Examination of the relationship between ABO/Rh blood groups and dietary compliance in children with coeliac disease: A single-centre experience

IF 1.6 4区医学 Q2 PEDIATRICS Journal of paediatrics and child health Pub Date : 2024-09-19 DOI:10.1111/jpc.16674

Sibel Yavuz, Metin Çil, Mehmet Turgut

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Abstract

Aim

Coeliac disease (CD) is an autoimmune enteropathy that develops upon ingestion of food containing gluten. The established link between ABO blood groups and numerous infectious and non-infectious illnesses prompted this investigation into blood group distribution and its relationship with dietary compliance among children diagnosed with CD.

Methods

In this retrospective study, patients with CD who were followed for ≥1 year at the paediatric gastroenterology outpatient clinic of our hospital were evaluated. History, physical examination and coeliac serology results were reviewed for each patient. Patients were divided into two groups based on self-reported compliance to a gluten-free diet: diet-adherent and non-diet-adherent. Patient and control groups were examined in terms of ABO blood groups.

Results

A total of 177 patients with CD were included in the study. A control group of 211 age- and sex-matched children without any chronic disease who had undergone blood group testing for various reasons was included for comparison. A total of 65% (n = 115) of the patients were girls, and 35% (n = 62) were boys. No significant relationship was found between CD diagnosis and ABO blood groups among patients (P = 0.559). Furthermore, the dietary compliance status of the patients was not associated with any specific blood group (P = 0.951).

Conclusion

No notable difference was found between patients with CD with or without gluten-free diet compliance in terms of the distribution of ABO blood groups and Rhesus (Rh) factor. Therefore, it can be inferred that all blood groups and subgroups carry an equal risk for CD.

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研究 ABO/Rh 血型与乳糜泻患儿饮食依从性之间的关系：单中心经验。

目的：乳糜泻（CD）是一种自身免疫性肠病，因摄入含有麸质的食物而发病。ABO 血型与多种感染性和非感染性疾病之间的联系已被证实，这促使我们对血型分布及其与被确诊为 CD 的儿童的饮食依从性之间的关系进行调查：在这项回顾性研究中，我们对本院儿科胃肠病门诊随访≥1年的CD患者进行了评估。研究人员回顾了每位患者的病史、体格检查和乳糜泻血清学检查结果。根据患者自述的无麸质饮食依从性将其分为两组：依从饮食组和非依从饮食组。对患者组和对照组进行了 ABO 血型检查：研究共纳入了 177 名 CD 患者。对照组包括 211 名年龄和性别相匹配、未患任何慢性疾病的儿童，他们都曾因各种原因接受过血型检测。共有 65% 的患者（n = 115）是女孩，35% 的患者（n = 62）是男孩。CD 诊断与患者的 ABO 血型无明显关系（P = 0.559）。此外，患者的饮食依从性与任何特定血型均无关联（P = 0.951）：结论：在符合或不符合无麸质饮食的 CD 患者中，ABO 血型和恒河猴（Rh）因子的分布没有明显差异。因此，可以推断所有血型和亚型患 CD 的风险相同。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.