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- Title
IS COMPLIANCE WITH GLUTEN-FREE DIET TREATMENT SUFFICIENT FOR HEALTH IN CHILDREN WITH CELIAC DISEASE?
- Authors
BALAMTEKIN, Necati; AKSOY, Çiğdem; BAYSOY, Gökhan; USLU, Nuray; KÖKSAL, Gülden; DEMĠR, Hülya; SALTIK TEMĠZEL, Inci; GURAKAN, Figen; ÖZEN, Hasan; YÜCE, Aysel
- Abstract
AIM: This study was planned to investigate the amount, content and balance of foods consumed by child patients with celiac disease on a long-term (at least 1 year) glutenfree diet. METHOD: Children aged 3-18 years, diagnosed with celiac disease according to ESPGHAN criteria that had commenced a gluten-free diet and been following this for at least one year, and whose compliance with a gluten-free diet was confirmed. Food consumption records for a total of three days were maintained in order to determine individuals‟ average daily food intake. Once the records had been completed on the food consumption form, measurement analysis was again performed by a specialist dietician. Energy and other nutritional elements taken in through foodstuffs consumed by the patient and control groups was calculated using the Nutrition Data System for Research Package; these RESULTS: were shown as mean ± standard deviation (x ±SD) and the values compared. RESULTS: The study consisted of 28 patients with a mean age of 10.3 ± 4.6 and 25 healthy controls with a mean age of 9.5 ± 3.4. Average age at diagnosis in the patient group was 6.7 ± 4.3 and mean duration of gluten-free diet was 4.0 ± 3.3 years. Children with celiac disease on a gluten-free diet had significantly lower daily energy intake levels compared to the healthy controls (p<0.05). The level of daily energy met by fats was significantly higher in the patient group compared to the controls (p<0.05). DISCUSSION: Solely determining at check-ups whether children with celiac disease comply with a gluten-free diet appears inadequate in terms of a healthy outcome. Urgent investigation whether such patients‟ diets are adequate in terms of macro- and micronutrients is essential. Health teams need to have a dietician specializing in monitoring children with celiac disease on gluten-free diets, and patients should be evaluated from that perspective at clinical check-ups.
- Publication
Balkan Military Medical Review, 2013, Vol 16, p172
- ISSN
1107-6275
- Publication type
Article