Nutrition Literacy Status of Individuals with and without Celiac Disease
DOI:
https://doi.org/10.12873/Palabras clave:
celiac diseas, diet, instrument of nutrition literacy for adults , literacy, nutritionResumen
Background: Celiac disease (CD) is a multisystem autoimmune disease characterized by damage to the small intestine following gluten consumption. Nutrition literacy (NL) is defined as the ability to access, understand, interpret and apply basic nutrition-related information and services in order to promote and maintain good health. This study examined the NL status of individuals with and without CD. Methods: The study was conducted on 228 people with CD (203 women and 25 men) and 230 people without CD (157 women and 73 men) between 15 February and 15 June 2024. The Instrument of Nutrition Literacy in Adults (EINLA) was used. Results: reading comprehension, interpretation and knowledge of food groups differed statistically between and within groups. The mean nutrition literacy score was significantly lower in women with CD than in healthy women (p<0.05). Having CD status was found to be significantly positively associated with 0.194 points on NL. Conclusions: it was found that patients with coeliac disease had lower NL than healthy individuals. Most individuals with and without CD had borderline EINLA scores. Celiac patients should be provided with education on a gluten-free diet as well as nutrition literacy
Referencias
11. McDermid, J.M.; Almond, M.A.; Roberts, K.M.; Germer, E.M.; Geller, M.G.; Taylor, T.A.; Sinley, R.C.; Handu, D. Celiac Disease: An Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guideline. J. Acad. Nutr. Diet. 2023, 123, 1793-1807.e4, doi:10.1016/j.jand.2023.07.018.
2. Abdi, F.; Zuberi, S.; Blom, J.-J.; Armstrong, D.; Pinto-Sanchez, M.I. Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity. Nutrients 2023, 15, 1475, doi:10.3390/nu15061475.
3. Ben Houmich, T.; Admou, B. Celiac Disease: Understandings in Diagnostic, Nutritional, and Medicinal Aspects. Int. J. Immunopathol. Pharmacol. 2021, 35, 20587384211008709, doi:10.1177/20587384211008709.
4. Mędza, A.; Szlagatys-Sidorkiewicz, A. Nutritional Status and Metabolism in Celiac Disease: Narrative Review. J. Clin. Med. 2023, 12, 5107, doi:10.3390/jcm12155107.
5. Marsilio, I.; Savarino, E.V.; Barberio, B.; Lorenzon, G.; Maniero, D.; Cingolani, L.; D’Odorico, A.; D’Incà, R.; Zingone, F. A Survey on Nutritional Knowledge in Coeliac Disease Compared to Inflammatory Bowel Diseases Patients and Healthy Subjects. Nutrients 2020, 12, 1110, doi:10.3390/nu12041110.
6. Dimidi, E.; Kabir, B.; Singh, J.; Ageridou, A.; Foster, C.; Ciclitira, P.; Dubois, P.; Whelan, K. Predictors of Adherence to a Gluten-Free Diet in Celiac Disease: Do Knowledge, Attitudes, Experiences, Symptoms, and Quality of Life Play a Role? Nutrition 2021, 90, 111249, doi:10.1016/j.nut.2021.111249.
7. Carbone, E.T.; Zoellner, J.M. Nutrition and Health Literacy: A Systematic Review to Inform Nutrition Research and Practice. J. Acad. Nutr. Diet. 2012, 112, 254–265, doi:10.1016/j.jada.2011.08.042.
8. Mulder, C.J.J.; Elli, L.; Lebwohl, B.; Makharia, G.K.; Rostami, K.; Rubio-Tapia, A.; Schumann, M.; Tye-Din, J.; Zeitz, J.; Al-Toma, A. Follow-Up of Celiac Disease in Adults: “When, What, Who, and Where.” Nutrients 2023, 15, 2048, doi:10.3390/nu15092048.
9. Cesur B; Koçoğlu G; Sümer H Evaluation Instrument of Nutrition Literacy on Adults (EINLA) A Validity and Reliability Study. Integr. Food Nutr. Metab. 2015, 2, doi:10.15761/IFNM.1000114.
10. Paganizza, S.; Zanotti, R.; DʼOdorico, A.; Scapolo, P.; Canova, C. Is Adherence to a Gluten-Free Diet by Adult Patients With Celiac Disease Influenced by Their Knowledge of the Gluten Content of Foods? Gastroenterol. Nurs. Off. J. Soc. Gastroenterol. Nurses Assoc. 2019, 42, 55–64, doi:10.1097/SGA.0000000000000368.
