Division of Pediatrics, Department of Health Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.
Department of Pediatrics, Marche Polytechnic University, 60020 Ancona, Italy.
Nutrients. 2020 Nov 12;12(11):3467. doi: 10.3390/nu12113467.
We aimed to assess the perceived impact of the lockdown, imposed to control the spreading of COVID-19, on the adherence of Italian celiac disease (CD) subjects to the gluten-free diet by a web-based survey. A total of 1983 responses were analyzed, 1614 (81.4%) by CD adults and 369 (18.6%) by parents/caregivers of CD children/adolescents. The compliance with the GFD was unchanged for 69% of the adults and 70% of the children, and improved for 29% of both. The factors increasing the probability to report stricter compliance were the presence of CD symptoms in the last year before the lockdown (odds ratio (OR) 1.98, 95% confidence interval (CI) 1.46-2.26), a partial usual adherence to gluten-free diet (GFD) (OR 1.91, 95% CI 1.2-3.06), and having tried recipes with naturally gluten-free ingredients more than usual (OR 1.58, 95% CI 1.28-1.96) for adults; the presence of CD symptoms in the last year (OR 2.05, 95% CI 1.21-3.47), still positive CD antibodies (OR 1.89, 95% CI 1.14-3.13), and other family members with CD (OR 2.24, 95% CI 1.3-3.85) for children/adolescents. Therefore, the lockdown led to a reported improved adherence to the GFD in one-third of the respondents, in particular in those with previous worse disease control, offering the opportunity to avoid sources of contamination/transgression and increase the use of naturally gluten-free products.
我们旨在通过网络调查评估意大利乳糜泻 (CD) 患者对 COVID-19 封锁措施的感知,以评估其对 gluten-free diet (GFD) 依从性的影响。共分析了 1983 份回复,其中 1614 份来自 CD 成人,369 份来自 CD 儿童/青少年的父母/照顾者。69%的成年人和 70%的儿童保持了 GFD 的依从性不变,29%的成年人和儿童有所改善。增加报告更严格依从性的概率的因素包括在封锁前一年有 CD 症状(比值比 (OR) 1.98,95%置信区间 (CI) 1.46-2.26)、部分习惯性遵循 GFD(OR 1.91,95% CI 1.2-3.06)和比平时更多地尝试天然无麸质成分的食谱(OR 1.58,95% CI 1.28-1.96),对于成年人;在过去一年中有 CD 症状(OR 2.05,95% CI 1.21-3.47)、仍为阳性的 CD 抗体(OR 1.89,95% CI 1.14-3.13)和其他有 CD 的家庭成员(OR 2.24,95% CI 1.3-3.85),对于儿童/青少年。因此,封锁措施导致三分之一的受访者报告 GFD 依从性有所改善,特别是在那些以前疾病控制较差的患者中,这为避免污染/违规的来源和增加天然无麸质产品的使用提供了机会。
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