Assessing Nutritional Quality and Adherence to the Gluten-free Diet in Children and Adolescents with Celiac Disease. 2015

Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
a Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, AB.

OBJECTIVE Little is known regarding nutritional adequacy of the gluten free diet (GFD) in children and adolescents with celiac disease (CD). The study aim was to examine macro- and micronutrient intake in children with CD. METHODS A cross-sectional study was conducted in children and adolescents (4-18 years of age) with CD (n = 32) and healthy controls (n = 32). Macro- and micronutrient intake, and glycemic index (GI) and glycemic load (GL) intake was assessed using validated measures. Diet quality was assessed using the Canadian Healthy Eating Index (HEI-C) and the Alberta Nutrition Guidelines. Values are shown as mean ± SE. RESULTS Age (10.4 ± 0.7 years vs 8.7 ± 0.7 years; P = 0.06), weight-for-age z score (P = 0.27), and height-for-age z score (P = 0.23) were not different between groups. CD children consumed more fibre (15.9 ± 1.2 g per day(CD) vs 10.8 ± 0.8 g per day (controls); P < 0.001), had higher GI (CD: 54 ± 2 vs 48 ± 1; P < 0.01) and GL (CD: 118 ± 8 vs 93 ± 7; P = 0.02), and lower folate (146.7 ± 15.3 (CD) vs 245.4 ± 21.8 µg per day (controls); P < 0.001) than controls. No differences in HEI-C scores (≤ and > 80) were observed between groups (P > 0.05). CONCLUSIONS Children with CD had high intakes of fibre, GI, and GL and lower intakes of folate. This has implications for dietary counselling in this population.

UI MeSH Term Description Entries
D008297 Male Males
D009753 Nutritive Value An indication of the contribution of a food to the nutrient content of the diet. This value depends on the quantity of a food which is digested and absorbed and the amounts of the essential nutrients (protein, fat, carbohydrate, minerals, vitamins) which it contains. This value can be affected by soil and growing conditions, handling and storage, and processing. Biological Availability, Nutritional,Nutritional Availability,Availability, Biological Nutritional,Availability, Nutritional Biologic,Biologic Availability, Nutritional,Biologic Nutritional Availability,Nutrition Value,Nutritional Availability, Biologic,Nutritional Availability, Biological,Nutritional Biological Availability,Nutritional Food Quality,Nutritional Quality,Nutritional Value,Nutritive Quality,Availability, Biologic Nutritional,Availability, Nutritional,Availability, Nutritional Biological,Biological Nutritional Availability,Food Quality, Nutritional,Nutrition Values,Nutritional Biologic Availability,Nutritional Values,Nutritive Values,Quality, Nutritional,Quality, Nutritional Food,Quality, Nutritive,Value, Nutrition,Value, Nutritional,Value, Nutritive,Values, Nutrition,Values, Nutritional,Values, Nutritive
D010349 Patient Compliance Voluntary cooperation of the patient in following a prescribed regimen. Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D002149 Energy Intake Total number of calories taken in daily whether ingested or by parenteral routes. Caloric Intake,Calorie Intake,Intake, Calorie,Intake, Energy
D002170 Canada The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
D002446 Celiac Disease A malabsorption syndrome that is precipitated by the ingestion of foods containing GLUTEN, such as wheat, rye, and barley. It is characterized by INFLAMMATION of the SMALL INTESTINE, loss of MICROVILLI structure, failed INTESTINAL ABSORPTION, and MALNUTRITION. Gluten Enteropathy,Sprue, Celiac,Sprue, Nontropical,Celiac Sprue,Gluten-Sensitive Enteropathy,Sprue,Disease, Celiac,Enteropathies, Gluten,Enteropathies, Gluten-Sensitive,Enteropathy, Gluten,Enteropathy, Gluten-Sensitive,Gluten Enteropathies,Gluten Sensitive Enteropathy,Gluten-Sensitive Enteropathies,Nontropical Sprue
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children

Related Publications

Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
October 2018, Nutrients,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
April 2020, Journal of the Canadian Association of Gastroenterology,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
January 2015, Journal of pediatric gastroenterology and nutrition,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
June 2014, Paediatrics & child health,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
October 2019, Nutrients,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
November 1998, Journal of pediatric gastroenterology and nutrition,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
September 2015, Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
August 2023, Journal of pediatric gastroenterology and nutrition,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
August 2023, JPGN reports,
Abeer S Alzaben, and Justine Turner, and Leanne Shirton, and Tarah M Samuel, and Rabin Persad, and Diana Mager
March 2019, International journal of adolescent medicine and health,
Copied contents to your clipboard!