{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:02:01Z","timestamp":1773921721777,"version":"3.50.1"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rocz Panstw Zakl Hig"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>Background.<\/strong> Celiac disease is an autoimmune disease that affects about 1% of the European population and 0.3\u20131.3% of\u00a0the world\u2019s population. The only method of treatment is introduction of a gluten-free diet.<br \/><strong>Objective.<\/strong> The aim of the study was to assess the nutrition of adolescents with celiac disease and to assess their nutritional status.<br \/><strong>Materials and methods.<\/strong> The study group comprised 24 patients with diagnosed celiac disease. The diagnosis was based on biopsy,\u00a0serological tests and, in some cases, genetic tests. Anthropometric measurements included height, which was respectively 161.9\u00a0\u00b112.43 cm in boys and 163.6 \u00b19.03 cm in girls, and body weight oscillating between 56.55 \u00b116.24 kg for boys and 52.62 \u00b110.92 kg\u00a0for girls. To assess the way of nutrition used an individually prepared questionnaire including an interview from the last 24 h. The\u00a0menus were analyzed using the Dieta 5d program. The statistical analysis of the data was made using Statistica 12 program.<br \/><strong>Results.<\/strong> Gluten-free diet contributes to the occurrence of caloric deficiencies up to 36%. It was found inadequate intake\u00a0of dietary fiber, for girls 15.45 \u00b19.84 g and 14.41 \u00b14.73 g for boys. It has been observed too low intake of ingredients such\u00a0as calcium (565.65 \u00b1347.41 mg), magnesium (223.41 \u00b173.84 mg), vitamin D (1.34 \u00b11.28 \u03bcg) and E (5.05 \u00b12.32 mg) as\u00a0well as potassium (2848.67 \u00b11132.07 mg), iron (7.62 \u00b12.05 mg), zinc (7.11 \u00b12.41 mg) and thiamine (0.87 \u00b10.38 mg). The\u00a0ingredients such as riboflavin, niacin, pyridoxine, cobalamin, and vitamins C and A were consumed in the right amount.<br \/><strong>Conclusions.<\/strong> Incorrectly used gluten-free diet may contribute to the recurrence of the disease. Chronic inadequate intake\u00a0of fiber can lead to constipation. A deficiency of many nutrients can result in impaired development of the young organism\u00a0such as anemia, growth retardation or osteoporosis.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>Wprowadzenie.<\/strong> Celiakia nale\u017cy do chor\u00f3b autoimmunologicznych, kt\u00f3ra dotyka ok. 1% populacji Europy oraz 0,3\u20131,3%\u00a0populacji \u015bwiatowej. Jedyn\u0105 metod\u0105 leczenia jest zastosowanie diety bezglutenowej.<br \/><strong>Cel.<\/strong> Celem badania by\u0142a ocena sposobu \u017cywienia nastolatk\u00f3w z chorob\u0105 trzewn\u0105 oraz ocena ich stanu od\u017cywienia.<br \/><strong>Materia\u0142y i metody.<\/strong> Grup\u0119 badan\u0105 stanowi\u0142o 24 pacjent\u00f3w ze zdiagnozowan\u0105 chorob\u0105 trzewn\u0105. Diagnoz\u0119 postawiono na\u00a0podstawie biopsji, bada\u0144 serologicznych oraz w niekt\u00f3rych przypadkach bada\u0144 genetycznych. Pomiary antropometryczne\u00a0obejmowa\u0142y wzrost, kt\u00f3ry wynosi\u0142 odpowiednio 161,9 \u00b112,43 cm u ch\u0142opc\u00f3w oraz 163,6 \u00b19,03 cm u dziewcz\u0105t a tak\u017ce\u00a0mas\u0119 cia\u0142a oscyluj\u0105c\u0105 pomi\u0119dzy 56,55 \u00b116,24 kg u ch\u0142opc\u00f3w oraz 52,62 \u00b110,92 kg u dziewcz\u0105t. Do oceny sposobu \u017cywienia\u00a0wykorzystano indywidulanie przygotowan\u0105 ankiet\u0119 obejmuj\u0105c\u0105 wywiad z ostatnich 24 godzin. Jad\u0142ospisy analizowano za\u00a0pomoc\u0105 programu dietetycznego Dieta 5d. Analiz\u0119 statystyczn\u0105 wykonano w programie Statistica 12.