Journal of the Academy of Nutrition and Dietetics
ResearchOriginal Research: BriefEvaluation of a Modified Italian European Prospective Investigation into Cancer and Nutrition Food Frequency Questionnaire for Individuals with Celiac Disease
Section snippets
Participants and Study Design
Participants were recruited from among the patients referred to the Center of Prevention and Diagnosis of Celiac Disease at the IRCCS Cà Granda Foundation, Policlinico Hospital, Milan. The exclusion criteria were diagnosis of CD <2 years before, age younger than 18 years or older than 70 years, metabolic or chronic disease (eg, diabetes mellitus, Crohn's disease, cardiovascular and neurovascular diseases, cancer, neurodegenerative diseases, and rheumatoid arthritis), pregnancy or lactation, or
Results
Of the 200 participants enrolled in the study, 66 communicated to study investigators either orally or in writing that they no longer wanted to participate. Twenty-seven of the remaining 134 participants did not mail back their food records, and 107 completed both the FFQ and the 7-day weighed food record. Of these, seven were excluded from the study because of reported implausible extreme values of the ratio of total energy intake to basal metabolic rate.
The final dataset included 100
Discussion
In the present study, the ability of the modified EPIC FFQ to assess the dietary habits of individuals with CD was evaluated relative to a 7-day weighed food record. Based on the correlation coefficients, the modified EPIC FFQ correctly classified individuals with CD according to the distribution of intake of some nutrients and most food groups. The coefficient values observed in the present study were comparable to those observed in the previous validation study evaluating the FFQ performance
Conclusions
The EPIC FFQ, primarily designed for general populations and then revised with specific products, demonstrated moderate congruence with a weighed food record in ranking individuals by dietary intakes, particularly food groups. Consequently, this modified EPIC FFQ might be a useful instrument for assessing the dietary intake in the Italian population with CD. The present evaluation of this tool will allow for extending research on the dietary habits of individuals with CD from nutritional
T. Mazzeo is a postdoctoral researcher, Human Nutrition Unit, Department of Food Science, University of Parma, Parma, Italy.
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Nutrition Assessment, Interventions, and Monitoring for Patients with Celiac Disease: An Evidence Analysis Center Scoping Review
2020, Journal of the Academy of Nutrition and DieteticsCitation Excerpt :The three most recent guidelines were published by the National Institute for Health and Care Excellence (2015),5 Indian Council of Medical Research (2016),4 and World Gastroenterology Organisation (2017).2 Nine observational studies26-34 focused on assessment; four26,27,31,34 in adults, three31-33 in pediatrics, and two29,30 in both age groups. While six of the included assessment studies26-29,33,34 aimed to evaluate gluten-free diet adherence, the instruments that were examined varied.
Management of celiac disease in daily clinical practice
2019, European Journal of Internal MedicineAre the dietary habits of treated individuals with celiac disease adherent to a Mediterranean diet?
2018, Nutrition, Metabolism and Cardiovascular DiseasesCitation Excerpt :All individuals were recruited between October 2013 and August 2014, and the data were collected during the same period. The enrollment process of individuals with CD has been previously described [10]. Of the 220 healthy participants who expressed interest in the study, 190 were eligible for the study and invited to participate.
Nomenclature and diagnosis of gluten-related disorders: A position statement by the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO)
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T. Mazzeo is a postdoctoral researcher, Human Nutrition Unit, Department of Food Science, University of Parma, Parma, Italy.
F. Brighenti is a full professor, Human Nutrition Unit, Department of Food Science, University of Parma, Parma, Italy.
N. Pellegrini is an associate professor, Human Nutrition Unit, Department of Food Science, University of Parma, Parma, Italy.
L. Roncoroni is a researcher and nutritionist, Center for Prevention and Diagnosis of Celiac Disease, IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy, and Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
V. Lombardo is a scholarship holder, Center for Prevention and Diagnosis of Celiac Disease, University of Milan, Fondazione IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy.
C. Tomba is a researcher in gastroenterology, Center for Prevention and Diagnosis of Celiac Disease, University of Milan, Fondazione IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy.
L. Elli is a gastroenterologist, Center for Prevention and Diagnosis of Celiac Disease, University of Milan, Fondazione IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy.
C. Agostoni is a full professor of pediatrics, Department of Clinical Sciences and Community Health, University of Milan, Fondazione IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy.
S. Sieri is a senior researcher in nutritional epidemiology, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
S. Grioni is a research associate in nutritional epidemiology, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
M. T. Bardella is a consultant gastroenterologist, Center for Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, IRCCS Cà Granda Foundation, Ospedale Maggiore Policlinico, Milan, Italy.
L. Doneda is an associate professor in applied biology, Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This work has been partly supported by Dr. Schär GmbH/Srl. Dr. Schär GmbH/Srl had no role in the design, analysis, and writing of this article.
The study was registered at ClinicalTrials.gov (ID NCT01975155).