Social and Emotional Fears and Worries Influencing the Quality of Life of Female Celiac Disease Patients Following a Gluten-Free Diet
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethics Approval Statement
2.2. Participants
- -
- women;
- -
- aged ≥ 18 years old;
- -
- CD diagnosed and biopsy-confirmed by a physician;
- -
- declared regular meal preparation at home;
- -
- declared regular purchase of GF products.
- -
- any data missing in the completed QoL questionnaires;
- -
- lack of informed consent to participate.
2.3. Study Design
2.4. Statistical Analysis
3. Results
3.1. Characteristics of the Analyzed Group of Patients
3.2. Descriptive Statistics for the CDQ
3.3. Social and Emotional Fears and Worries Influencing the QoL of Female CD Patients Following a GFD
4. Discussion
4.1. The Influence of CD Duration and Gender on the QoL of Patients
4.2. The Influence of GFD Adherence and BMI on the QoL of Patients
4.3. The Influence of Sociodemographic Characteristics on the QoL of Patients
4.4. Limitations of the Study and Future Perspectives for the Research
5. Conclusions
- The economic status of a CD patient could be one of the most important factors influencing their social and emotional fears and worries.
- Although the low economic status of CD patients may lead to a lower QoL in terms of social and emotional fears and worries, it does not reduce the purchasing of GF products to improve mood.
- It may be supposed that low economic status may lead some CD patients to choose to relieve stress by purchasing GF products instead of other products.
Author Contributions
Funding
Conflicts of Interest
References
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Characteristics | Category | Number of Respondents (%) |
---|---|---|
CD duration | Over 3 years | 130 (45.0) |
Below 3 years | 138 (55.0) | |
GFD adherence 1 | 1 | 2 (0.8) |
2 | 31 (12.4) | |
3 | 26 (10.4) | |
4 | 185 (73.7) | |
0 | 7 (2.8) | |
BMI (kg/m2) 2 | <18.5—underweight | 38 (15.3) |
18.5–24.9—normal weight | 165 (66.3) | |
25–29.9—overweight | 46 (18.5) | |
Place of residence | Village | 49 (19.5) |
Town up to 100,000 residents | 72 (28.7) | |
Cities over 100,000 residents | 130 (51.8) | |
Educational level | Primary and secondary | 61 (24.3) |
Postgraduate | 57 (22.7) | |
University degree | 133 (53.0) | |
Economic status | Very bad | 5 (2.0) |
Bad | 18 (7.2) | |
Average | 119 (47.4) | |
Good | 84 (33.5) | |
Very good | 25 (10.0) |
Characteristics | Measure | Emotional (7–49) | Social (7–49) | Worries (5–35) | |
---|---|---|---|---|---|
Score | Mean ± SD | 27.2 ± 9.6 | 36.1 ± 9.7 | 19.6 ± 6.1 | |
95% CI | (26.2–28.2) | (34.9–37.3) | (19.6–20.4) | ||
Median | 26.0 1 | 38.0 1 | 19.0 1 | ||
Min–max | 7.0–49.0 | 8.0–49.0 | 6.0–35.0 | ||
25th–75th | 22–33 | 29–45 | 14–24 | ||
Data quality | Floor effect | % | 1 | 0 | 0 |
Ceiling effect | % | 1 | 20 | 2 | |
Scaling assumptions | Item internal consistency | Item-scale correlation (corrected for overlap) | 0.41–0.66 | 0.38–0.74 | 0.25–0.48 |
Pearson item-scale correlation ≥ 30% 2 | 100% | 100% | 80% | ||
Internal consistency reliability | Cronbach’s alpha | 0.88 | 0.88 | 0.74 |