11. Lee, A.R.; Lebwohl, B.; Lebovits, J.; Wolf, R.L.; Ciaccio, E.J.; Green, P.H.R. Factors Associated with Maladaptive Eating Behaviors, Social Anxiety, and Quality of Life in Adults with Celiac Disease. Nutrients 2021, 13, 4494, doi:10.3390/nu13124494.
12. Ciacci, C.; Ciclitira, P.; Hadjivassiliou, M.; Kaukinen, K.; Ludvigsson, J.F.; McGough, N.; Sanders, D.S.; Woodward, J.; Leonard, J.N.; Swift, G.L. The Gluten-Free Diet and Its Current Application in Coeliac Disease and Dermatitis Herpetiformis. United Eur. Gastroenterol. J. 2015, 3, 121, doi:10.1177/2050640614559263.
13. Case, S. The Gluten-Free Diet: How to Provide Effective Education and Resources. Gastroenterology 2005, 128, S128–S134, doi:10.1053/j.gastro.2005.02.020.
14. Zoellner, J.; Connell, C.; Bounds, W.; Crook, L.; Yadrick, K. Nutrition Literacy Status and Preferred Nutrition Communication Channels among Adults in the Lower Mississippi Delta. Prev. Chronic. Dis. 2009, 6, A128.
15. Oral, E.A.; Kiziltan, G. Factors Affecting Nutrition Literacy: A Pilot Study among Turkish Adults. Rev. Nutr. 2024, 37, e230074, doi:https://doi.org/10.1590/1678-9865202437e230074.
16. Ünal, E.; Özdemir, A. The Relationship Between Nutrition and Physical Activity Levels and Body Mass Index of Individuals Who Prefer Healthy Living Centers in Central Districts of Bursa Province. J. Acad. Res. Nurs. 2020, doi:10.5222/jaren.2020.80764.
17. Jamieson, J.A.; Gougeon, L. Adults Following a Gluten-Free Diet Report Little Dietary Guidance in a Pilot Survey Exploring Relationships between Dietary Knowledge, Management, and Adherence in Nova Scotia, Canada. Nutr. Res. 2019, 66, 107–114, doi:10.1016/j.nutres.2019.02.005.
18. Silvester, J.A.; Weiten, D.; Graff, L.A.; Walker, J.R.; Duerksen, D.R. Is It Gluten-Free? Relationship between Self-Reported Gluten-Free Diet Adherence and Knowledge of Gluten Content of Foods. Nutrition 2016, 32, 777–783, doi:10.1016/j.nut.2016.01.021.
19. Morreale, F.; Agnoli, C.; Roncoroni, L.; Sieri, S.; Lombardo, V.; Mazzeo, T.; Elli, L.; Bardella, M.T.; Agostoni, C.; Doneda, L.; et al. Are the Dietary Habits of Treated Individuals with Celiac Disease Adherent to a Mediterranean Diet? Nutr. Metab. Cardiovasc. Dis. 2018, 28, 1148–1154, doi:10.1016/j.numecd.2018.06.021.
20. Cyrkot, S.; Gidrewicz, D.; Anders, S.; Marcon, M.; Turner, J.M.; Mager, D.R. Food Environment and Youth Intake May Influence Uptake of Gluten-Free Food Guide Recommendations in Celiac Disease. Can. J. Diet. Pract. Res. 2022, 83, 186–192, doi:10.3148/cjdpr-2022-011.
21. Ballestero-Fernández, C.; Varela-Moreiras, G.; Úbeda, N.; Alonso-Aperte, E. Nutritional Status in Spanish Adults with Celiac Disease Following a Long-Term Gluten-Free Diet Is Similar to Non-Celiac. Nutrients 2021, 13, 1626, doi:10.3390/nu13051626.
22. Peresztegi, M.Z.; Szakács, Z.; Vereczkei, Z.; Dakó, E.; Dakó, S.; Lada, S.; Lemes, K.; Holczer, M.; Farkas, N.; Bajor, J. Mediterranean Diet Adherence in Celiac Patients: A Nested Cross-Sectional Study. Nutrients 2025, 17, 788. https://doi.org/10.3390/nu17050788
Descargas
Publicado
Número
Sección
Categorías
Licencia
Derechos de autor 2025 Nutrición Clínica y Dietética Hospitalaria
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
