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Coeliac disease: no difference in milk and dairy products consumption in comparison with controls.

作者信息

Zingone Fabiana, Iovino Paola, Bucci Cristina, Ciacci Carolina

机构信息

Department of Surgery, Oncology and Gastroenterology, University of Padua, Padova, Italy.

Celiac Center, AOU San Giovanni di Dio e Ruggi diAragona, University of Salerno, Department of Medicine, Surgery, and Dentistry Scuola Medica Salernitana, Salerno, Italy.

出版信息

BMJ Nutr Prev Health. 2019 Mar 19;2(1):39-42. doi: 10.1136/bmjnph-2018-000022. eCollection 2019.


DOI:10.1136/bmjnph-2018-000022
PMID:33235956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7678477/
Abstract

BACKGROUND: Nutritional deficiencies are common in patients with coeliac disease and they can cause osteopenia among other associated diseases. Reduced consumption of milk and dairy products may play a major role in determining low bone mass in patients with coeliac disease. AIM: We aimed to investigate milk and dairy products consumption in patients with coeliac disease compared with the general population. METHODS: We examined the average consumption of milk and dairy products and the reasons for not consuming them. An online survey was sent by email to patients with coeliac disease on a gluten-free diet and aged 18-75. Matched controls were selected among volunteers who responded to the survey posted on the public access sites. Differences in frequencies and means between the two groups were calculated using the χ test and t-test, respectively. All tests were two-tailed with a significance level set at p<0.05. RESULTS: 176 patients with coeliac disease and 528 controls participated in the study. We found that 22.2% of the patients with coeliac disease and 19.9% of controls did not drink fluid milk on a regular basis; lactose-free milk was preferred by 20.4% of the patients with coeliac disease and by 19% of controls (p=0.69). Only a minority of patients with coeliac disease contacted a doctor before having lactose-free milk, despite this being led by the presence of gastrointestinal symptoms. More patients with coeliac disease than the general population reported a breath test before avoiding milk and dairy products. CONCLUSIONS: There is no significant difference between patients with coeliac disease and controls in regular milk consumption. Follow-up visits for patients with coeliac disease could avoid unnecessary dietary restrictions.

摘要

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[4]
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本文引用的文献

[1]
Higher Dairy Intakes Are Associated with Higher Bone Mineral Density among Adults with Sufficient Vitamin D Status: Results from the Boston Puerto Rican Osteoporosis Study.

J Nutr. 2019-1-1

[2]
The value and significance of 25(OH) and 1,25(OH) vitamin D serum levels in adult coeliac patients: A review of the literature.

Dig Liver Dis. 2018-4-13

[3]
Higher Dairy Food Intake Is Associated With Higher Spine Quantitative Computed Tomography (QCT) Bone Measures in the Framingham Study for Men But Not Women.

J Bone Miner Res. 2018-3-30

[4]
Consumption of milk and dairy products: Facts and figures.

Nutrition. 2017-1

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PLoS One. 2016-2-9

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Irritable bowel syndrome subtypes: Clinical and psychological features, body mass index and comorbidities.

Rev Esp Enferm Dig. 2016-2

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Nutrients. 2015-9-18

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Frequency and Cause of Persistent Symptoms in Celiac Disease Patients on a Long-term Gluten-free Diet.

J Clin Gastroenterol. 2016-3

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Psychological morbidity of celiac disease: A review of the literature.

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Lactase genetic polymorphisms and coeliac disease in children: a cohort study.

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