Patients With Celiac Disease Reported Higher Consumption of Added Sugar and Total Fat Than Healthy Individuals

Identifier:  imarina:3661736

Handle: https://hdl.handle.net/20.500.11797/imarina3661736

Authors:  Babio, Nancy; Alcazar, Mireia; Castillejo, Gemma; Recasens, Miriam; Martinez-Cerezo, Francesc; Gutierrez-Pensado, Vanessa; Masip, Guiomar; Vaque, Cristina; Vila-Marti, Anna; Torres-Moreno, Miriam; Sánchez, Enric; Salas-Salvado, Jordi

Abstract:
OBJECTIVES: To compare the dietary pattern between subjects with coeliac disease (CD) (cases) and subjects without (healthy controls). METHODS: A case-control design study was conducted. A total of 98 subjects with CD (aged 10 to 23 years-old) were matched by age, gender and BMI with 98 non-coeliac participants. A non-consecutive 3-day food record was completed to assess energy, nutrient and food intake and evaluate the participant's adherence to recommendations. Differences in energy, nutrients, food consumption, and compliance with general recommendations between cases and control groups were assessed by Student's t-test. Pearson's chi-squared test was used to compare categorical variables. Socio-demographic, personal and family history data were collected. RESULTS: Compared to the control group, the CD cases reported a significantly higher consumption of added sugar (P < 0.001) and total fat (P < 0.017). Mean fiber consumption was below nutritional recommendations in both groups. CD participants consumed significantly lower amounts of foods rich in starch (P < 0.001), and higher amounts of foods rich in protein such as meat/fish/eggs (P = 0.007). CD subjects showed a significantly lower percentage of adherence to recommendations for folic acid (53.2 vs 70.5; P < 0.001), calcium (49.0 vs 56.3; P = 0.025), iron (57.4 vs 78.0; P < 0.001) and magnesium (50.0 vs 63.9; P < 0.001). CONCLUSION: The CD subjects showed a more unbalanced diet than controls in terms of added sugars, total fat and micronutrient consumption.