Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina

Autores
Motta, Estela Leonor; García, Virginia María; Barragán, Santiago; Belloni, Juan; Chisari, Andrea Nancy
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Celiac disease (CD) is one of the most common causes of chronic malabsorption. The changes that occur in the diet due to the influence of gluten free diet (GFD) lead to a lower content in the intake of fiber and vitamins. Some authors point out that the higher cost of GF foods, the lower availability of those in social events, the impaired patient’s quality of life, could influence the degree of adherence to the GFD. Our aims were to evaluate the nutritional status, identifying the factors that are associated with adherence to the gluten-free diet (DLG) and the quality of life of a group of CD patients in Mar del Plata. Methods: CD patients were recruited from outpatient of clinic and gastroenterology unit of Oscar Alende Hospital, Mar del Plata and Argentina Celiac Association and had blood drawn for micronutrients concentration. Quality of life was evaluated by SF12 questionnaire, factors and adherence to GFD were determined by factors questionnaire and the Celiac Dietary Adherence Test (CDAT). Results: 47% of the participants had high adherence to GFD. The large supply of gluten-free foods without options during social events was significantly associated with the worst adherence to GFD. The average concentrations of folic acid, magnesium, iron and vitamin B12 were within the normal ranges; however, 6.7, 7.0 and 33.3% of the low adherent group showed low serum concentrations of iron, vitamin B12 and folate, respectively, while 7.7 and 53.8% of the high adherent exhibited low serum concentrations of iron and folate, respectively. Approximately 14.2% had anemia, only 7.1% had iron deficiency anemia. 54% of patients reported eating corn-based foods 3 or more times per week. The general perception of health was low in the age range between 18 and 40 years (34.3 ± 22.0) and the energy and vitality values were low in the same group (37.5 ± 25.2). Conclusions: Evaluation of quality of life and micronutrients indicate the need to support the patients in their treatment and to increase the supply of GF foods and the supplementation with vitamins and micronutrients of the GFD.
Fil: Motta, Estela Leonor. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: García, Virginia María. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Barragán, Santiago. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Belloni, Juan. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Chisari, Andrea Nancy. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina
Materia
Adherence
Celiac Disease
Gluten-Free Diet
Micronutrients
Quality of Life
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/178984

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network_name_str CONICET Digital (CONICET)
spelling Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, ArgentinaMotta, Estela LeonorGarcía, Virginia MaríaBarragán, SantiagoBelloni, JuanChisari, Andrea NancyAdherenceCeliac DiseaseGluten-Free DietMicronutrientsQuality of Lifehttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Celiac disease (CD) is one of the most common causes of chronic malabsorption. The changes that occur in the diet due to the influence of gluten free diet (GFD) lead to a lower content in the intake of fiber and vitamins. Some authors point out that the higher cost of GF foods, the lower availability of those in social events, the impaired patient’s quality of life, could influence the degree of adherence to the GFD. Our aims were to evaluate the nutritional status, identifying the factors that are associated with adherence to the gluten-free diet (DLG) and the quality of life of a group of CD patients in Mar del Plata. Methods: CD patients were recruited from outpatient of clinic and gastroenterology unit of Oscar Alende Hospital, Mar del Plata and Argentina Celiac Association and had blood drawn for micronutrients concentration. Quality of life was evaluated by SF12 questionnaire, factors and adherence to GFD were determined by factors questionnaire and the Celiac Dietary Adherence Test (CDAT). Results: 47% of the participants had high adherence to GFD. The large supply of gluten-free foods without options during social events was significantly associated with the worst adherence to GFD. The average concentrations of folic acid, magnesium, iron and vitamin B12 were within the normal ranges; however, 6.7, 7.0 and 33.3% of the low adherent group showed low serum concentrations of iron, vitamin B12 and folate, respectively, while 7.7 and 53.8% of the high adherent exhibited low serum concentrations of iron and folate, respectively. Approximately 14.2% had anemia, only 7.1% had iron deficiency anemia. 54% of patients reported eating corn-based foods 3 or more times per week. The general perception of health was low in the age range between 18 and 40 years (34.3 ± 22.0) and the energy and vitality values were low in the same group (37.5 ± 25.2). Conclusions: Evaluation of quality of life and micronutrients indicate the need to support the patients in their treatment and to increase the supply of GF foods and the supplementation with vitamins and micronutrients of the GFD.Fil: Motta, Estela Leonor. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; ArgentinaFil: García, Virginia María. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; ArgentinaFil: Barragán, Santiago. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; ArgentinaFil: Belloni, Juan. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; ArgentinaFil: Chisari, Andrea Nancy. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; ArgentinaMedwin Publishers2019-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/178984Motta, Estela Leonor; García, Virginia María; Barragán, Santiago; Belloni, Juan; Chisari, Andrea Nancy; Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina; Medwin Publishers; Food Science and Nutrition Technology; 4; 6; 12-2019; 1-102574-27012574-2701CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://medwinpublishers.com/FSNT/volume.php?volumeId=184&issueId=830info:eu-repo/semantics/altIdentifier/doi/10.23880/fsnt-16000205info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:05:18Zoai:ri.conicet.gov.ar:11336/178984instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:05:19.227CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
title Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
spellingShingle Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
Motta, Estela Leonor
Adherence
Celiac Disease
Gluten-Free Diet
Micronutrients
Quality of Life
title_short Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
title_full Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
