Articles
NUTRITIONAL INTAKE, GLUTEN-FREE DIET COMPLIANCE AND QUALITY OF LIFE OF PEDIATRIC PATIENTS WITH CELIAC DISEASE
Article number
972_10
Pages
79 – 86
Language
English
Abstract
Celiac disease (CD) is an inflammatory chronic disease of small intestine caused by ingestion of wheat gluten or related rye and barley proteins in genetically susceptible individuals.
Gluten-free diet (GFD) is the standard therapy for patients affected by celiac disease and must be adhered to throughout the lifetime of the patient.
However, dietetic compliance in these patients is not optimal and gluten-free diet may induce nutritional imbalances.
Having a chronic illness like CD may reduce a childs quality of life.
The aim of the study was to assess the nutritional intake, gluten-free diet compliance and quality of life of pediatric patients with CD and see whether there is any relation between GFD compliance and quality of life of patients.
Twenty pediatric CD patients (7 to 12 year old), either sex, biopsy and serology confirmed consuming a GFD for at least one year were considered.
Nutritional intake of CD patients was assessed using dietary recall method.
A gluten-free diet compliance questionnaire consisting of gluten-containing food items and their frequency-of-use response categories, that is, frequency of consumption in a day, week and month, was administered to assess the compliance of the patients.
For investigating the impact of CD on childrens everyday life and dietary habits, a focus group discussion (FGD) method was used and on the basis of the information gathered from it, a new celiac disease specific quality of life questionnaire for pediatric age group (pCDQoL) containing 15 items was constructed and administered.
The pediatric CD patients non-compliant with GFD reported a lower quality of life on the pCDQoL questionnaire.
Those patients who had frequent GFD transgressions had a poorer quality of life.
Gluten-free diet (GFD) is the standard therapy for patients affected by celiac disease and must be adhered to throughout the lifetime of the patient.
However, dietetic compliance in these patients is not optimal and gluten-free diet may induce nutritional imbalances.
Having a chronic illness like CD may reduce a childs quality of life.
The aim of the study was to assess the nutritional intake, gluten-free diet compliance and quality of life of pediatric patients with CD and see whether there is any relation between GFD compliance and quality of life of patients.
Twenty pediatric CD patients (7 to 12 year old), either sex, biopsy and serology confirmed consuming a GFD for at least one year were considered.
Nutritional intake of CD patients was assessed using dietary recall method.
A gluten-free diet compliance questionnaire consisting of gluten-containing food items and their frequency-of-use response categories, that is, frequency of consumption in a day, week and month, was administered to assess the compliance of the patients.
For investigating the impact of CD on childrens everyday life and dietary habits, a focus group discussion (FGD) method was used and on the basis of the information gathered from it, a new celiac disease specific quality of life questionnaire for pediatric age group (pCDQoL) containing 15 items was constructed and administered.
The pediatric CD patients non-compliant with GFD reported a lower quality of life on the pCDQoL questionnaire.
Those patients who had frequent GFD transgressions had a poorer quality of life.
Authors
S. Nayar, S.C. Mahapatra
Keywords
celiac disease, nutritional intake, gluten-free diet, quality of life, pediatric patients
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