Pub Date : 2023-09-29eCollection Date: 2023-07-01DOI: 10.52787/agl.v53i3.335
Andrea González, María de La Paz Temprano, Florencia Costa, María Belén Gordillo, María Rosa Fontana, Mercedes Pico, María Laura Moreno, Emilia Sugai, Edgardo Smecuol, Sonia Niveloni, Roberto Mazure, Horacio Vázquez, Eduardo Mauriño, Julio César Bai
Introduction: Several studies suggest that the cost and availability of gluten-free foods may be factors associated with adherence to treatment. To date, no national studies have evaluated the cost, availability and nutritional value of gluten-free foods, how they differ from their gluten-containing counterparts, and their potential relationship with adherence to the gluten-free diet. Obtaining this information is extremely useful for decision-making at both the individual and population levels in the redefinition of socio-economic policies.
Objective: To know the cost, availability and nutritional value of different gluten-free food groups in different geographical regions of Argentina and their possible relationship with adherence to the gluten-free diet.
Material and methods: A descriptive, cross-sectional, comparative, multicenter, multicenter study. Ten varieties of gluten-free premixes and substitute flours, fifteen gluten-free substitute foods and ten industrialized foods were analyzed, as well as their counterparts with gluten. Individuals diagnosed with celiac disease and treated with a gluten-free diet for at least one year were included in the study, calculating an approximate number of 40 individuals per geographic area, for a total of 7 geographic areas.
Results: The basic food basket for celiac patients was 68.8% more expensive than the general basic food basket (p < 0.0001). Gluten-free substitute foods were 253.2% more expensive than their gluten-containing counterparts (p < 0.0001). Their availability was limited in different geographical areas, with an average of 50.4% of the 35 proposed gluten-free foods available. 75.9% of individuals reported that the higher cost of substitute foods did not affect their adherence to the gluten-free diet. In terms of nutritional value, the gluten-free substitute foods were found to have 39% less protein and 68% less fiber than their gluten-containing counterparts. The substitute foods had zero iron and B-complex vitamins.
Conclusions: This study is the first to evaluate the cost and availability of gluten-free foods in different geographical areas of Argentina. This research presents two perspectives; a direct one, with information collected in the field, and a subjective one coming from the opinion of the person with celiac disease.
{"title":"[Cost, Availability and Nutritional Value of Gluten-Free Foods in Argentina. Their Relationship with Adherence to Gluten-Free Diet. A Multicenter Study].","authors":"Andrea González, María de La Paz Temprano, Florencia Costa, María Belén Gordillo, María Rosa Fontana, Mercedes Pico, María Laura Moreno, Emilia Sugai, Edgardo Smecuol, Sonia Niveloni, Roberto Mazure, Horacio Vázquez, Eduardo Mauriño, Julio César Bai","doi":"10.52787/agl.v53i3.335","DOIUrl":"10.52787/agl.v53i3.335","url":null,"abstract":"<p><strong>Introduction: </strong>\u0000 <i>Several studies suggest that the cost and availability of gluten-free foods may be factors associated with adherence to treatment. To date, no national studies have evaluated the cost, availability and nutritional value of gluten-free foods, how they differ from their gluten-containing counterparts, and their potential relationship with adherence to the gluten-free diet. Obtaining this information is extremely useful for decision-making at both the individual and population levels in the redefinition of socio-economic policies.</i>\u0000 </p><p><strong>Objective: </strong>\u0000 <i>To know the cost, availability and nutritional value of different gluten-free food groups in different geographical regions of Argentina and their possible relationship with adherence to the gluten-free diet.