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Title:Dietary intake in adult female coeliac disease patients in Slovenia
Authors:ID Kocuvan, Marija Aja (Author)
ID Mičetić-Turk, Dušanka (Author)
Files:.pdf Zdravstveno_varstvo_2016_Kocuvan_Mijatov,_Micetic-Turk_Dietary_Intake_In_Adult_Female_Coeliac_Disease_Patients_In_Slovenia.pdf (1,19 MB)
MD5: EC1ADF2E252A77CDACB2B17CD3725ABD
 
URL http://www.degruyter.com/view/j/sjph.2016.55.issue-2/sjph-2016-0013/sjph-2016-0013.xml
 
Language:English
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract:Objectives: The aim of the study was to assess dietary intake of coeliac disease (CD) patients and to determine if they are meeting the dietary reference values for a balanced diet. Subjects/Methods: 40 women with CD, aged from 23 to 76 participated in our study. Total daily intake was assessed by a three-day food diary. Resting metabolic rate (RMR) was calculated using Harris-Benedict equation. Considering physical activity level (PAL) 1.4, the recommended total energy expenditure (TEE) value was determined. The data was evaluated with professional evaluation software Prodi and statistically analysed. Results: 40 participants returned the food diary. The average energy intake was significantly too low to ensure the meeting of all-day energy needs (p<0.05). The meals contained a recommended proportion of protein, but a statistically significantly higher proportion of fat (p<0.05), lower proportion of carbohydrates and a significantly lower intake of dietary fibre (p<0.05). Regarding macro-, micro- elements and vitamins, there was a significant lack in the intake of calcium and iodine, folic acid, vitamin D and vitamin A (p<0.05), meanwhile iron intake was at the lower limit of the recommended intake, whereas zinc, potassium and vitamin K intake were significantly higher according to the recommended values, but were comparable with the intake of the general population in the Central European area. Conclusion: Even in subjects with adequate or low daily energy intake, their meals contained too much fat, too few carbohydrates and dietary fibre as well as inorganic substances. The patients with CD should get regular nutritional monitoring and education on the quality and balance of a gluten-free diet
Keywords:coeliac disease, dietary intake, gluten, gluten-free diet
Publication status:Published
Publication version:Version of Record
Year of publishing:2016
Number of pages:str. 86-93
Numbering:Letn. 55, št. 2
PID:20.500.12556/DKUM-65445 New window
ISSN:0351-0026
UDC:614
ISSN on article:0351-0026
COBISS.SI-ID:3582949 New window
DOI:10.1515/sjph-2016-0013 New window
NUK URN:URN:SI:UM:DK:F23FUAIB
Publication date in DKUM:05.04.2017
Views:1830
Downloads:456
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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KOCUVAN, Marija Aja and MIČETIĆ-TURK, Dušanka, 2016, Dietary intake in adult female coeliac disease patients in Slovenia. Zdravstveno varstvo : Slovenian journal of public health [online]. 2016. Vol. 55, no. 2, p. 86–93. [Accessed 30 March 2025]. DOI 10.1515/sjph-2016-0013. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=65445
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Record is a part of a journal

Title:Zdravstveno varstvo : Slovenian journal of public health
Publisher:Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje
ISSN:0351-0026
COBISS.SI-ID:3287810 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:05.04.2017

Secondary language

Language:Slovenian
Title:Prehranski vnos odraslih bolnic s celiakijo v Sloveniji
Abstract:Izhodišča: Celiakija je sistemska imunsko pogojena bolezen, ki nastane kot posledica uživanja glutena pri genetsko disponiranih osebah. Bolnik s celiakijo mora iz prehrane izključiti vsa živila, ki vsebujejo gluten. Za zagotavljanje dnevnih potreb vseh pomembnih hranil ter vitaminov je pomembna prehranska kakovost brezglutenske diete. Namen: Z raziskavo smo želeli ugotoviti, kakšen je prehranski vnos odraslih bolnic s celiakijo v Sloveniji glede na veljavna priporočila za uravnoteženo prehrano in glede na Prehrambene navade odraslih prebivalcev Slovenije z vidika varovanja zdravja. Metode: V raziskavo smo vključili 40 žensk s celiakijo, ki so uživale brezglutensko dieto in bile stare od 23 do 76 let. Za zbiranje podatkov o prehranskih navadah smo uporabili metodo prehranskega dnevnika, v katerega so preiskovanke tri poljubne dneve v tednu dosledno zapisovale vse, kar so zaužile tisti dan. Metabolizem v mirovanju (RMR) smo izračunali po Harris-Benedictovi enačbi. Za določitev celodnevnih energetskih potreb (CEP) smo glede na poročanje o dnevnih aktivnostih RMR pomnožili z ustreznim faktorjem za fizično aktivnost (PAL). Podatke smo ovrednotili z računalniškim programom za strokovno načrtovanje prehrane Prodi 5.9, ki upošteva Referenčne vrednosti za vnos hranil D-A-CH. Dobljene podatke smo statistično obdelali. Rezultati: Prehranski dnevnik je vrnilo 40 udeleženk. Ovrednoteni prehranski dnevniki kažejo, da je bil povprečen energetski vnos hranil statistično pomembno (p<0,05) prenizek za zagotavljanje priporočenih celodnevnih energetskih potreb preiskovank. Bolnice s celiakijo so zaužile primeren delež beljakovin (14,2%), vendar statistično pomembno (p<0,05) prevelik delež maščob (36,4%) ter premajhen delež ogljikovih hidratov (48,2 %) in prehranskih vlaknin (18,9 g/dan). Med makro-, mikroelementi in vitamini so preiskovanke v povprečju zaužile statistično pomembno (p<0,05) premalo kalcija in joda, folne kisline, vitamina D in vitamina A. Vnos železa je bil na spodnji meji priporočil, vrednosti cinka in kalija pa sta presegli priporočene vrednosti, vendar sta bili primerljivi z vnosom splošne populacije v srednjeevropskem okolju. Zaključek: Rezultati kažejo, da brezglutenska prehrana bolnic s celiakijo v Sloveniji ne ustreza smernicam zdrave in uravnotežene prehrane glede na Referenčne vrednosti za vnos hranil D-A-CH. Ugotovili smo, da je tudi pri preiskovankah, pri katerih je bil dnevni energetski vnos hranil primeren ali celo prenizek, prehrana vsebovala prevelik delež maščob, premalo ogljikovih hidratov in prehranskih vlaknin ter anorganskih snovi. V prihodnosti bo treba narediti več na področju kvalitete prehrane in rednega prehranskega spremljanja bolnikov s celiakijo. Izobraževanja o brezglutenski prehrani bodo morala vključevati tudi nasvete, kako doseči priporočene dnevne vnose vseh pomembnih hranil in vitaminov.
Keywords:celiakija, prehranski vnos, gluten, dieta brez glutena, šestmesečna umrljivost


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