Categories | Mean ± SD | Median (min–max) | p-Value 1 | |
---|---|---|---|---|
CD duration | Over 3 years | 27.1 ± 7.8 | 27.0 (7.0–47.0) | 0.8851 |
Below 3 years | 27.2 ± 8.3 | 26.0 (11.0–49.0) | ||
GFD adherence 3 | 1 | 26.0 ± 1.4 | 26.0 (25.0–27.0) 2 | 0.6714 |
2 | 27.1 ± 8.5 | 24.5 (18.0–48.0) 2 | ||
3 | 25.2 ± 6.9 | 23.0 (14.0–42.0) | ||
4 | 27.5 ± 8.2 | 27.0 (7.0–49.0) | ||
0 | 23.6 ± 7.0 | 22.0 (15.0–35.0) | ||
BMI category | Underweight | 25.7 ± 9.0 | 25.0 (7.0–43.0) | 0.5127 |
Normal weight | 27.3 ± 8.1 | 27.0 (11.0–49.0) 2 | ||
Overweight | 27.8 ± 7.2 | 27.0 (14.0–48.0) | ||
Place of residence | Village | 28.5 ± 6.7 | 29.0 (13.0–49.0) | 0.5299 |
Town up to 100,000 residents | 26.2 ± 9.1 | 23.5 (7.0–48.0) | ||
Town over 100,000 residents | 27.2 ± 7.9 | 26.0 (11.0–46.0) | ||
Educational level | Primary and Secondary | 25.1 ± 7.6 | 23.0 (7.0–43.0) 2 | 0.0594 |
Postgraduate | 25.9 ± 8.0 | 25.0 (11.0–48.0) | ||
University degree | 28.6 ± 8.1 | 28.0 (11.0–49.0) | ||
Economic status | Very bad and bad | 21.5 ± 7.3 | 21.0 (11.0–42.0) 2 | 0.0015 |
Average | 26.5 ± 7.8 | 25.0 (7.0–49.0) | ||
Good and very good | 29.1 ± 7.8 | 28.0 (13.0–46.0) |
Categories | Mean ± SD | Median (min–max) | p-Value 1 | |
---|---|---|---|---|
CD duration | Over 3 years | 35.2 ± 9.6 | 36.0 (8.0–49.0) 2 | 0.2012 |
Below 3 years | 36.9 ± 9.7 | 39.0 (14.0–49.0) 2 | ||
GFD adherence 3 | 1 | 36.5 ± 14.9 | 36.0 (26.0–47.0) 2 | 0.2526 |
2 | 38.1 ± 9.6 | 41.0 (14.0–49.0) 2 | ||
3 | 34.8 ± 10.8 | 37.0 (14.0–49.0) | ||
4 | 36.2 ± 9.5 | 38.0 (8.0–49.0) | ||
0 | 30.3 ± 10.4 | 27.0 (17.0–46.0) | ||
BMI category | Underweight | 35.9 ± 10.8 | 38.5 (8.0–49.0) 2 | 0.5055 |
Normal weight | 36.5 ± 9.1 | 38.0 (14.0–49.0) 2 | ||
Overweight | 35.1 ± 11.0 | 39.0 (11.0–49.0) 2 | ||
Place of residence | Village | 37.4 ± 9.1 | 40.5 (17.0–49.0) 2 | 0.2662 |
Town up to 100,000 residents | 34.2 ± 9.5 | 33.0 (15.0–49.0) 2 | ||
Town over 100,000 residents | 36.7 ± 9.9 | 39.0 (8.0–49.0) 2 | ||
Educational level | Primary and Secondary | 33.9 ± 10.6 | 33.0 (8.0–49.0) 2 | 0.3328 |
Postgraduate | 35.8 ± 9.4 | 39.0 (11.0–49.0) 2 | ||
University degree | 37.3 ± 9.3 | 39.0 (14.0–49.0) 2 | ||
Economic status | Very bad and bad | 28.9 ± 11.2 | 27.0 (8.0–48.0) | 0.0023 |
Average | 35.7 ± 9.6 | 37.0 (11.0–49.0) 2 | ||
Good and very good | 38.2 ± 8.7 | 40.0 (16.0–49.0) 2 |
Categories | Mean ± SD | Median (min–max) | p-Value 1 | |
---|---|---|---|---|
CD duration | Over 3 years | 19.1 ± 6.5 | 18.0 (7.0–35.0) 2 | 0.3352 |
Below 3 years | 20.0 ± 6.7 | 20.0 (6.0–35.0) 2 | ||
GFD adherence 3 | 1 | 18.0 ± 2.8 | 18.0 (16.0–20.0) 2 | 0.2462 |
2 | 21.0 ± 7.1 | 21.0 (8.0–34.0) 2 | ||
3 | 19.1 ± 7.7 | 18.0 (8.0–34.0) | ||
4 | 19.7 ± 6.3 | 19.0 (7.0–35.0) | ||
0 | 14.3 ± 8.9 | 13.0 (6.0–33.0) 2 | ||
BMI category | Underweight | 19.8 ± 7.0 | 19.0 (8.0–35.0) | 0.7485 |
Normal weight | 19.6 ± 6.4 | 19.0 (6.0–35.0) 2 | ||
Overweight | 19.5 ± 7.2 | 20.0 (7.0–33.0) | ||
Place of residence | Village | 20.2 ± 7.2 | 20.0 (8.0–35.0) | 0.0816 |
Town up to 100,000 residents | 18.1 ± 6.0 | 18.0 (6.0–33.0) | ||
Town over 100,000 residents | 20.2 ± 6.6 | 20.0 (7.0–35.0) | ||
Educational level | Primary and Secondary | 18.7 ± 6.9 | 17.5 (8.0–35.0) 2 | 0.7919 |
