Patients With Celiac Disease Reported Higher Consumption of Added Sugar and Total Fat Than Healthy Individuals
Open accessAbstract
Objectives: The aim of the study was to compare the dietary pattern between subjects with celiac disease (CD) (cases) and subjects without (healthy controls) CD. Methods: A case‐control design study was conducted. A total of 98 subjects with CD (age 10–23 years) were matched by age, sex, and body mass index with 98 nonceliac participants. A nonconsecutive 3‐day food record was completed to assess energy, nutrient, and food intake and evaluate the participant's adherence to recommendations. Differences in energy, nutrients, food consumption, and compliance with general recommendations between cases and control groups were assessed by Student t test. Pearson chi‐squared test was used to compare categorical variables. Sociodemographic, personal, and family history data were collected. Results: Compared with the control group, the cases with CD reported a significantly higher consumption of added sugar (P < 0.001) and total fat (P < 0.017). Mean fiber consumption was below the nutritional recommendations in both groups. Participants with CD consumed significantly lower amounts of foods rich in starch (P < 0.001) and higher amounts of foods rich in protein such as meat, fish, and eggs (P = 0.007). Subjects with CD showed a significantly lower percentage of adherence to recommendations for folic acid (53.2 vs 70.5; P < 0.001), calcium (49.0 vs 56.3; P = 0.025), iron (57.4 vs 78.0; P < 0.001), and magnesium (50.0 vs 63.9; P < 0.001). Conclusions: The subjects with CD showed a more unbalanced diet than controls in terms of added sugars, total fat, and micronutrient consumption.
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Children and adolescents on a gluten-free diet are at higher risk of insufficient intake of fibre, folate, magnesium, selenium and vitamin D, and have higher intakes of saturated and hydrogenated fats as well as sugars compared to children on a gluten-containing diet.
“Children and adolescents on a GFD are at higher risk of insufficient intake of fibre (86,87), folate, magnesium, selenium and vitamin D (88,89), and have higher intakes of saturated and hydrogenated fats as well as sugars compared to children on a gluten-containing diet (86,87,90).”
From Gluten-free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease. (2024) · cites this paper as [90]
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Nestares, T., Martín-Masot, R., Labella, A., Aparicio, V. A., Flor-Alemany, M., López-Frías, M., & Maldonado, J. (2020) · Nutrients · doi:10.3390/nu12030844 · Cited by 41 · see citing works
Luque, V., Crespo‐Escobar, P., Hård af Segerstad, E. M., Koltai, T., Norsa, L., Roman, E., Vreugdenhil, A., Fueyo‐Díaz, R., & Ribes‐Koninckx, C. (2024) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1002/jpn3.12079 · Cited by 32 · see citing works
- Authors
- Babio, N., Alcázar, M., Castillejo, G., Recasens, M., Martínez‐Cerezo, F., Gutiérrez‐Pensado, V., Masip, G., Vaqué, C., Vila‐Martí, A., Torres‐Moreno, M., Sánchez, E., & Salas‐Salvadó, J.
- Affiliations
- Human Nutrition Unit Faculty of Medicine and Health Sciences Biochemistry & Biotechnology Department Rovira i Virgili University, and Sant Joan de Reus Hospital IISPV Reus Spain
- Institut de Recerca Biomèdica Catalunya Sud (ES)
- Service of Adult Gastroenterology Sant Joan de Reus Hospital Reus Spain
- Faculty of Health Sciences and Welfare Research Group of Food, Health and Welfare University of Vic‐Central University of Catalonia Spain
- Universitat de Vic - Universitat Central de Catalunya (ES)
- Instituto de Salud Carlos III (ES)
- Corresponding author
- Alcázar, Mireia
- Recasens, Miriam
- Gutiérrez‐Pensado, Vanessa
- Masip, Guiomar
- Sánchez, Enric
- Salas‐Salvadó, Jordi
- ORCID
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2017-01
- Volume
- 64
- Issue
- 1
- Pages
- 63-69
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- OpenAlex
- W2345067034
- Cited by
- 92
- References
- 0
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 10 · 2023: 13 · 2022: 10 · 2021: 13 · 2020: 15 · 2019: 10 · 2018: 5 · 2017: 3
- FWCI
- 6.54
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Hispana (acceptedVersion)
- RIUVic (submittedVersion)
- Rovira & Virgili repository (submittedVersion, cc-by)
- Funders
- Institut d'Estudis Catalans
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- celiac disease, dietary habits, added sugars, total fat, dietary fiber intake, micronutrient intake, folic acid, calcium, iron, magnesium, protein intake, starch intake, dietary adherence, pediatric patients
- MeSH terms
- Dietary Sugars, Adolescent, Adult, Energy Intake, Celiac Disease, Child, Diet, Dietary Fats, Dietary Fiber, Dietary Proteins, Feeding Behavior, Female, Humans, Male, Nutrition Surveys, Patient Compliance, Diet Records, Case-Control Studies, Micronutrients, Young Adult, Recommended Dietary Allowances
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