The Impact of a Gluten-free Diet on the Nutritional Status of Pediatric Patients with Celiac Disease

Year 2024, , 32 - 42, 29.01.2024

Yasemin Ertaş Öztürk , Efsun Karabudak , Odul Egritas

https://doi.org/10.53493/avrasyasbd.1308399

Abstract

Aim: Evaluating the effect of a gluten-free diet on the nutritional status of children with celiac disease was aimed.
Materials and Method: Eleven children recently diagnosed with celiac disease were included in this study. The children's diets were given by a dietitian and followed for six months. Three-day food consumption records and anthropometric measurements were taken before and after the gluten-free diet. Nutrient intake was calculated, and food consumption was evaluated regarding the recommendations of the Turkish Dietary Guidelines. By determining height and body weight according to age, z-score calculations were made, classified, and compared.
Results: The ages of the children who participated in this study ranged from three to 12 years old. After the gluten-free diet, it was observed that the percentage of energy which was derived from sucrose decreased (p<0.05). It was also seen that the children started to consume more from the milk and milk products group, green-leaved vegetables, and other vegetables except for potatoes. It was observed that the participants’ sugar and sweet foods consumption decreased (p<0.05). After six months, the proportion of children classified as "short" in height with regard to age decreased (45.5% before the diet, 27.3% after).
Conclusion and Suggestions: The findings obtained in this study suggest that the gluten-free diet is planned correctly, adequate energy and nutrient intake can be achieved. It has been observed that the nutritional status of the children has improved after the follow-up. Regularly following gluten-free diets after planning and providing dietitian support is essential in ensuring optimum nutrition.

Keywords

Celiac disease, dietitian, nutrient, food consumption, growth

Supporting Institution

Gazi University Scientific Research Projects (BAP) unit

Project Number

47/2019-02

Glutensiz Diyetin Çölyak Hastalığı Olan Çocukların Beslenme Durumuna Etkisi

Abstract

Amaç: Bu çalışmada çölyak tanısı alan çocukların glutensiz diyet öncesi ve sonrasında beslenme durumlarının değerlendirilmesi amaçlanmıştır.
Yöntem: Çalışmaya yeni tanı alan 11 çölyaklı çocuk dâhil edilmiştir. Çocukların diyetleri diyetisyen tarafından düzenlenmiş ve altı ay boyunca takip edilmiştir. Çocukların diyet öncesi ve sonrasında üç günlük besin tüketimler kayıtları ve antropometrik ölçümleri alınmıştır. Besin ögesi alımları hesaplanmış ve besin tüketimleri Türkiye Beslenme Rehberi önerileri doğrultusunda değerlendirilmiştir. Yaşa göre boy ve vücut ağırlığı belirlenerek z-skor hesaplamaları yapılmış, sınıflandırılarak karşılaştırılmıştır.
Bulgular: Çocukların yaşları 3-12 yıl arasında değişmektedir. Glutensiz diyet sonrasında öncesine göre enerjinin sükrozdan gelen yüzdesinde azalma sağlanmıştır (p<0.05). Çocukların süt ve ürünleri grubunu, yeşil yapraklı sebzeler ile patates hariç diğer sebzeleri daha fazla tüketmeye başladığı, şekerli besinleri ise azalttığı gözlemlenmiştir (p<0.05). Altıncı ayda yaşa göre boy uzunluğu “kısa” sınıflamasına dâhil çocukların oranında azalma görülmüştür (diyet öncesi %45.5, sonrası: %27.3).
Sonuç: Glutensiz diyet tedavisi doğru planlanmadığı takdirde besin ögesi ve besin alımlarında dengesizlikler görülebilir. Bu çalışmada izlem sonrası çocukların beslenme durumlarının iyileştiği gözlenmiştir. Glutensiz diyetlerin planlandıktan sonra düzenli takip edilmesi ve hekim ve diyetisyen işbirliğinin sağlanması optimum beslenmenin sağlanmasında önemlidir.

Keywords

Çölyak hastalığı, diyetisyen, besin ögesi, besin tüketimi, büyüme

Project Number

47/2019-02

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