Document Detail


Nutritional management of the gluten-free diet in young people with celiac disease in The Netherlands.
MedLine Citation:
PMID:  16819385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: For young people with celiac disease, adherence to the gluten-free diet may be difficult to achieve and gluten restriction may lead to insufficient nutrient intake and unbalanced food intake resulting in overweight. In The Netherlands, no nutritional information is available. Therefore, we evaluated the nutritional management and nutritional state in young celiac patients. METHODS: The Dutch Celiac Society invited all its members aged 12 to 25 years to complete a food record and a questionnaire. Nutrient intakes were compared with the recommendations and the intake in the general population. Total immunoglobin A, endomysial antibody, tissue transglutaminase and IgA gliadin were determined, and height and weight were assessed. RESULTS: Strict dietary compliance was reported by 75%. The fiber and iron intakes were significantly lower, and the saturated fat intake significantly higher than recommended but comparable with the general population. Most of the patients (61%) found the diet easy to follow. Regular medical controls were reported by 86% but regular dietary controls by only 7% of the patients. Mean and SD scores for height and body mass index were -0.3 +/- 1.1 and -0.3 +/- 0.8, respectively. CONCLUSIONS: The dietary compliance in this group is high, the nutritional state is adequate, but the nutrient intake is not. Better medical and dietary support is necessary to prevent long-term complications and to achieve an ongoing satisfying management in this group of young patients with a chronic disorder.
Authors:
Erica G D Hopman; Saskia le Cessie; B Mary E von Blomberg; M Luisa Mearin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  43     ISSN:  0277-2116     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-04     Completed Date:  2007-03-13     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-8     Citation Subset:  IM    
Affiliation:
Department of Dietetics and Nutrition, Leiden University Medical Centre, The Netherlands. G.D.Hopman@lumc.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Autoantibodies / blood
Biological Markers / blood
Body Height
Body Mass Index
Body Weight
Celiac Disease / blood,  diet therapy*,  epidemiology
Child
Diet Surveys
Diet, Protein-Restricted*
Female
Food Habits
Glutens / adverse effects*
Humans
Immunoglobulin A / blood
Male
Netherlands / epidemiology
Nutritional Status
Patient Compliance
Questionnaires
Transglutaminases / blood
Treatment Outcome
Chemical
Reg. No./Substance:
0/Autoantibodies; 0/Biological Markers; 0/Immunoglobulin A; 8002-80-0/Glutens; EC 2.3.2.13/Transglutaminases

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