Does the Healthy Eating Index and Mediterranean Diet Score Identify the Nutritional Adequacy of Dietary Patterns in Chronic Pancreatitis?
Adult
Aged
Cross-Sectional Studies
Diet Records
Diet, Healthy
Diet, Mediterranean
Energy Intake
Feeding Behavior
Female
Food Supply
Humans
Male
Malnutrition
/ diagnosis
Middle Aged
Nutritional Status
Nutritive Value
Pancreatitis, Chronic
/ diagnosis
Prospective Studies
Recommended Dietary Allowances
Risk Reduction Behavior
Surveys and Questionnaires
Chronic pancreatitis
Dietary patterns
Healthy eating index
Mediterranean diet
Nutrition
Journal
Digestive diseases and sciences
ISSN: 1573-2568
Titre abrégé: Dig Dis Sci
Pays: United States
ID NLM: 7902782
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
23
08
2018
accepted:
14
02
2019
pubmed:
25
2
2019
medline:
26
2
2020
entrez:
25
2
2019
Statut:
ppublish
Résumé
Chronic pancreatitis (CP) is a progressive, irreversible disease characterized by maldigestion and frequently accompanied by epigastric pain, exocrine insufficiency, and/or endocrine insufficiency. There is limited information about the dietary patterns in CP from which to guide medical nutrition therapy recommendations. Study design was a cross-sectional, case-control study comparing subjects with CP (n = 52) to healthy controls (n = 48). Vioscreen™ food frequency questionnaire was used to assess the dietary pattern and nutrient intake in both groups. Dietary quality scores (the Healthy Eating Index, Mediterranean Diet score), and daily energy, macronutrient, and micronutrient intake levels were compared between groups. Two sample t tests and Wilcoxon rank sum tests were used to evaluate differences in continuous variables, and Chi-squared tests were used for categorical variables. CP was associated with a lower body mass index (BMI) (24 vs. 31 mg/kg The overall quality of dietary intake is lower in subjects with CP compared to controls when assessed by two independent nutritional measurement tools. Further research is needed to examine contributing factors, such as food insecurity and coexisting endocrine or exocrine insufficiency, to dietary patterns in patients with CP from which to guide evidence-based recommendations for medical nutritional therapy.
Sections du résumé
BACKGROUND
Chronic pancreatitis (CP) is a progressive, irreversible disease characterized by maldigestion and frequently accompanied by epigastric pain, exocrine insufficiency, and/or endocrine insufficiency. There is limited information about the dietary patterns in CP from which to guide medical nutrition therapy recommendations.
METHODS
Study design was a cross-sectional, case-control study comparing subjects with CP (n = 52) to healthy controls (n = 48). Vioscreen™ food frequency questionnaire was used to assess the dietary pattern and nutrient intake in both groups. Dietary quality scores (the Healthy Eating Index, Mediterranean Diet score), and daily energy, macronutrient, and micronutrient intake levels were compared between groups.
ANALYSIS
Two sample t tests and Wilcoxon rank sum tests were used to evaluate differences in continuous variables, and Chi-squared tests were used for categorical variables.
RESULTS
CP was associated with a lower body mass index (BMI) (24 vs. 31 mg/kg
CONCLUSIONS
The overall quality of dietary intake is lower in subjects with CP compared to controls when assessed by two independent nutritional measurement tools. Further research is needed to examine contributing factors, such as food insecurity and coexisting endocrine or exocrine insufficiency, to dietary patterns in patients with CP from which to guide evidence-based recommendations for medical nutritional therapy.
Identifiants
pubmed: 30798461
doi: 10.1007/s10620-019-05536-3
pii: 10.1007/s10620-019-05536-3
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
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