Maladaptive Food Attitudes and Behaviors in Individuals with Celiac Disease and Their Association with Quality of Life.
Maladaptive Food Attitudes and Behaviors in Individuals with Celiac Disease and Their Association with Quality of Life.
复制标题
DOI：
10.1007/s10620-023-07912-6
复制
发表时间：
2023-07
影响因子：
3.1
通讯作者：
Wolf, Randi
中科院分区：
文献类型：
--
作者：
Gholmie, Yara;Lee, Anne R.;Satherley, Rose-Marie;Schebendach, Janet;Zybert, Patricia;Green, Peter H. R.;Lebwohl, Benjamin;Wolf, Randi
关键词：
乳糜泻(CED)的唯一治疗方法是终身严格遵守无麸质饮食(GFD)。在一些人中，GFD的需求可能会导致不适应的饮食态度和行为，从而损害生活质量(QOL)。乳糜泻食物态度和行为(CD-FAB)是一种易于管理和评分的11项工具，用于询问由于对面筋暴露和食品安全的信念而可能导致的不适应食物态度和行为。目的：评价CD-FAB在成人CED患者中存在的不良饮食态度和行为的有效性，并探讨这些态度和行为与生活质量、焦虑、抑郁、CED症状和人格特征等其他因素的关系。这项研究是一项横断面试验，对象为50名成年人(平均年龄29.6岁)，他们患有经活检证实的CED，他们遵循GFD至少一年，没有自我报告的进食障碍诊断。CD-Fab工具上的高分表明更高的无序饮食态度和信念。CD-FAB评分较低(平均20.2分)，CD-FAB评分较高(较差)(平均54.5分)与近期诊断、CED相关胃肠道症状、神经质人格特征呈正相关。CD-FAB评分较高在统计学和临床上与生活质量下降显著相关(p <； 0.001)。与焦虑和抑郁的关系不太清楚，但趋势是朝着预期的方向发展。对于希望监测CED患者的不良饮食态度和行为的营养师来说，CD-FAB可能是一个有用的工具，特别是在诊断后的第一年。
The only treatment for celiac disease (CeD) is strict lifelong adherence to a gluten-free diet (GFD). In some individuals the demands of a GFD may contribute to maladaptive eating attitudes and behaviors that impair quality of life (QOL). The Celiac Disease Food Attitudes and Behaviors (CD-FAB) is an easily administered and scored 11-item tool querying potentially maladaptive food attitudes and behaviors resulting from beliefs around gluten exposures and food safety. To assess the usefulness of the CD-FAB in establishing the presence of maladaptive food attitudes and behaviors among adults with CeD and to explore the relationship between these attitudes and behaviors and other factors including QOL, anxiety, depression, CeD symptoms and personality traits. The study is a cross-sectional pilot of 50 adults (mean age 29.6 years) with biopsy-proven CeD who followed a GFD for at least one year and had no self-reported eating disorder diagnosis. High scores on the CD-FAB tool suggest higher disordered eating attitudes and beliefs. Compared to lower scores (mean 20.2), higher (worse) CD-FAB scores (mean 54.5) were positively associated with recency of diagnosis, number of CeD-related gastrointestinal symptoms, and the personality trait of neuroticism. Higher CD-FAB scores were statistically and clinically significantly associated with diminished QOL (p < 0.001). The relationship with anxiety and depression was less clear but trended in the expected direction. The CD-FAB may be a useful tool for dietitians who wish to monitor maladaptive food attitudes and behaviors among their CeD patients, especially in the first-year post-diagnosis.
登录
查看更多内容
影响因子：
3.1
作者：
Wolf, Randi L.;Lebwohl, Benjamin;Green, Peter H. R.
通讯作者：
Green, Peter H. R.
影响因子：
4.3
作者：
Haeuser, Winfried;Janke, Karl-Heinz;Hinz, Andreas
通讯作者：
Hinz, Andreas
DOI：
10.1097/mpg.0000000000001648
发表时间：
2018-01-01
影响因子：
2.9
作者：
Babio, Nancy;Alcazar, Mireia;Salas-Salvado, Jordi
通讯作者：
Salas-Salvado, Jordi
DOI：
10.1016/j.gastha.2022.01.002
发表时间：
2022-01-01
期刊：
Gastro hep advances
影响因子：
--
作者：
Bennett, Audrey;Bery, Alexandra;Adams, Dawn W
通讯作者：
Adams, Dawn W
影响因子：
3.3
作者：
Lee, A. R.;Ng, D. L.;Green, P. H. R.
通讯作者：
Green, P. H. R.