Dietary habits in Italian children with inflammatory bowel disease: A case-control multicenter study.

IBD Mediterranean diet energy intake nutrition pediatrics

Journal

Journal of pediatric gastroenterology and nutrition
ISSN: 1536-4801
Titre abrégé: J Pediatr Gastroenterol Nutr
Pays: United States
ID NLM: 8211545

Informations de publication

Date de publication:
06 Aug 2024
Historique:
revised: 24 07 2024
received: 13 06 2024
accepted: 30 07 2024
medline: 7 8 2024
pubmed: 7 8 2024
entrez: 7 8 2024
Statut: aheadofprint

Résumé

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). 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]%). 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. 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.

Identifiants

pubmed: 39108157
doi: 10.1002/jpn3.12344
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : None

Informations de copyright

© 2024 The Author(s). Journal of Pediatric Gastroenterology and Nutrition published by Wiley Periodicals LLC on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

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Auteurs

Simona Gatti (S)

Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.

Martina Vallorani (M)

Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.

Sara Quattrini (S)

Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.

Marina Aloi (M)

Department of Maternal and Child Health, Pediatric Gastroenterology and Liver Unit, Umberto I Hospital, Sapienza University of Rome, Rome, Italy.

Matteo Bramuzzo (M)

Gastroenterology, Digestive Endoscopy and Nutrition Unit, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.

Enrico Felici (E)

Pediatric and Pediatric Emergency Unit, Children Hospital, AO SS Antonio e Biagio e C. Arrigo, Alessandria, Italy.

Giovanna Zuin (G)

Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.

Giulia Naspi Catassi (GN)

Department of Maternal and Child Health, Pediatric Gastroenterology and Liver Unit, Umberto I Hospital, Sapienza University of Rome, Rome, Italy.

Federica Grazian (F)

University of Trieste, Trieste, Italy.

Benedetta Ciacchini (B)

Department of Health Science, Division of Pediatrics, University of Piemonte Orientale, Novara, Italy.

Roberto Panceri (R)

Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.

Carlo Catassi (C)

Department of Pediatrics, Polytechnic University of Marche, G. Salesi Children's Hospital, Ancona, Italy.

Classifications MeSH