Influence of nutrition education in paediatric coeliac disease: impact of the role of the registered dietitian: a prospective, single‐arm intervention study.

Autor:	Suárez‐González, M., Bousoño García, C., Jiménez Treviño, S., Iglesias Cabo, T., Díaz Martín, J. J.
Předmět:	BODY composition CELIAC disease DAIRY products FOOD habits GLUTEN-free diet INGESTION LONGITUDINAL method MEAT NATURAL foods NUTRITION education QUESTIONNAIRES T-test (Statistics) VEGETARIANISM DATA analysis OCCUPATIONAL roles PHYSICAL activity DIETITIANS' attitudes MEDITERRANEAN diet NUTRITIONAL status CHILDREN
Zdroj:	Journal of Human Nutrition & Dietetics; Dec2020, Vol. 33 Issue 6, p775-785, 11p
Abstrakt:	Background: The diagnosis of coeliac disease (CD) involves a change in the diet of the individual, which may influence their quality of life and nutritional status. The present study aimed to determine whether nutrition education by a registered dietitian is able to improve eating habits and body composition in children with CD. Methods: Dietary, physical activity and body composition changes were analysed, comparing baseline assessments with those 1 year after receiving education on healthy eating. At both time points, a 3‐day dietary survey, a food frequency consumption questionnaire, an adherence to the Mediterranean diet test (Kidmed), duration of activity and an electrical bioimpedance study were conducted. Student's paired t‐test and the McNemar test were also employed. Results: Seventy‐two subjects (42 girls) with an mean (range) age of 10 (2–16) years were included. Before the intervention, an unbalanced diet was observed, rich in protein and fat, and deficient in complex carbohydrates. Only 14% consumed an adequate Mediterranean diet. After nutrition intervention, a significant increase in the consumption of plant‐based foods and a concomitant decrease in meat, dairy and processed food intake (P < 0.001) were observed. Moreover, 92% of the patients (P < 0.001) managed to consume an adequate Mediterranean diet. Similarly, an increase was observed in the duration of physical activity undertaken [mean (SD) 1.02 (1.79) h, P < 0.001] and improvements in body composition were recorded, with a 17% decrease in fat mass percentage (P < 0.001). Conclusions: Nutrition intervention focused on healthy eating is effective with respect to improving the nutritional status and diet quality in CD patients. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Plný text