RESEARCH PAPER
Evidence of high fat and sugar intake, and low fibre and selected minerals intake in adult female coeliac patients
 
More details
Hide details
1
Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Warsaw, Poland
 
 
Corresponding author
Joanna Myszkowska-Ryciak   

Ryciak, PhD, Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, University of Life Sciences, Nowoursynowska 159C, 02-776 Warsaw, Poland. Tel.: +48 22 59 370 22. Fax: +48 22 59 370 18.
 
 
J Pre Clin Clin Res. 2010;4(2):112-115
 
KEYWORDS
ABSTRACT
A strict gluten free diet (GFD) is the only treatment of coeliac disease (CD). However, compliance with such a diet has an impact on the quality of life of individuals with CD, and, possibly, on their nutritional status. The aim of the study was to assess the dietary intake of female coeliacs and to determine if they are meeting the current dietary reference values. Volunteers were recruited through advertisements placed in coeliac disease support groups, and from the Section of Dietary Counseling at the Department of Dietetics at WUL-S. Forty-two volunteers met all criteria for participation and completed the 3-day food records. The following parameters were evaluated: body height, weight, mass index, and fat and muscle masses (bioimpedance – BIA, Akern). The total daily energy and selected nutrients intake were calculated using Dietetyk 1 software, and the obtained values were compared to current recommendations. The results showed an inadequate intake of complex carbohydrates, fibre, calcium, potassium and iron, and high consumption of fat, sugar, and phosphorus. Although most of the individuals (79%) had normal weight, the BIA results showed excessive amount of fat tissue. Female CD patients are at risk of having an unbalanced diet; therefore, the nutritional therapy for CD patients cannot be focused only on the avoidance of gluten on a GFD. Emphasis should be on the nutrients contents of a gluten-free foods, especially fat, sugar, fibre, calcium, potassium, and iron.
 
REFERENCES (28)
1.
Lerner A: New therapeutic strategies for celiac disease. Autoimmun Rev 2010, 9(3), 144-147.
 
2.
Kupper C: Dietary guidelines and implementation for celiac disease. Gastroenterology 2005, 128, 121-127.
 
3.
Stuckey C, Lowdon J, Howdle P: Symposium 1: Joint BAPEN and British Society of Gastroenterology Symposium on ‘Coeliac disease: basics and controversies’ Dietitians are better than clinicians in following up coeliac disease. Proceedings of the Nutrition Society 2009, 68, 249-251.
 
4.
Hallert C, Grant C, Grehn S, Granno C, Hulten S et al.: Evidence of poor vitamin status in celiac patients on a gluten-free diet for 10 years. Aliment Pharmacol Ther 2002, 16, 1333-1339.
 
5.
Szponar L, Wolnicka K, Rychlik E: Album fotografii produktow i potraw (in Polish). Album of photographs, products and dishes. Instytut Żywności i Żywienia, Warsaw 2000.
 
6.
Kunachowicz H, Nadolna I, Przygoda B, Iwanow K: Tabele składu i wartości odżywczej żywności (in Polish). Tables of composition and nutritional value of food. Wydawnictwo Lekarskie PZWL, Warsaw 2005.
 
7.
Szczygieł A, Nowicka L, Bułhak-Jachymczyk B, Szostak W: Normy żywienia i wyżywienia. Cz. II Normy wyżywienia modele racji pokarmowych (in Polish). Standards of nutrition and nourishment. Part II. Standards of nourishment – models of food portions. Instytut Żywności i Żywienia, Warsaw 1987.
 
8.
Jarosz M, Bułhak-Jachymczyk B (Eds.): Normy żywienia człowieka. Podstawy prewencji otyłości i chorob niezakaźnych (in Polish) Standards of human nutrition. Essentials for prevention of obesity and non-contagious diseases. Wydawnictwo Lekarskie PZWL, Warsaw 2008.
 
9.
FAO. Human energy requirements. Report of a Joint FAO/WHO/UNU Expert Consultation. Food and Nutrition Technical Report Series 1, Rome 2004.
 
10.
Frankenfield DC, Muth ER, Rowe WA: The Harris-Benedict studies of human basal metabolism: history and limitations. J Am Diet Assn 1998, 98, 439-445.
 
11.
Thompson T, Dennis M, Higgins LA, Lee AR, Sharrett MK: Gluten-free diet survey: are Americans with celiac disease consuming recommended amounts of fibre, iron, calcium and grain foods? J Hum Nutr Dietet 2005, 18, 163-169.
 
