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Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice
Open accessAbstract
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.
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The dietitian supports adherence to the gluten-free diet, adherence to healthier dietary habits, is safe and cost effective in follow-up care, and patients appreciate the contact with the dietitian.
“The dietitian supports the adherence to the GFD (116), adherence to healthier dietary habits (111), is safe and cost effective in the follow-up care (117), and patients appreciate the contact with the dietitian (118).”
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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 44
Metadata
- Authors
- Gładyś, K., Dardzińska, J., Guzek, M., Adrych, K., Kochan, Z., & Małgorzewicz, S.
- Affiliations
- Gdańsk Medical University (PL)
- Corresponding author
- Gładyś, Katarzyna
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-05-29
- Volume
- 13
- Issue
- 6
- Pages
- 1859
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC8228256
- OpenAlex
- W3165756547
- Cited by
- 25
- References
- 5
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 3 · 2021: 3
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Nursing › Nutrition and Dietetics › Dietetics, Nutrition, and Education
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- celiac disease, gluten-free diet, dietitian role, nutrition education, dietary adherence, nutritional status, macronutrient intake, micronutrient deficiency, calcium, iron, vitamin D, folic acid, dietary fiber, sodium intake, plant proteins
- MeSH terms
- Adult, Celiac Disease, Female, Humans, Male, Nutritional Status, Nutritive Value, Patient Compliance, Poland, Professional Role, Diet, Gluten-Free, Nutritionists
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