</i>\u0000 </p><p><strong>Material and methods: </strong>\u0000 <i>A descriptive, cross-sectional, comparative, multicenter, multicenter study. Ten varieties of gluten-free premixes and substitute flours, fifteen gluten-free substitute foods and ten industrialized foods were analyzed, as well as their counterparts with gluten. Individuals diagnosed with celiac disease and treated with a gluten-free diet for at least one year were included in the study, calculating an approximate number of 40 individuals per geographic area, for a total of 7 geographic areas.</i>\u0000 </p><p><strong>Results: </strong>\u0000 <i>The basic food basket for celiac patients was 68.8% more expensive than the general basic food basket (p < 0.0001). Gluten-free substitute foods were 253.2% more expensive than their gluten-containing counterparts (p < 0.0001). Their availability was limited in different geographical areas, with an average of 50.4% of the 35 proposed gluten-free foods available. 75.9% of individuals reported that the higher cost of substitute foods did not affect their adherence to the gluten-free diet. In terms of nutritional value, the gluten-free substitute foods were found to have 39% less protein and 68% less fiber than their gluten-containing counterparts. The substitute foods had zero iron and B-complex vitamins.</i>\u0000 </p><p><strong>Conclusions: </strong>\u0000 <i>This study is the first to evaluate the cost and availability of gluten-free foods in different geographical areas of Argentina. This research presents two perspectives; a direct one, with information collected in the field, and a subjective one coming from the opinion of the person with celiac disease.</i>\u0000 </p>","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"53 3","pages":"257-264"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Alberto Velasco-Benitez, Steven Koremblun Murillo, Claudia Jimena Ortíz-Rivera, Edgar Játiva Mariño, Fátima Azereth Reynoso Zarzosa, Mariana Xail Espriu Ramírez, Jorge Alberto Macías-Flores, Roberto Arturo Zablah Córdova, Ricardo A. Chanis Águila, Trini Fragoso Arbelo, Milton Danilo Mejía Castro, Yunuen Rivera Suazo
Introducción. La prevalencia de regurgitación infantil en niños latinoamericanos está entre el 8% y el 9,4% según los criterios de Roma III. Objetivo. Determinar la prevalencia de regurgitación infantil en niños latinoamericanos según los criterios de Roma IV y sus posibles asociaciones. Materiales y métodos. Estudio observacional, descriptivo, de prevalencia, realizado en siete países latinoamericanos. Se utilizó la base de datos de la Functional International Digestive Epidemiological Research Survey para seleccionar la muestra. Se incluyeron en el estudio niños menores de 12 meses que fueron diagnosticados con regurgitación infantil mediante el Cuestionario de Síntomas Gastrointestinales Pediátricos Roma IV. Resultados. Se analizaron 1802 lactantes (80,7% de América del Sur; 6,7±3,8 meses de edad). Se diagnosticó regurgitación infantil en 6,8% (52,5% mujeres; 39,8% mestizos; 46,7% colombianos). La edad pico fue 6 meses de vida. Hubo mayor probabilidad de presentar regurgitación infantil en los lactantes entre 1 y 6 meses de edad, de raza indígena, de Centroamérica, nacidos por cesárea, prematuros, atendidos en instituciones públicas, por gastroenterólogos pediatras y durante la pandemia del Covid-19. Hubo menor probabilidad de presentar regurgitación infantil en los lactantes con alimentación complementaria. Conclusión. La regurgitación infantil es frecuente en lactantes latinoamericanos. La prevalencia es menor comparativamente a lo descripto en otros países, con factores de riesgo como raza, origen, cesárea, prematuridad, sitio y nivel de atención, y pandemia de COVID-19. El factor protector es la alimentación complementaria.
