Department of Pediatrics A, Tel Aviv University, Tel Aviv, Israel.
Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eat Weight Disord. 2020 Apr;25(2):365-371. doi: 10.1007/s40519-018-0605-z. Epub 2018 Oct 27.
Celiac disease (CD) is a chronic immune-mediated systemic disease characterized by inflammation and villous atrophy of the small intestine. A strict, lifelong gluten-free diet (GFD) is the only treatment for CD. Disordered eating behaviors (DEBs) prevail in adolescence and young adulthood, and confer a risk of developing into full-blown eating disorders. The aims of the current study were to assess the incidence and risk factors for DEBs among individuals with CD, and to examine an association between adherence to GFD and DEBs.
A cohort of 136 individuals with CD responded to a web-mediated survey that assessed DEBs and adherence to a GFD. The survey included demographic data (gender, age, weight, disease duration) and two self-rating questionnaires: the Eating Attitudes Test-26 and the gluten-free diet questionnaire.
DEBs were found in 19% of female and 7% of male responders. These individuals were characterized by being overweight (p = 0.02), of an older age (p = 0.04) and female sex (p = 0.06). Strict adherence to a GFD was reported by 32% of the responders and was not correlated with age, disease duration, age at diagnosis of CD and with being overweight.
Caregivers should be aware of the increased occurrence of DEBs in adolescents with CD, especially those who are overweight, older and of a female gender.
Level V, cross-sectional descriptive study.
乳糜泻（CD）是一种慢性免疫介导的全身性疾病，其特征为小肠炎症和绒毛萎缩。严格的终生无麸质饮食（GFD）是 CD 的唯一治疗方法。饮食失调行为（DEBs）在青少年和青年时期普遍存在，并增加了发展为完全性饮食障碍的风险。本研究的目的是评估 CD 患者中 DEBs 的发生率和危险因素，并研究 GFD 依从性与 DEBs 之间的关联。
136 名 CD 患者参与了一项网络介导的调查，该调查评估了 DEBs 和 GFD 的依从性。该调查包括人口统计学数据（性别、年龄、体重、疾病持续时间）和两个自我评估问卷：饮食态度测试 26 项和无麸质饮食问卷。
19%的女性和 7%的男性 responder 存在 DEBs。这些个体的特征为超重（p=0.02）、年龄较大（p=0.04）和女性性别（p=0.06）。32%的 responder 严格遵守 GFD，但与年龄、疾病持续时间、CD 诊断年龄和超重无关。
护理人员应意识到 CD 青少年中 DEBs 的发生率增加，尤其是那些超重、年龄较大和女性。
V 级，横断面描述性研究。
