A Survey on Nutritional Knowledge in Coeliac Disease Compared to Inflammatory Bowel Diseases Patients and Healthy Subjects

Autor: Ilaria Marsilio, Greta Lorenzon, Renata D'Incà, Edoardo Savarino, Linda Cingolani, D. Maniero, Fabiana Zingone, Brigida Barberio, Anna D'Odorico
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Health Knowledge
Attitudes
Practice

IBD
lcsh:TX341-641
Asymptomatic
Inflammatory bowel disease
Coeliac disease
Article
Cohort Studies
03 medical and health sciences
Diet
Gluten-Free

0302 clinical medicine
Internal medicine
Surveys and Questionnaires
Nutritional knowledge
medicine
Diet
Outpatient clinic
Humans
Nutritional Physiological Phenomena
Nutritionists
Referral and Consultation
Nutrition and Dietetics
business.industry
fungi
Malnutrition
Healthy subjects
Awareness
medicine.disease
Inflammatory Bowel Diseases
digestive system diseases
Healthy Volunteers
nutritional knowledge
Celiac Disease
030220 oncology & carcinogenesis
Cohort
030211 gastroenterology & hepatology
Female
medicine.symptom
Diet
Healthy

business
diet
lcsh:Nutrition. Foods and food supply
coeliac disease
Food Science
Zdroj: Nutrients
Nutrients, Vol 12, Iss 1110, p 1110 (2020)
Volume 12
Issue 4
ISSN: 2072-6643
Popis: Background and aim: Nutritional deficiencies are frequent in coeliac disease (CeD), mostly because of the nutritional deficits in gluten-free foods and because of wrong behaviors. We aimed to investigate the level of nutritional knowledge in a cohort of CeD patients in comparison with patients with inflammatory bowel disease (IBD) and healthy subjects. Materials and methods: We consecutively recruited CeD patients and matched-sex and -age IBD patients between April and December 2019 at the University Hospital of Padua outpatient clinic. Healthy subjects were also recruited from family and friends of the hospital staff. The CeD patients were asymptomatic on a gluten-free diet, whereas the IBD patients were in remission. All of the subjects completed the Moynihan validated questionnaire to measure their nutritional knowledge. Results: We included 96 CeD patients, 96 IBD patients, and 65 healthy controls. We found that CeD patients were less aware of nutritional recommendations compared with healthy subjects (HS), and were less able to identify nutrient sources compared with IBD patients and to choose healthy food compared with both groups. The Moynihan questionnaire mean total score was not significantly different between CeD and IBD groups (mean 22.5 ±
2.3 for CeD, 22.0 ±
2.2 for IBD), while it was statistically significantly worse in CeD compared with healthy subjects (mean 21.2 ±
2.3 for HS, p = 0.001). Conclusions: CeD patients tend to focus their diet on gluten avoidance, while IBD patients tend to follow a healthier diet, probably because they believe that diet plays a major role in regulating inflammation and, therefore, their symptoms. A dietitian consultation at CeD diagnosis is recommended.
Databáze: OpenAIRE