Adherence factors to the gluten-free diet in people with celiac disease in Paraguay
Introduction: The adherence to a gluten-free diet in people with celiac disease is a constant challenge for them and their family environment. Not everyone is able to adapt to the new eating style and may develop maladaptive behaviors. The objective was to evaluate the factors of adherence to the gl...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/43220 |
| Aporte de: |
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I10-R327-article-43220 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
celiac disease gluten-free diet compliance and adherence to treatment eating behavior family support enfermedad celiaca dieta sin gluten cumplimiento y adherencia al tratamiento conducta alimentaria apoyo familiar doença celíaca dieta isenta de glúten cooperação e adesão ao tratamento comportamento alimentar apoio familiar |
| spellingShingle |
celiac disease gluten-free diet compliance and adherence to treatment eating behavior family support enfermedad celiaca dieta sin gluten cumplimiento y adherencia al tratamiento conducta alimentaria apoyo familiar doença celíaca dieta isenta de glúten cooperação e adesão ao tratamento comportamento alimentar apoio familiar Real Delor, Raúl Emilio Aguilera, María Elena Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| topic_facet |
celiac disease gluten-free diet compliance and adherence to treatment eating behavior family support enfermedad celiaca dieta sin gluten cumplimiento y adherencia al tratamiento conducta alimentaria apoyo familiar doença celíaca dieta isenta de glúten cooperação e adesão ao tratamento comportamento alimentar apoio familiar |
| author |
Real Delor, Raúl Emilio Aguilera, María Elena |
| author_facet |
Real Delor, Raúl Emilio Aguilera, María Elena |
| author_sort |
Real Delor, Raúl Emilio |
| title |
Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| title_short |
Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| title_full |
Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| title_fullStr |
Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| title_full_unstemmed |
Adherence factors to the gluten-free diet in people with celiac disease in Paraguay |
| title_sort |
adherence factors to the gluten-free diet in people with celiac disease in paraguay |
| description |
Introduction: The adherence to a gluten-free diet in people with celiac disease is a constant challenge for them and their family environment. Not everyone is able to adapt to the new eating style and may develop maladaptive behaviors. The objective was to evaluate the factors of adherence to the gluten-free diet in people with celiac disease in Paraguay in 2023.
Methodology: We perform an observational, cross-sectional design in adolescent and adult subjects with celiac disease. A telematic questionnaire containing demographic and clinical data was applied. The adherence to the diet was evaluated with the Leffler questionnaire, eating attitudes and behaviors with the CD-FAB instrument, and family support with the family APGAR test. Descriptive and analytical statistics were applied with SPSS Statistics 25™ software. The research respected ethical aspects.
Results: The final sample consisted of 292 people. The median age was 33 years and predominated the female sex (85.3%). Good adherence to the gluten-free diet was detected in 151 (51.7%) people and good adaptation to it in 164 (56.2%). In 141 cases (48.3%) it was stated that they had family support. The analysis showed that prolonged time since diagnosis and having family support were significantly associated with adherence to the gluten-free diet (p <0.05).
Conclusions: In people with celiac disease, adherence to the gluten-free diet was related to a prolonged time since diagnosis and receiving family support. It is recommended to investigate the causes of maladaptive behaviors to the gluten-free diet. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/43220 |
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I10-R327-article-432202024-12-13T14:58:48Z Adherence factors to the gluten-free diet in people with celiac disease in Paraguay Factores de adherencia a la dieta sin gluten en personas con enfermedad celiaca del Paraguay Fatores de adesão à dieta sem glúten em pessoas com doença celíaca no Paraguai Real Delor, Raúl Emilio Aguilera, María Elena celiac disease gluten-free diet compliance and adherence to treatment eating behavior family support enfermedad celiaca dieta sin gluten cumplimiento y adherencia al tratamiento conducta alimentaria apoyo familiar doença celíaca dieta isenta de glúten cooperação e adesão ao tratamento comportamento alimentar apoio familiar Introduction: The adherence to a gluten-free diet in people with celiac disease is a constant challenge for them and their family environment. Not everyone is able to adapt to the new eating style and may develop maladaptive behaviors. The objective was to evaluate the factors of adherence to the gluten-free diet in people with celiac disease in Paraguay