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Dietary habits in Italian children with inflammatory bowel disease: A case-control multicenter study.
Gatti, Simona; Vallorani, Martina; Quattrini, Sara; Aloi, Marina; Bramuzzo, Matteo; Felici, Enrico; Zuin, Giovanna; Catassi, Giulia Naspi; Grazian, Federica; Ciacchini, Benedetta; Panceri, Roberto; Catassi, Carlo.
Afiliación
  • Gatti S; Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.
  • Vallorani M; Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.
  • Quattrini S; Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.
  • Aloi M; Department of Maternal and Child Health, Pediatric Gastroenterology and Liver Unit, Umberto I Hospital, Sapienza University of Rome, Rome, Italy.
  • Bramuzzo M; Gastroenterology, Digestive Endoscopy and Nutrition Unit, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
  • Felici E; Pediatric and Pediatric Emergency Unit, Children Hospital, AO SS Antonio e Biagio e C. Arrigo, Alessandria, Italy.
  • Zuin G; Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
  • Catassi GN; Department of Maternal and Child Health, Pediatric Gastroenterology and Liver Unit, Umberto I Hospital, Sapienza University of Rome, Rome, Italy.
  • Grazian F; University of Trieste, Trieste, Italy.
  • Ciacchini B; Department of Health Science, Division of Pediatrics, University of Piemonte Orientale, Novara, Italy.
  • Panceri R; Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
  • Catassi C; Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.
J Pediatr Gastroenterol Nutr ; 79(3): 602-609, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39108157
ABSTRACT

OBJECTIVES:

Patients with inflammatory bowel disease (IBD) tend to self-modify their dietary habits according to disease activity and symptoms. This study aimed to assess the adequacy of the usual diet in Italian children with IBD in comparison to a control group and to the recommended dietary allowances (RDA).

METHODS:

Dietary habits of IBD children and age- and gender-matched healthy controls were investigated using a validated Food Frequency Questionnaire in five Italian pediatric IBD centers. Adherence to the Mediterranean diet (MD) was assessed using the KID-MED test. Energy (EI), macro, and micronutrients intakes were compared between the two groups, to the RDA and the predicted total energy expenditure (EI/total energy expenditure [TEE]%).

RESULTS:

IBD subjects (n = 110) reported a lower EI, EI/RDA%, and EI/TEE% compared to controls (n = 110) (p = 0.012, p < 0.0002, and p = 0.014), lower total protein and fat intakes (p = 0.017, p < 0.0001) and lower minerals/RDA, vitamins/RDA and micronutrients/RDA ratio (%). Poor adherence to the MD was more frequent in IBD children compared to controls (p = 0.013). The total EI and carbohydrate intake were inversely correlated with higher disease activity.

CONCLUSIONS:

Italian children with IBD report an inadequate diet in terms of energy, macro, and micronutrients and have a low adherence to a high-quality MD pattern.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Dieta Mediterránea / Conducta Alimentaria Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Inflamatorias del Intestino / Dieta Mediterránea / Conducta Alimentaria Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: J Pediatr Gastroenterol Nutr Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos