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约旦营养师对乳糜泻及相关病症的知识评估

Assessment of Knowledge of Celiac Disease and Associated Conditions Among Dietitians in Jordan.

作者信息

Nawaiseh Hala K, McKyer Lisako J, Abdelrahim Dana N, Al-Domi Hayder A, Al-Nawaiseh Furat K, Al-Assaf Mohammad S, Al-Nadi Shatha A Abu

机构信息

Department of Nutrition and Food Technology, School of Agriculture, The University of Jordan, Amman 11942, Jordan.

Department of Health Promotion and Community Health Sciences, Texas A&M School of Public Health, College Station, TX 76107, USA.

出版信息

Int J Environ Res Public Health. 2025 Mar 17;22(3):442. doi: 10.3390/ijerph22030442.

DOI:10.3390/ijerph22030442
PMID:40238529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11941886/
Abstract

BACKGROUND

Celiac disease (CD) is a type of systemic autoimmune condition triggered by gluten consumption among genetically predisposed individuals.

AIM

To assess the knowledge, awareness, and practices pertaining to CD and associated conditions among dietitians in Jordan.

METHOD

A cross-sectional web-based survey was carried out between April and October 2023. The survey was an internet-based questionnaire with closed-ended questions.

RESULTS

The majority of dietitians answered correctly that CD is caused due to an immunological reaction to gluten, gliadin, and protamine (91.7%); it is an autoimmune disease (71.2%); and the risk of developing an autoimmune disease is higher among CD patients (78.8). The majority of respondents (93.6%) correctly identified that a strict gluten-free diet is the treatment approach for CD patients. However, only (18.9%) of dietitians correctly identified the FDA guidelines for "Gluten Free" food labeling. Approximately 53.4% of respondents identified immunoglobulin (IgA) antibody testing as the most reliable way to diagnose patients with CD.

CONCLUSIONS

The dietitians have a good understanding of CD topics. The development of credentials in CD would ensure that dietitians practicing in CD are skilled.

摘要

背景

乳糜泻(CD)是一种由遗传易感性个体摄入麸质引发的全身性自身免疫性疾病。

目的

评估约旦营养师对乳糜泻及相关病症的知识、认知和实践情况。

方法

于2023年4月至10月开展了一项基于网络的横断面调查。该调查采用基于互联网的问卷,包含封闭式问题。

结果

大多数营养师正确回答出乳糜泻是由对麸质、麦醇溶蛋白和鱼精蛋白的免疫反应引起的(91.7%);它是一种自身免疫性疾病(71.2%);乳糜泻患者患自身免疫性疾病的风险更高(78.8)。大多数受访者(93.6%)正确认识到严格的无麸质饮食是乳糜泻患者的治疗方法。然而,只有18.9%的营养师正确识别了美国食品药品监督管理局(FDA)关于“无麸质”食品标签的指南。约53.4%的受访者认为免疫球蛋白(IgA)抗体检测是诊断乳糜泻患者最可靠的方法。

结论

营养师对乳糜泻相关主题有较好的理解。获得乳糜泻相关资质将确保从事该领域工作的营养师具备专业技能。

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本文引用的文献

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Importance of an Ongoing Nutritional Counselling Intervention on Eating Habits of Newly Diagnosed Children with Celiac Disease.持续营养咨询干预对新诊断乳糜泻患儿饮食习惯的重要性。
Nutrients. 2024 Jul 25;16(15):2418. doi: 10.3390/nu16152418.
2
Uncovering the gap: Coeliac disease knowledge among healthcare professionals in the Danube region.揭示差距:多瑙河流域医疗保健专业人员中的乳糜泻知识。
BMC Gastroenterol. 2024 Aug 9;24(1):254. doi: 10.1186/s12876-024-03349-x.
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Diagnosis and Management of Celiac Disease.乳糜泻的诊断与管理
JAMA. 2024 Jul 16;332(3):249-250. doi: 10.1001/jama.2024.5883.
4
Gluten-Free Diet and Other Celiac Disease Therapies: Current Understanding and Emerging Strategies.无麸质饮食和其他乳糜泻疗法:当前的认识和新兴策略。
Nutrients. 2024 Mar 29;16(7):1006. doi: 10.3390/nu16071006.
5
Diagnostic Delay of Celiac Disease in Childhood.儿童期乳糜泻的诊断延迟。
JAMA Netw Open. 2024 Apr 1;7(4):e245671. doi: 10.1001/jamanetworkopen.2024.5671.
6
Celiac Disease-Related Conditions: Who to Test?乳糜泻相关疾病:应检测哪些人群?
Gastroenterology. 2024 Jun;167(1):64-78. doi: 10.1053/j.gastro.2024.02.044. Epub 2024 Mar 7.
7
Patient and Community Health Global Burden in a World With More Celiac Disease.患有乳糜泻的世界中患者和社区健康的全球负担。
Gastroenterology. 2024 Jun;167(1):23-33. doi: 10.1053/j.gastro.2024.01.035. Epub 2024 Feb 1.
8
Gluten-free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease.小儿乳糜泻患者的无麸质饮食:ESPAGHAN 胃肠病学委员会、乳糜泻特别兴趣小组的立场文件。
J Pediatr Gastroenterol Nutr. 2024 Apr;78(4):973-995. doi: 10.1002/jpn3.12079. Epub 2024 Jan 30.
9
A dietitian-led coeliac service helps to identify and reduce involuntary gluten ingestion with subsequent reduction in the frequency of repeat endoscopies.营养师主导的乳糜泻服务有助于识别和减少无意识的麸质摄入,从而减少重复内窥镜检查的频率。
J Hum Nutr Diet. 2023 Oct;36(5):1751-1759. doi: 10.1111/jhn.13206. Epub 2023 Jul 27.
10
Celiac Disease in Children: A 2023 Update.儿童乳糜泻:2023 年更新。
Indian J Pediatr. 2024 May;91(5):481-489. doi: 10.1007/s12098-023-04659-w. Epub 2023 Jun 8.