{"title":"Prevalencia de regurgitación infantil: experiencia del grupo de trabajo en trastornos del eje cerebro-intestino de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP)","authors":"Carlos Alberto Velasco-Benitez, Steven Koremblun Murillo, Claudia Jimena Ortíz-Rivera, Edgar Játiva Mariño, Fátima Azereth Reynoso Zarzosa, Mariana Xail Espriu Ramírez, Jorge Alberto Macías-Flores, Roberto Arturo Zablah Córdova, Ricardo A. Chanis Águila, Trini Fragoso Arbelo, Milton Danilo Mejía Castro, Yunuen Rivera Suazo","doi":"10.52787/agl.v53i1.280","DOIUrl":"https://doi.org/10.52787/agl.v53i1.280","url":null,"abstract":"Introducción. La prevalencia de regurgitación infantil en niños latinoamericanos está entre el 8% y el 9,4% según los criterios de Roma III. Objetivo. Determinar la prevalencia de regurgitación infantil en niños latinoamericanos según los criterios de Roma IV y sus posibles asociaciones. Materiales y métodos. Estudio observacional, descriptivo, de prevalencia, realizado en siete países latinoamericanos. Se utilizó la base de datos de la Functional International Digestive Epidemiological Research Survey para seleccionar la muestra. Se incluyeron en el estudio niños menores de 12 meses que fueron diagnosticados con regurgitación infantil mediante el Cuestionario de Síntomas Gastrointestinales Pediátricos Roma IV. Resultados. Se analizaron 1802 lactantes (80,7% de América del Sur; 6,7±3,8 meses de edad). Se diagnosticó regurgitación infantil en 6,8% (52,5% mujeres; 39,8% mestizos; 46,7% colombianos). La edad pico fue 6 meses de vida. Hubo mayor probabilidad de presentar regurgitación infantil en los lactantes entre 1 y 6 meses de edad, de raza indígena, de Centroamérica, nacidos por cesárea, prematuros, atendidos en instituciones públicas, por gastroenterólogos pediatras y durante la pandemia del Covid-19. Hubo menor probabilidad de presentar regurgitación infantil en los lactantes con alimentación complementaria. Conclusión. La regurgitación infantil es frecuente en lactantes latinoamericanos. La prevalencia es menor comparativamente a lo descripto en otros países, con factores de riesgo como raza, origen, cesárea, prematuridad, sitio y nivel de atención, y pandemia de COVID-19. El factor protector es la alimentación complementaria.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135419737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Buenas prácticas endoscópicas surgidas de la actividad conjunta SAGE-ENDIBA 2019 y los indicadores de calidad en endoscopía de ASGE","authors":"Laudanno Om","doi":"10.52787/QCAJ6371","DOIUrl":"https://doi.org/10.52787/QCAJ6371","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48192556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
right hemicolectomy with transverse ileus anastomosis, but if the volvulus caused intestinal necrosis and the patient is hemodynamically unstable, it is safer to perform intestinal resection and ileostomy. Ascending ileus anastomosis performed at a higher level of the ascending colon is a safe alterna-tive for the restitution of intestinal transit in patients with cecal volvulus.
{"title":"Vólvulo de ciego con lesión de colon ascendente reporte de un caso y alternativas de tratamiento","authors":"G. Sosa, A. Barrios","doi":"10.52787/SUYI2286","DOIUrl":"https://doi.org/10.52787/SUYI2286","url":null,"abstract":"right hemicolectomy with transverse ileus anastomosis, but if the volvulus caused intestinal necrosis and the patient is hemodynamically unstable, it is safer to perform intestinal resection and ileostomy. Ascending ileus anastomosis performed at a higher level of the ascending colon is a safe alterna-tive for the restitution of intestinal transit in patients with cecal volvulus.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43793390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tatiana Uehara, Harumi Hashimoto, Federico Bazán, Adriana Tévez, Gladys Bravo, S. Schaab, J. Sordá
Background and aims. The appropriate diagnosis of irritable bowel syndrome is critical due to its association with impaired quality of life and high health care costs. We aim to explore the proportion of subjects with irritable bowel syndrome by the Rome IV criteria at a tertiary care center and compare them with previous diagnostic criteria. Material and methods. We conducted a cross-sectional descriptive study in a tertiary care center located in Buenos Aires. There were included to the consecutive adult patients who consulted for abdominal disorders and in whom an organic pathology had been excluded. Subjects completed a gastrointestinal symptom questionnaire and the proportion of patients with IBS, according to Roma IV criteria, was compare with the proportion of those who met the previous criteria (Manning, Rome I, II and III). Results. Of 178 patients included, 58% met the diagnosis criteria for IBS using the Rome IV criteria. Of these, 98% were also Rome III positive, 76.7% IBS Rome II positive, 93% IBS Rome I positive and 99% IBS Manning positive. The agreement was very good with Rome III (kappa = 0.87), good with Rome I (kappa = 0.76) and good, but lower with Rome II (kappa = 0.73) and Manning (kappa = 0.66). Conclusions. Good diagnostic agreement was established between Rome IV and the previous IBS criteria, except with Rome II and Manning, which were lower.
