Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice
Access to a registered dietitian experienced in celiac disease (CD) is still limited, and consultation when available focuses primarily on the elimination of gluten from the diet. Thus, the aim of this study was to evaluate the nutritional value of a gluten-free diet (GFD) in adult CD patients befor...
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doaj-5ff6d5c8873345898fc8adb9f9c6684f2021-06-01T01:36:43ZengMDPI AGNutrients2072-66432021-05-01131859185910.3390/nu13061859Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical PracticeKatarzyna Gładyś0Jolanta Dardzińska1Marek Guzek2Krystian Adrych3Zdzisław Kochan4Sylwia Małgorzewicz5Department of Clinical Nutrition, Medical University of Gdansk, 80-211 Gdańsk, PolandDepartment of Clinical Nutrition, Medical University of Gdansk, 80-211 Gdańsk, PolandDepartment of Gastroenterology and Hepatology, Medical University of Gdansk, 80-211 Gdańsk, PolandDepartment of Gastroenterology and Hepatology, Medical University of Gdansk, 80-211 Gdańsk, PolandDepartment of Clinical Nutrition, Medical University of Gdansk, 80-211 Gdańsk, PolandDepartment of Clinical Nutrition, Medical University of Gdansk, 80-211 Gdańsk, PolandAccess to a registered dietitian experienced in celiac disease (CD) is still limited, and consultation when available focuses primarily on the elimination of gluten from the diet. Thus, the aim of this study was to evaluate the nutritional value of a gluten-free diet (GFD) in adult CD patients before, and one year after, the standard dietary education. The study included 72 CD patients on a GFD and 30 healthy controls. The dietary intake of both groups was assessed through a 3-day food diary, while adherence to a GFD in celiac subjects was assessed using Standardized Dietician Evaluation (SDE). Subsequently, all CD patients received detailed education on gluten sources, and 48 of them participated in a one-year follow-up. Results: Comparison with the control group showed that consumption of plant protein in CD patients was significantly lower, whereas fat and calories were higher. At baseline, only 62% of CD patients adhered to a GFD, but the standard dietary education successfully improved it. However, the nutritional value of a GFD after one year did not change, except for a reduced sodium intake. The CD subjects still did not consume enough calcium, iron, vitamin D, folic acid or fiber. In conclusion, while the standard dietary education improved GFD adherence, it did not significantly alter its nutritional value. Therefore, it is necessary to increase the role of a dietitian in the treatment of CD.https://www.mdpi.com/2072-6643/13/6/1859celiac diseasegluten-free diet adherencedietary assessmentdietary reference intake |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Katarzyna Gładyś Jolanta Dardzińska Marek Guzek Krystian Adrych Zdzisław Kochan Sylwia Małgorzewicz |
spellingShingle |
Katarzyna Gładyś Jolanta Dardzińska Marek Guzek Krystian Adrych Zdzisław Kochan Sylwia Małgorzewicz Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice Nutrients celiac disease gluten-free diet adherence dietary assessment dietary reference intake |
author_facet |
Katarzyna Gładyś Jolanta Dardzińska Marek Guzek Krystian Adrych Zdzisław Kochan Sylwia Małgorzewicz |
author_sort |
Katarzyna Gładyś |
title |
Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice |
title_short |
Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice |
title_full |
Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice |
title_fullStr |
Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice |
title_full_unstemmed |
Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice |
title_sort |
expanded role of a dietitian in monitoring a gluten-free diet in patients with celiac disease: implications for clinical practice |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-05-01 |
description |
Access to a registered dietitian experienced in celiac disease (CD) is still limited, and consultation when available focuses primarily on the elimination of gluten from the diet. Thus, the aim of this study was to evaluate the nutritional value of a gluten-free diet (GFD) in adult CD patients before, and one year after, the standard dietary education. The study included 72 CD patients on a GFD and 30 healthy controls. The dietary intake of both groups was assessed through a 3-day food diary, while adherence to a GFD in celiac subjects was assessed using Standardized Dietician Evaluation (SDE). Subsequently, all CD patients received detailed education on gluten sources, and 48 of them participated in a one-year follow-up. Results: Comparison with the control group showed that consumption of plant protein in CD patients was significantly lower, whereas fat and calories were higher. At baseline, only 62% of CD patients adhered to a GFD, but the standard dietary education successfully improved it. However, the nutritional value of a GFD after one year did not change, except for a reduced sodium intake. The CD subjects still did not consume enough calcium, iron, vitamin D, folic acid or fiber. In conclusion, while the standard dietary education improved GFD adherence, it did not significantly alter its nutritional value. Therefore, it is necessary to increase the role of a dietitian in the treatment of CD. |
topic |
celiac disease gluten-free diet adherence dietary assessment dietary reference intake |
url |
https://www.mdpi.com/2072-6643/13/6/1859 |
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