@misc{10481/78397,
year = {2022},
month = {11},
url = {https://hdl.handle.net/10481/78397},
abstract = {Maintaining a strict gluten-free diet (GFD) may affect the quality of life of children with celiac disease (CD) and promote a less healthy diet by substituting gluten-containing foods with ultra-processed foods. We aimed to assess the influences of the GFD and ultra-processed food consumption on parents' perception of the quality of life of children with CD. Fifty-eight children (mean age 8.6 +/- 4.1 years) were included. The participants were divided into groups based on the time following a GFD: <6 months (n = 18) versus >= 12 months (n = 37). Their dietary consumption was assessed through a three-day food record. The 20-item Celiac Disease Quality Of Life survey (CD-QOL), which contains four subscales (limitations, dysphoria, health concerns, and inadequate treatment) was used to assess the quality of life. The children who followed a GFD for >= 12 months presented poorer scores in the limitations subscale than those who followed a GFD for <6 months (p = 0.010). The mean % of the energy intake from ultra-processed foods was 47.3 +/- 13.5. Children with CD consuming more than 50% of their total energy from ultra-processed foods showed poorer scores for the limitation and inadequate treatment (both, p = 0.019) subscales than their counterparts. According to parents' perceptions, those children who consumed more than 50% of their energy through ultra-processed foods had more limitations, and their treatment was perceived as less effective.},
organization = {European Commission	B-AGR-658},
organization = {Association of Celiacs and Sensitive to Gluten of the Community of Madrid},
organization = {Spanish Government	FPU17/03715},
publisher = {MDPI},
keywords = {Childhood},
keywords = {Celiac},
keywords = {Diet quality},
keywords = {Energy intake},
keywords = {Fast food},
keywords = {Food processing},
keywords = {Gluten},
keywords = {Limitations},
title = {Time Following a Gluten-Free Diet, Ultra-Processed Food Consumption and Quality of Life in Children with Celiac Disease},
doi = {10.3390/app122211680},
author = {Martín Masot, Rafael and Labella, Ana and Baena García, Laura and De la Flor Alemany, Marta and López Frías, Magdalena and Maldonado Lozano, José and Nestares Pleguezuelo, María Teresa},
}