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《COVID-19 大流行封锁期间对无麸质饮食的坚持:一项针对意大利乳糜泻患者的网络调查》。

Adherence to the Gluten-Free Diet during the Lockdown for COVID-19 Pandemic: A Web-Based Survey of Italian Subjects with Celiac Disease.

机构信息

Division of Pediatrics, Department of Health Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.

Department of Pediatrics, Marche Polytechnic University, 60020 Ancona, Italy.

出版信息

Nutrients. 2020 Nov 12;12(11):3467. doi: 10.3390/nu12113467.


DOI:10.3390/nu12113467
PMID:33198212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7698218/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e5/7698218/3ac32e15f441/nutrients-12-03467-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e5/7698218/3ac32e15f441/nutrients-12-03467-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e5/7698218/3ac32e15f441/nutrients-12-03467-g001.jpg

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[4]
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Microorganisms. 2023-12-13

[5]
Challenges faced by celiac disease patients during the COVID-19 pandemic.

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[6]
Perceived barriers to gluten-free diet adherence by people with celiac disease in Greece.

Ann Gastroenterol. 2023

[7]
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本文引用的文献

[1]
Associations of sedentary behaviours and incidence of unhealthy diet during the COVID-19 quarantine in Brazil.

Public Health Nutr. 2021-2

[2]
Food choice motives and the nutritional quality of diet during the COVID-19 lockdown in France.

Appetite. 2021-2-1

[3]
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Nutrients. 2020-10-13

[4]
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Nutrients. 2020-10-10

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Obesity (Silver Spring). 2021-2

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Appetite. 2020-10-7

[7]
The Impact of COVID-19 on Health Behavior, Stress, Financial and Food Security among Middle to High Income Canadian Families with Young Children.

Nutrients. 2020-8-7

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COVID-19-A Guide to Rapid Implementation of Telehealth Services: A Playbook for the Pediatric Gastroenterologist.

J Pediatr Gastroenterol Nutr. 2020-6

[9]
COVID-19 pandemic perception in adults with celiac disease: an impulse to implement the use of telemedicine.

Dig Liver Dis. 2020-5-16

[10]
Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study.

Obesity (Silver Spring). 2020-8

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