12.
Duda G, Maruszewska M, Walkowiak J, Przysławsi J, Rożycka-Cała K: Wartość odżywcza całodziennych racji pokarmowych dzieci chorych na celiakię. Część I. Wartość energetyczna i składniki podstawow (in Polish). Nutritional values of daily food portions for children with coeliac disease. Part I. Energetic value and basic components. Nowiny Lekarskie 2000, 69(9), 760-770
 
13.
Bardella MT, Fredella C, Prampolini L, Molteni N, Giunta AM, A Bianchi P: Body composition and dietary intakes in adult celiac disease patients consuming a strict gluten-free diet. Am J Clin Nutr 2000; 72:937-939.
 
14.
Sygnowska E, Waśkiewicz A, Głuszek J, Kwaśniewska M, Biela U et al.: Spożycie produktow spożywczych przez dorosłą populację Polski. Wyniki programu WOBASZ (in Polish). Consumption of food products by adult Polish population. Results of WOBASZ project. Kardiologia Polska 2005: 63-66.
 
15.
Charkiewicz WJ, Markiewicz R, Borawska MH: Ocena spożycia podstawowych składnikow odżywczych w dietach studentow Uniwersytetu Medycznego w Białymstoku (in Polish). Evaluation of consumption of basic nutrients in diets of students from the Medical University in Białystok. Bromat Chem Toksykol 2008; XLI, 3, 735-739.
 
16.
Dybkowska E, Świderski F, Waszkiewicz-Robak B: Ocena poziomu spożycia wybranych składnikow odżywczych przez mieszkańców Warszawy. In: Gutkowska K, Narojek L (Eds.): Konsument żywności i jego zachowania w warunkach polskiego członkostwa w Unii Europejskiej (in Polish). Evaluation of the level of consumption of selected nutrients by Warsaw inhabitants. In: Gutkowska K, Narojek L (Eds.): Food consumers and their behaviour in conditions of Poland’s membership in the European Union. Wydawnictwo SGGW, Warsaw 2005: 32-36.
 
17.
Ciacci C, Cirillo M, Cavallaro R, Mazzacca G: Long-term follow-up of celiac adults on gluten-free diet: prevalence and correlates of intestinal damage. Digestion 2002, 66, 178-185.
 
18.
Mariani P, Viti MG, Montuori M, La Vecchia A, Cipolletta E, et al.: The gluten-free diet: a nutritional risk factor for adolescents with celiac disease? J Pediatr Gastroenterol Nutr 1998, 27, 519-523.
 
19.
Wild D, Robins GG, Burley VJ, Howdle PD: Evidence of high sugar intake and low fibre and mineral intake in the gluten-free diet. Aliment Pharmacol Ther 2010, 32, 573-581.
 
20.
Kinsey L, Burden ST, Bannerman E A: dietary survey to determine if patients with coeliac disease are meeting current healthy eating guidelines and how their diet compares to that of the British general population. Eur J Clin Nutr 2008, 62, 1333-1342.
 
21.
Wojtasik A., Kunachowicz H. Wartość odżywcza produktów bezglutenowych i ocena sposobu żywienia chorych na celiakię. In: Kunachowicz H. (Ed.): Dieta bezglutenowa. Co wybrać? (in Polish). Nutritional value of gluten-free products and evaluation of the mode of nutrition of patients with coeliac disease. In: Kunachowicz H. (Ed.): Gluten-free diet. What to choose? Wydawnictwo Lekarskie PZWL, Warsaw 2001:30-41.
 
22.
Bieżanowska-Kopeć R, Kopeć A, Wilk M: Ocena sposobu żywienia kobiet w wieku 20-25 lat z okolic Krakowa (in Polish). Evaluation of the mode of nutrition among women aged 20-25 from the Cracow area. Żyw Człow Metab 2007; XXXIV, ½:678-683.
 
23.
Bronkowska M: Żywienie kobiet o małej aktywności fizycznej (in Polish). Nutrition of women with low physical activity. Roczniki PZH 2007; 58(1), 177-183.
 
24.
Thompson T: Thiamin, riboflavin, and niacin contents of the glutenfree diet: Is there cause for concern? J Am Dietetic Assoc 1999, 99, 858-862.
 
25.
Thompson T: Folate, iron, and dietary fiber contents of the glutenfree diet. J Am Dietetic Assoc 2000, 100, 1389-1396.
 
26.
Przysięga E, Wasilewska A: Realizacja norm żywieniowych na wybrane składniki mineralne i grupy produktow spożywczych w dietach studentow Akademii Ekonomicznej we Wrocławiu (in Polish). Performance of nutritional standards for selected mineral components and groups of food products in diets of students from the Academy of Economics in Wrocław. Bromatol Chem Toksykol 2008; XLI(2), 151- 159.
 
27.
Case S, Kaplan CR: Gluten Free Guidance: Practical tips for dietitians and their celiac patients. Today’s Dietitian 2003, 44-49.
 
28.
Case S: The gluten-free diet: How to provide effective education and resources. Gastroenterology 2005, 128, 128-134.
 
eISSN:1898-7516
ISSN:1898-2395
Journals System - logo
Scroll to top