Mediterranean Diet Adherence and Eating Disorders Screening in Adults with Celiac Disease in Morocco.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Iranian Journal of Public Health Pub Date : 2024-08-01 DOI:10.18502/ijph.v53i8.16282
Btihaj Al Ibrahmi, Abdellatif Bour
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Abstract

Background: Celiac disease is a chronic autoimmune disease of the small intestine, related to gluten intolerance occurring in genetically predisposed patients. This study aimed to evaluate Mediterranean diet adherence, screen eating disorders and establish the relationship between Mediterranean diet and eating disorders.

Methods: This study included 81 adults with celiac disease, and 85 without celiac disease from Rabat-Sale-Kenitra hospitals between May 2022 and Nov 2022. The Mediterranean Diet Serving Score (MDSS) questionnaire was used to determine adherence to the Mediterranean diet and SCOFF questionnaire was used to screen eating disorders.

Results: The results showed a significant difference between the two groups in age (P=0.000), weight (P=0.041), height (P=0.000) and non-adherence to Mediterranean diet (P=0.032). Participants without celiac disease reported a significantly (P=0.032) lower adherence score to the Mediterranean diet (62.35%) than participants with celiac disease (29.62%). Additionally, the results of the Khi2 test which revealed a significant association between MDSS and SCOFF (P=0.024). In addition, based on logistic regression the Mediterranean diet Serving Score was significantly associated with eating disorders (P=0.025) in adults with celiac disease, on the other hand, weight, height, BMI and MDSS were significantly associated with eating disorders in adults without celiac disease.

Conclusion: Our study showed good adherence to the Mediterranean diet by celiac adults so it can be assumed that the Mediterranean diet could have a protective effect against eating disorders in celiac patients.

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摩洛哥患有乳糜泻成人的地中海饮食坚持率和饮食失调筛查。
背景:乳糜泻是一种慢性小肠自身免疫性疾病,与遗传易感性患者的麸质不耐受有关。本研究旨在评估地中海饮食的依从性,筛查饮食失调,并确定地中海饮食与饮食失调之间的关系:本研究纳入了 2022 年 5 月至 2022 年 11 月期间拉巴特-萨莱-凯尼特拉医院的 81 名乳糜泻成人和 85 名非乳糜泻成人。地中海饮食服务评分(Mediterranean Diet Serving Score,MDSS)问卷用于确定地中海饮食的坚持情况,SCOFF问卷用于筛查进食障碍:结果显示,两组患者在年龄(P=0.000)、体重(P=0.041)、身高(P=0.000)和不坚持地中海饮食(P=0.032)方面存在显著差异。与患有乳糜泻的参与者(29.62%)相比,未患乳糜泻的参与者对地中海饮食的依从性得分(62.35%)明显较低(P=0.032)。此外,Khi2 检验结果显示,MDSS 与 SCOFF 之间存在显著关联(P=0.024)。此外,基于逻辑回归,地中海饮食服务评分与患有乳糜泻的成人饮食失调有显著相关性(P=0.025),另一方面,体重、身高、体重指数和 MDSS 与无乳糜泻的成人饮食失调有显著相关性:我们的研究表明,患有乳糜泻的成年人对地中海饮食的依从性很好,因此可以认为地中海饮食对乳糜泻患者的进食障碍有保护作用。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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