葡萄牙儿童乳糜泻和无麸质饮食的人体测量标志物贡献评估

Patrícia Soares, Piedade Sande Lemos, A. M. Pires, A. C. Sousa
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摘要

乳糜泻(CD)是一种自身免疫性疾病,其特征是对谷蛋白的慢性食物敏感性,以及腹泻和体重减轻作为典型症状。乳糜泻的流行病学和表型是不断变化的,而乳糜泻患儿表现出的症状是可变的,受年龄的影响。本研究旨在检查61名葡萄牙乳糜泻儿童在诊断时和研究时的人体测量指标进展,将这些差异与无谷蛋白产品摄入联系起来。对61例腹腔疾病患者(59.0%为女性)的数据进行了分析,这些患者的无麸质饮食时间为5.0±4.6年。诊断时和研究期间pBMI的统计t检验显示,女孩和男孩的pBMI均有统计学意义的正增加(p = 0.008)。测量了摄取量和建议值之间的差异,揭示了总能量消耗和碳水化合物消耗的增加。大多数儿童的营养状况可以通过遵循无麸质饮食来恢复;然而,营养咨询似乎是必要的,以避免营养失衡和未来的健康问题。
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Anthropometric Marker Contribution Assessment for Celiac Disease and Gluten-Free Diet in Portuguese Children
Celiac disease (CD) is an autoimmune disease characterised by chronic food sensitivity to gluten, as well as diarrhoea and weight loss as typical symptoms. The epidemiology and phenotype of CD are constantly changing, whereas the symptoms exhibited by children with CD are variable and influenced by age. The present study aimed to examine anthropometric marker progressions in 61 Portuguese children with celiac disease at the time of diagnosis and at the time of the study, correlating these differences with gluten-free product intake. Data from 61 celiac disease patients (59.0 percent females) who had been on a gluten-free diet for5.0 ± 4.6 years were analysed. A statistical t-test examination of pBMI at diagnosis and over the study period demonstrated a statistically significant positive increase for both girls and boys (p = 0.008). The discrepancies between ingested and suggested values were measured, revealing that overall energy consumption and carbohydrate consumption had increased. Most children's nutritional status can be restored by following a gluten-free diet; nevertheless, nutritional counselling appears to be necessary to avoid nutrient imbalances and future health problems.
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