{"title":"Comparación entre los criterios diagnósticos del síndrome de intestino irritable en una población latinoamericana. Estudio descriptivo de un centro de atención terciaria","authors":"Tatiana Uehara, Harumi Hashimoto, Federico Bazán, Adriana Tévez, Gladys Bravo, S. Schaab, J. Sordá","doi":"10.52787/NDNI4913","DOIUrl":"https://doi.org/10.52787/NDNI4913","url":null,"abstract":"Background and aims. The appropriate diagnosis of irritable bowel syndrome is critical due to its association with impaired quality of life and high health care costs. We aim to explore the proportion of subjects with irritable bowel syndrome by the Rome IV criteria at a tertiary care center and compare them with previous diagnostic criteria. Material and methods. We conducted a cross-sectional descriptive study in a tertiary care center located in Buenos Aires. There were included to the consecutive adult patients who consulted for abdominal disorders and in whom an organic pathology had been excluded. Subjects completed a gastrointestinal symptom questionnaire and the proportion of patients with IBS, according to Roma IV criteria, was compare with the proportion of those who met the previous criteria (Manning, Rome I, II and III). Results. Of 178 patients included, 58% met the diagnosis criteria for IBS using the Rome IV criteria. Of these, 98% were also Rome III positive, 76.7% IBS Rome II positive, 93% IBS Rome I positive and 99% IBS Manning positive. The agreement was very good with Rome III (kappa = 0.87), good with Rome I (kappa = 0.76) and good, but lower with Rome II (kappa = 0.73) and Manning (kappa = 0.66). Conclusions. Good diagnostic agreement was established between Rome IV and the previous IBS criteria, except with Rome II and Manning, which were lower.","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49534602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diana Marcela Rodríguez De La Hoz, M. Alvarez, M. Orozco, María De Vedia, Nicolás Roccatagliata, R. Cobeñas, N. Larrañaga
{"title":"Hallazgo incidental postrauma abdominal","authors":"Diana Marcela Rodríguez De La Hoz, M. Alvarez, M. Orozco, María De Vedia, Nicolás Roccatagliata, R. Cobeñas, N. Larrañaga","doi":"10.52787/XORO6319","DOIUrl":"https://doi.org/10.52787/XORO6319","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42124253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Bello, N. Larrañaga, G. Espil, S. Kozima, Fabiana Prado
{"title":"Solución del caso. Complicación posretrasplante hepático","authors":"M. Bello, N. Larrañaga, G. Espil, S. Kozima, Fabiana Prado","doi":"10.52787/ZPRY7802","DOIUrl":"https://doi.org/10.52787/ZPRY7802","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48151392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María del Mar Roldán Alcázar, A. M. Maldonado, A. S. Gutiérrez, C. Cejudo
{"title":"Hallazgo radiológico infrecuente por una hiperpresión abdominal tras un traumatismo","authors":"María del Mar Roldán Alcázar, A. M. Maldonado, A. S. Gutiérrez, C. Cejudo","doi":"10.52787/HMYJ6165","DOIUrl":"https://doi.org/10.52787/HMYJ6165","url":null,"abstract":"","PeriodicalId":35700,"journal":{"name":"Acta Gastroenterologica Latinoamericana","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46935418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号