title_fullStr Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
title_full_unstemmed Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
title_sort Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina
dc.creator.none.fl_str_mv Motta, Estela Leonor
García, Virginia María
Barragán, Santiago
Belloni, Juan
Chisari, Andrea Nancy
author Motta, Estela Leonor
author_facet Motta, Estela Leonor
García, Virginia María
Barragán, Santiago
Belloni, Juan
Chisari, Andrea Nancy
author_role author
author2 García, Virginia María
Barragán, Santiago
Belloni, Juan
Chisari, Andrea Nancy
author2_role author
author
author
author
dc.subject.none.fl_str_mv Adherence
Celiac Disease
Gluten-Free Diet
Micronutrients
Quality of Life
topic Adherence
Celiac Disease
Gluten-Free Diet
Micronutrients
Quality of Life
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Celiac disease (CD) is one of the most common causes of chronic malabsorption. The changes that occur in the diet due to the influence of gluten free diet (GFD) lead to a lower content in the intake of fiber and vitamins. Some authors point out that the higher cost of GF foods, the lower availability of those in social events, the impaired patient’s quality of life, could influence the degree of adherence to the GFD. Our aims were to evaluate the nutritional status, identifying the factors that are associated with adherence to the gluten-free diet (DLG) and the quality of life of a group of CD patients in Mar del Plata. Methods: CD patients were recruited from outpatient of clinic and gastroenterology unit of Oscar Alende Hospital, Mar del Plata and Argentina Celiac Association and had blood drawn for micronutrients concentration. Quality of life was evaluated by SF12 questionnaire, factors and adherence to GFD were determined by factors questionnaire and the Celiac Dietary Adherence Test (CDAT). Results: 47% of the participants had high adherence to GFD. The large supply of gluten-free foods without options during social events was significantly associated with the worst adherence to GFD. The average concentrations of folic acid, magnesium, iron and vitamin B12 were within the normal ranges; however, 6.7, 7.0 and 33.3% of the low adherent group showed low serum concentrations of iron, vitamin B12 and folate, respectively, while 7.7 and 53.8% of the high adherent exhibited low serum concentrations of iron and folate, respectively. Approximately 14.2% had anemia, only 7.1% had iron deficiency anemia. 54% of patients reported eating corn-based foods 3 or more times per week. The general perception of health was low in the age range between 18 and 40 years (34.3 ± 22.0) and the energy and vitality values were low in the same group (37.5 ± 25.2). Conclusions: Evaluation of quality of life and micronutrients indicate the need to support the patients in their treatment and to increase the supply of GF foods and the supplementation with vitamins and micronutrients of the GFD.
Fil: Motta, Estela Leonor. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: García, Virginia María. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Barragán, Santiago. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Belloni, Juan. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos Dr. Oscar Alende de Mar del Plata.; Argentina
Fil: Chisari, Andrea Nancy. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Química; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina
description Background: Celiac disease (CD) is one of the most common causes of chronic malabsorption. The changes that occur in the diet due to the influence of gluten free diet (GFD) lead to a lower content in the intake of fiber and vitamins. Some authors point out that the higher cost of GF foods, the lower availability of those in social events, the impaired patient’s quality of life, could influence the degree of adherence to the GFD. Our aims were to evaluate the nutritional status, identifying the factors that are associated with adherence to the gluten-free diet (DLG) and the quality of life of a group of CD patients in Mar del Plata. Methods: CD patients were recruited from outpatient of clinic and gastroenterology unit of Oscar Alende Hospital, Mar del Plata and Argentina Celiac Association and had blood drawn for micronutrients concentration. Quality of life was evaluated by SF12 questionnaire, factors and adherence to GFD were determined by factors questionnaire and the Celiac Dietary Adherence Test (CDAT). Results: 47% of the participants had high adherence to GFD. The large supply of gluten-free foods without options during social events was significantly associated with the worst adherence to GFD. The average concentrations of folic acid, magnesium, iron and vitamin B12 were within the normal ranges; however, 6.7, 7.0 and 33.3% of the low adherent group showed low serum concentrations of iron, vitamin B12 and folate, respectively, while 7.7 and 53.8% of the high adherent exhibited low serum concentrations of iron and folate, respectively. Approximately 14.2% had anemia, only 7.1% had iron deficiency anemia. 54% of patients reported eating corn-based foods 3 or more times per week. The general perception of health was low in the age range between 18 and 40 years (34.3 ± 22.0) and the energy and vitality values were low in the same group (37.5 ± 25.2). Conclusions: Evaluation of quality of life and micronutrients indicate the need to support the patients in their treatment and to increase the supply of GF foods and the supplementation with vitamins and micronutrients of the GFD.
publishDate 2019
dc.date.none.fl_str_mv 2019-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/178984
Motta, Estela Leonor; García, Virginia María; Barragán, Santiago; Belloni, Juan; Chisari, Andrea Nancy; Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina; Medwin Publishers; Food Science and Nutrition Technology; 4; 6; 12-2019; 1-10
2574-2701
2574-2701
CONICET Digital
CONICET
url http://hdl.handle.net/11336/178984
identifier_str_mv Motta, Estela Leonor; García, Virginia María; Barragán, Santiago; Belloni, Juan; Chisari, Andrea Nancy; Quality of Life and Nutritional Parameters of Celiac Patients in Mar Del Plata, Argentina; Medwin Publishers; Food Science and Nutrition Technology; 4; 6; 12-2019; 1-10
2574-2701
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://medwinpublishers.com/FSNT/volume.php?volumeId=184&issueId=830
info:eu-repo/semantics/altIdentifier/doi/10.23880/fsnt-16000205
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
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dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Medwin Publishers
publisher.none.fl_str_mv Medwin Publishers
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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