Evidence of high fat and sugar intake, and low fibre and selected minerals intake in adult female coeliac patients
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Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Warsaw, Poland
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Joanna Myszkowska-Ryciak   

Ryciak, PhD, Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, University of Life Sciences, Nowoursynowska 159C, 02-776 Warsaw, Poland. Tel.: +48 22 59 370 22. Fax: +48 22 59 370 18.
J Pre Clin Clin Res. 2010;4(2):112-115
A strict gluten free diet (GFD) is the only treatment of coeliac disease (CD). However, compliance with such a diet has an impact on the quality of life of individuals with CD, and, possibly, on their nutritional status. The aim of the study was to assess the dietary intake of female coeliacs and to determine if they are meeting the current dietary reference values. Volunteers were recruited through advertisements placed in coeliac disease support groups, and from the Section of Dietary Counseling at the Department of Dietetics at WUL-S. Forty-two volunteers met all criteria for participation and completed the 3-day food records. The following parameters were evaluated: body height, weight, mass index, and fat and muscle masses (bioimpedance – BIA, Akern). The total daily energy and selected nutrients intake were calculated using Dietetyk 1 software, and the obtained values were compared to current recommendations. The results showed an inadequate intake of complex carbohydrates, fibre, calcium, potassium and iron, and high consumption of fat, sugar, and phosphorus. Although most of the individuals (79%) had normal weight, the BIA results showed excessive amount of fat tissue. Female CD patients are at risk of having an unbalanced diet; therefore, the nutritional therapy for CD patients cannot be focused only on the avoidance of gluten on a GFD. Emphasis should be on the nutrients contents of a gluten-free foods, especially fat, sugar, fibre, calcium, potassium, and iron.
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