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 |
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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 |
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