<br \/><strong>Wyniki.<\/strong> Dieta bezglutenowa wprowadza\u0142a niedobory kaloryczne si\u0119gaj\u0105ce nawet 36%. Stwierdzono niedostateczne spo\u017cycie b\u0142onnika\u00a0pokarmowego wynosz\u0105ce dla dziewcz\u0105t 15,45 \u00b19,84 g oraz 14,41 \u00b14,73 g dla ch\u0142opc\u00f3w. Zaobserwowano zbyt niskie spo\u017cycie\u00a0wapnia (565,65 \u00b1347,41 mg), magnezu (223,41 \u00b173,84 mg), witamin D (1,34 \u00b11,28 \u03bcg) i E (5,05 \u00b12,32 mg) oraz kwasu foliowego\u00a0(190,8 \u00b169,91 \u03bcg) a tak\u017ce potasu (2848,67 \u00b11132,07 mg), \u017celaza (7,62 \u00b12,05 mg), cynku (7,11 \u00b12,41 mg) i tiaminy (0,87 \u00b10,38 mg).<br \/>W odpowiedniej ilo\u015bci by\u0142y spo\u017cywane takie sk\u0142adniki jak ryboflawina, niacyna, pirydoksyna, kobalamina oraz witaminy C i A.<br \/><strong>Wnioski.<\/strong> Nieprawid\u0142owo prowadzona dieta bezglutenowa mo\u017ce przyczyni\u0107 si\u0119 do wyst\u0105pienia nawrot\u00f3w choroby. Przewlek\u0142e\u00a0niedostateczne spo\u017cycie b\u0142onnika mo\u017ce prowadzi\u0107 do wyst\u0105pienia zapar\u0107. Nale\u017ca\u0142oby wdro\u017cy\u0107 suplementacj\u0119 witaminy D, wapnia\u00a0oraz magnezu a tak\u017ce wzbogaci\u0107 diet\u0119 w foliany oraz witamin\u0119 E a tak\u017ce potas, \u017celazo i cynk. Niedob\u00f3r wielu sk\u0142adnik\u00f3w od\u017cywczych\u00a0mo\u017ce skutkowa\u0107 zaburzeniami rozwoju m\u0142odego organizmu takim jak niedokrwisto\u015b\u0107, zatrzymanie wzrostu czy osteoporoza.<\/p><\/jats:p>","DOI":"10.32394\/rpzh.2019.0084","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T07:13:13Z","timestamp":1579590793000},"page":"359-367","source":"Crossref","is-referenced-by-count":9,"title":["Quantitative assessment of nutrition and nutritional status of patients with celiac disease aged 13\u201318"],"prefix":"10.32394","volume":"70","author":[{"given":"Justyna","family":"Kikut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Konecka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u0142gorzata","family":"Szczuko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2019,12,31]]},"container-title":["Roczniki Pa\u0144stwowego Zak\u0142adu Higieny"],"original-title":[],"link":[{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182583-103079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182583-103079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T11:11:37Z","timestamp":1768475497000},"score":1,"resource":{"primary":{"URL":"https:\/\/roczniki.pzh.gov.pl\/Quantitative-assessment-of-nutrition-and-nutritional-status-of-patients-with-celiac,182583,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,31]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"alternative-id":["182583"],"URL":"https:\/\/doi.org\/10.32394\/rpzh.2019.0084","relation":{},"ISSN":["0035-7715","2451-2311"],"issn-type":[{"value":"0035-7715","type":"print"},{"value":"2451-2311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,31]]}}}