PhD Scientific Days 2019

Budapest, April 25–26, 2019

Celiac disease: complex patient care

Dakó, Eszter

Eszter Dakó 1, Veronika Papp dr. 2, Sarolta Dakó 2, Márk Juhász dr. 3, Erzsébet Pálfi dr. 4

1 Semmelweis University, Doctoral School of Pathological Sciences, Budapest
2 Semmelweis University, II. Department of Internal Medicine, Budapest
3 Szent Margit Hospital, Budapest
4 Semmelweis University, Faculty of Health Sciences, Institute of Applied Health Sciences, Department of Dietetics and Nutrition Sciences, Budapest

Language of the presentation

Hungarian

Text of the abstract

Introduction
The physician and the dietitian are responsible for the prevention of complications, improving adherence and quality of celiac patients’ life.
Developing a healthy diet is clearly a dietetic competency, and it is essential to achieving these goals.
Despite all that, the importance of dietetic intervention in the care of adult celiac patients is not fully understood.

Aims
Our aim is to monitoring of body composition, eating habits, adherence, and quality of life of adult celiac patients.
Our additional purpose is to draw attention to the fact that adult patients also need regular medical and dietary control.

Method
The body composition of the patients is measured with InBody 770 body composition analyser, and the serum tissue transglutaminase antibodies and quality of life are monitored in our prospective study.
We also measure the quality of the diet and adherence.

Results
The result of nutrition assessment shows excessive protein (17 ± 2,7 en%) and fat (37,1 ± 5,1 en%) intake, and insufficient dietary carbohydrate (44,6 ± 5,0 en%) in the sample.
The dietary fiber intake (22 ± 6 g/day) lags behind the recommendation (25-30 g/day) and the intake of the Hungarian adult population (23 ± 3 g/day).
The patients' body composition is not optimal.
The average fat-free body mass index of women is 15,9 ± 1,2 kg/m2, it’s hardly exceeding the cut-off limit of sarcopenia (≤ 15 kg/m2).
Patients with negative and positive serology are separately analysed.
While the percentage of body fat in women with negative serology is appropriate for their age (23,6% ± 10,8, normal: 21-27%), the seropositive group is in the overweight category (29,2 % ± 6,0, normal: 20-26%).

Conclusion
An inadequate diet, which is common among celiac patients, can cause abnormal body composition.
The solution would be complex care with the collaboration of the gastroenterologist, dietitian, and patient.

Data of the presenter

Doctoral School: Pathological Sciences
Program: Health Sciences
Supervisor: Erzsébet Pálfi
E-mail address: dakoeszter7@gmail.com