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- Title
Hepatic Steatosis in Patients with Celiac Disease: The Role of Packaged Gluten-Free Foods.
- Authors
Raiteri, Alberto; Granito, Alessandro; Faggiano, Chiara; Giamperoli, Alice; Catenaro, Teresa; Negrini, Giulia; Tovoli, Francesco
- Abstract
Background: An increased risk of nonalcoholic fatty liver disease (NAFLD) in patients with celiac disease (CD) adhering to a gluten-free diet (GFD) was recently reported. The nutritional composition of packaged gluten-free foods (PGFF) has been proposed as a possible cause. This hypothesis has not been investigated further, since a systematic structural nutritional interview for all patients would be problematic in clinical practice. Methods: We administered a simple questionnaire based on a Recency, Frequency, and Monetary value (RFM) analysis (a cornerstone of direct marketing segmentation) to consecutive CD patients on a GFD for >6 months and verified its association with NAFLD. Subgroup analyses were performed to understand whether specific patterns of PGFF consumption were significantly associated with NAFLD. Results: Amongst 147 patients (female 82%, median age 42 years), 45 (30.6%) had NAFLD. Total RFM score (adjusted odds ratio = 1.223, 95% CI: 1.059–1.413, p = 0.006), body mass index, and total cholesterol and triglycerides were independently related to NAFLD, and "Bread and bakery" (p = 0.002), "salty convenience" (p = 0.005), and "sweet convenience" (p = 0.049) products were significantly related with NAFLD. Also, questions about the number of purchased PGFF in the last month (monetary value) and different categories of PGFF consumed in the last week (recency) were particularly able to identify NAFLD patients. Conclusions: The specific GFD dietary habits of CD patients were correlated with the degree of risk of NAFLD. Information was obtained through a questionnaire which could be used in clinical practice to favor a patient-tailored approach and in future studies to verify the reproducibility of our results in different geographical areas.
- Subjects
ITALY; FOOD habits; EXPERIMENTAL design; LIPOPROTEINS; TRIGLYCERIDES; DIRECT-to-consumer prescription drug advertising; CONFIDENCE intervals; NUTRITIONAL assessment; NON-alcoholic fatty liver disease; CELIAC disease; PACKAGED foods; RISK assessment; QUESTIONNAIRES; DESCRIPTIVE statistics; ODDS ratio; BODY mass index; GLUTEN-free diet; LONGITUDINAL method; DISEASE risk factors
- Publication
Nutrients, 2022, Vol 14, Issue 14, pN.PAG
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14142942