in 2023. Methodology: We perform an observational, cross-sectional design in adolescent and adult subjects with celiac disease. A telematic questionnaire containing demographic and clinical data was applied. The adherence to the diet was evaluated with the Leffler questionnaire, eating attitudes and behaviors with the CD-FAB instrument, and family support with the family APGAR test. Descriptive and analytical statistics were applied with SPSS Statistics 25™ software. The research respected ethical aspects. Results: The final sample consisted of 292 people. The median age was 33 years and predominated the female sex (85.3%). Good adherence to the gluten-free diet was detected in 151 (51.7%) people and good adaptation to it in 164 (56.2%). In 141 cases (48.3%) it was stated that they had family support. The analysis showed that prolonged time since diagnosis and having family support were significantly associated with adherence to the gluten-free diet (p <0.05). Conclusions: In people with celiac disease, adherence to the gluten-free diet was related to a prolonged time since diagnosis and receiving family support. It is recommended to investigate the causes of maladaptive behaviors to the gluten-free diet. Introducción: la adherencia a la dieta sin gluten en las personas con enfermedad celiaca es un constante desafío para los mismos y su entorno familiar. No todos logran adecuarse al nuevo estilo de alimentación y pueden desarrollar conductas desadaptativas. El objetivo fue evaluar los factores de adherencia a la dieta sin gluten en personas con enfermedad celiaca del Paraguay en 2023. Metodología: se utilizó un diseño observacional, de corte transversal, en sujetos adolescentes y adultos portadores de enfermedad celiaca. Se aplicó un cuestionario telemático que contenía datos demográficos y clínicos. Se evaluó la adherencia a la dieta con el cuestionario de Leffler, las actitudes y comportamientos alimentarios con el instrumento CD-FAB, y el apoyo familiar con la prueba de APGAR familiar. Se aplicó estadística descriptiva y analítica con el software SPSS Statistics 25™. La investigación respetó los aspectos éticos. Resultados: la muestra final se constituyó con 292 personas. La mediana de edad fue 33 años y predominó el sexo femenino (85,3%). Se detectó buena adherencia a la dieta sin gluten en 151 (51,7%) personas y buena adaptación a la misma en 164 (56,2%). En 141 casos (48,3%) se manifestó contar con apoyo familiar. El análisis demostró que el tiempo prolongado desde el diagnóstico y contar con apoyo familiar se asociaron significativamente a la adherencia a la dieta sin gluten (p <0,05). Conclusiones: en las personas con enfermedad celiaca, la adherencia a la dieta sin gluten se relacionó con un prolongado tiempo desde el diagnóstico y recibir apoyo familiar. Se recomienda investigar las causas de las conductas de mal adaptación a la dieta sin gluten. Introdução: a adesão a uma dieta isenta de glúten em pessoas com doença celíaca é um desafio constante para elas e para o seu ambiente familiar. Nem todas as pessoas conseguem se adaptar ao novo estilo alimentar e podem desenvolver comportamentos inadequados. O objetivo foi avaliar os fatores de adesão à dieta isenta de glúten em pessoas com doença celíaca no Paraguai em 2023. Metodologia: foi utilizado um desenho observacional e transversal em adolescentes e adultos com doença celíaca. Foi aplicado um questionário telemático contendo dados demográficos e clínicos. A adesão à dieta foi avaliada com o questionário Leffler, as atitudes e comportamentos alimentares com o instrumento CD-FAB e o apoio familiar com o teste APGAR familiar. A estatística descritiva e analítica foi aplicada com o software SPSS Statistics 25™. A pesquisa respeitou aspectos éticos. Resultados: a amostra final foi composta por 292 pessoas. A mediana de idade foi de 33 anos e predominou o sexo feminino (85,3%). Foi detectada boa adesão à dieta isenta de glúten em 151 (51,7%) pessoas e boa adaptação à mesma em 164 (56,2%). Em 141 casos (48,3%) foi afirmado que tinham apoio familiar. A análise mostrou que o tempo prolongado desde o diagnóstico e ter apoio familiar estiveram significativamente associados à adesão à dieta isenta de glúten (p<0,05). Conclusões: Em pessoas com doença celíaca, a adesão à dieta sem glúten foi relacionada ao tempo prolongado desde o diagnóstico e ao recebimento de apoio familiar. Recomenda-se investigar as causas dos comportamentos desadaptativos à dieta isenta de glúten. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-12-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/43220 10.31053/1853.0605.v81.n4.43220 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 4 (2024); 655-669 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 4 (2024); 655-669 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 4 (2024); 655-669 1853-0605 0014-6722 10.31053/1853.0605.v81.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/43220/47081 https://revistas.unc.edu.ar/index.php/med/article/view/43220/47090 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |