104(1):135-44. doi:10.1017/S0007114510000231.
  • 9. Androutsos O, Tsiampalis T, Kouvari M, Manou M, Dimopoulou M, Georgiou A, et al. Assessment of Diet Quality in Children and Adolescents with Overweight or Obesity in Greece. Children. 2023;10(7):1261. doi:10.3390/children10071261.
  • 10. The Pyramid of Healthy Nutrition and Lifestyle for Children and Young People, including all its text and graphic elements (‘the Pyramid’) [cited 2024 Dec 10]. Available from: https://ncez.pzh.gov.pl/dzieci-imlodziez/piramida-zdrowego-zywienia-i-stylu-zyciadzieci-i-mlodziezy-2/.
  • 11. Kunachowicz H, Przygoda B, Nadolna I, Iwanow K. Tabele składu i wartości odżywczej żywności [Tables of composition and nutritional value of food]. Warsaw: PZWL; 2020. ISBN: 9788320062588.
  • 12. Kunachowicz H, editor. Dieta bezglutenowa – co wybrać? [Gluten-free diet – what to choose?]. Warsaw: PZWL; 2015. ISBN: 9788320049916.
  • 13. Czaja-Bulsa G, Bulsa M. Adherence to Gluten-Free Diet in Children with Celiac Disease. Nutrients. 2018;10(10):1424. doi: 10.3390/nu10101424.
  • 14. Cyrkot S, Anders S, Kamprath C, Liu A, Mileski H, Dowhaniuk J, et al. Folate content of gluten-free food purchases and dietary intake are low in children with coeliac disease. Int J Food Sci Nutr. 2020;71(7):863-874. doi: 10.1080/09637486.2020.1734545.
  • 15. Ohlund K, Olsson C, Hernell O, Ohlund I. Dietary shortcomings in children on a gluten-free diet. J Hum Nutr Diet. 2010;23(3):294-300. doi: 10.1111/j.1365-277X.2010.01060.x.
  • 16. Mager DR, Liu A, Marcon M, Harms K, Brill H, Mileski H, et al. Diet patterns in an ethnically diverse pediatric population with celiac disease and chronic gastrointestinal complaints. Clin Nutr ESPEN. 2019;30:73-80. doi: 10.1016/j.clnesp.2019.02.004.
  • 17. Nestares T, Martín‐Masot R, Flor‐Alemany M, Bonavita A, Maldonado J, Aparicio VA. Influence of ultra‐processed foods consumption on redox status and inflammatory signaling in young celiac patients. Nutrients. 2021;13(1):156. doi: 10.3390/nu13010156.
  • 18. Raiteri A, Granito A, Faggiano C, Giamperoli A, Catenaro T, Negrini G, et al. Hepatic Steatosis in Patients with Celiac Disease: The Role of Packaged Gluten-Free Foods. Nutrients. 2022;14(14):2942. doi:10.3390/nu14142942.
  • 19. Ballestero‐Fernández C, Varela‐Moreiras G, Úbeda N, Alonso‐Aperte E. Nutritional status in Spanish children and adoles-cents with celiac disease on a gluten free diet compared to non‐celiac disease controls. Nutrients.2019;11(10):2329. doi: 10.3390/nu11102329.
  • 20. Health & Human. 2015‐2020 Dietary Guidelines for Americans. 8th ed. Available from: https://odphp.health.gov/sites/default/files/2019-09/2015-2020_Dietary_Guidelines.pdf.
  • 21. Harvard TH Chan School of Public Health. Kid’s Healthy Eating Plate. 2021. Available from: https://nutritionsource.hsph.harvard.edu/healthy-eatingplate/.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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