GLUTEN3S Research Group, Department of Nutrition and Food Science, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain.
Bioaraba, Nutrición y Seguridad Alimentaria, 01006 Vitoria-Gasteiz, Spain.
Nutrients. 2024 Jul 25;16(15):2418. doi: 10.3390/nu16152418.
A strict lifelong gluten-free diet (GFD) is the current treatment for the management of celiac disease (CD). Several studies have demonstrated that without proper dietary assessment, this diet leads to nutritional deficiencies and/or imbalances. The present study aimed to improve the dietary habits of newly diagnosed children with CD through ongoing and face-to-face dietary counseling. Forty-three participants were followed during the first year after CD diagnosis. Dietary data were collected at diagnosis (Vt0), after 3 months on a GFD (Vt3), and after 1 year following a GFD (Vt12). Participants completed a 3-day 24-h food recall, a food frequency questionnaire, and the KIDMED index. After each data collection, participants received dietary assessment and nutritional education. Participants consumed more plant-origin foods after the intervention, with most of them reaching the daily recommendations. Fresh food intake increased and that of ultra-processed foods decreased. Compliance with the Mediterranean diet also improved. Personalized dietary assessment and ongoing follow-up improved the dietary patterns of children recently diagnosed with CD, highlighting the importance of dietitian involvement in the management of CD.
严格的终生无麸质饮食（GFD）是目前治疗乳糜泻（CD）的方法。多项研究表明，如果没有适当的饮食评估，这种饮食会导致营养缺乏和/或失衡。本研究旨在通过持续的面对面饮食咨询来改善新诊断为 CD 的儿童的饮食习惯。43 名参与者在 CD 诊断后的第一年接受了随访。在诊断时（Vt0）、接受 GFD 治疗 3 个月后（Vt3）和接受 GFD 治疗 1 年后（Vt12）收集饮食数据。参与者完成了为期 3 天的 24 小时食物回忆、食物频率问卷和 KIDMED 指数。在每次数据收集后，参与者都接受了饮食评估和营养教育。干预后，参与者摄入了更多的植物性食物，其中大多数人达到了每日推荐量。新鲜食物的摄入量增加，超加工食品的摄入量减少。地中海饮食的依从性也有所改善。个性化的饮食评估和持续的随访改善了最近诊断为 CD 的儿童的饮食模式，突出了营养师参与 CD 管理的重要性。