Postgraduate | 19.7 ± 6.4 | 20.0 (6.0–34.0) | ||
University degree | 19.9 ± 6.6 | 19.0 (8.0–35.0) 2 | ||
Economic status | Very bad and bad | 14.8 ± 5.1 | 15.0 (6.0–24.0) | 0.0015 |
Average | 19.3 ± 6.7 | 19.0 (7.0–34.0) 2 | ||
Good and very good | 20.9 ± 6.3 | 21.0 (8.0–35.0) |
Categories | Mean ± SD 4 | Median (Min–Max) | p-Value 1 | |
---|---|---|---|---|
CD duration | Over 3 years | 4.2 ± 1.8 | 3.0 (1.0–7.0) 2 | 0.7272 |
Below 3 years | 4.2 ± 1.9 | 4.0 (1.0–7.0) 2 | ||
GFD adherence 3 | 1 | 5.0 ± 0.0 | 5.0 (5.0–5.0) 2 | 0.1981 |
2 | 4.8 ± 1.8 | 5.5 (2.0–7.0) 2 | ||
3 | 3.9 ± 1.9 | 3.0 (1.0–7.0) 2 | ||
4 | 4.2 ± 1.9 | 4.0 (1.0–7.0) 2 | ||
0 | 3.1 ± 1.8 | 3.0 (2.0–7.0) 2 | ||
BMI category | Underweight | 4.4 ± 2.0 | 4.0 (1.0–7.0) 2 | 0.3959 |
Normal weight | 4.2 ± 1.9 | 4.0 (1.0–7.0) 2 | ||
Overweight | 4.0 ± 1.9 | 3.0 (1.0–7.0) 2 | ||
Place of residence | Village | 4.4 ± 1.9 | 4.0 (1.0–7.0) 2 | 0.2567 |
Town up to 100,000 residents | 3.9 ± 1.8 | 3.0 (1.0–7.0) 2 | ||
Town over 100,000 residents | 4.3 ± 1.9 | 4.0 (1.0–7.0) 2 | ||
Educational level | Primary and Secondary | 4.4 ± 1.8 | 4.0 (1.0–7.0) 2 | 0.4635 |
Postgraduate | 3.9 ± 1.7 | 3.0 (1.0–7.0) 2 | ||
University degree | 4.2 ± 2.0 | 4.0 (1.0–7.0) 2 | ||
Economic status | Very bad and bad | 3.2 ± 1.7 | 3.0 (1.0–6.0) 2 | 0.0029 |
Average | 4.0 ± 1.8 | 3.0 (1.0–7.0) 2 | ||
Good and very good | 4.6 ± 1.9 | 5.0 (1.0–7.0) 2 |
Categories | Mean ± SD 4 | Median (min–max) | p-Value 1 | |
---|---|---|---|---|
CD duration | Over 3 years | 3.9 ± 1.5 | 4.0 (1.0–7.0) 2 | 0.7936 |
Below 3 years | 3.9 ± 1.7 | 3.0 (1.0–7.0) 2 | ||
GFD adherence 3 | 1 | 5.0 ± 0.0 | 5.0 (5.0–5.0) 2 | 0.2695 |
2 | 3.9 ± 1.6 | 3.5 (1.0–7.0) 2 | ||
3 | 3.3 ± 1.4 | 3.0 (1.0–7.0) 2 | ||
4 | 4.1 ± 1.7 | 4.0 (1.0–7.0) 2 | ||
0 | 3.1 ± 1.4 | 3.0 (2.0–6.0) 2 | ||
BMI category | Underweight | 4.1 ± 1.8 | 4.0 (1.0–7.0) 2 | 0.5132 |
Normal weight | 4.0 ± 1.6 | 3.0 (1.0–7.0) 2 | ||
Overweight | 3.7 ± 1.6 | 3.0 (1.0–7.0) 2 | ||
Place of residence | Village | 4.4 ± 1.7 | 4.0 (1.0–7.0) 2 | 0.0847 |
Town up to 100,000 residents | 4.0 ± 1.6 | 3.0 (1.0–7.0) 2 | ||
Town over 100,000 residents | 3.8 ± 1.6 | 3.0 (1.0–7.0) 2 | ||
Educational level | Primary and Secondary | 4.1 ± 1.6 | 3.5 (1.0–7.0) 2 | 0.3801 |
Postgraduate | 3.6 ± 1.7 | 3.0 (1.0–7.0) 2 | ||
University degree | 4.0 ± 1.6 | 4.0 (1.0–7.0) 2 | ||
Economic status | Very bad and bad | 3.2 ± 1.2 | 3.0 (1.0–7.0) 2 | 0.0605 |
Average | 3.8 ± 1.6 | 3.0 (1.0–7.0) 2 | ||
Good and very good | 4.2 ± 1.7 | 4.0 (1.0–7.0) 2 |
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Zysk, W.; Głąbska, D.; Guzek, D. Social and Emotional Fears and Worries Influencing the Quality of Life of Female Celiac Disease Patients Following a Gluten-Free Diet. Nutrients 2018, 10, 1414. https://doi.org/10.3390/nu10101414
Zysk W, Głąbska D, Guzek D. Social and Emotional Fears and Worries Influencing the Quality of Life of Female Celiac Disease Patients Following a Gluten-Free Diet. Nutrients. 2018; 10(10):1414. https://doi.org/10.3390/nu10101414
Chicago/Turabian StyleZysk, Wioleta, Dominika Głąbska, and Dominika Guzek. 2018. "Social and Emotional Fears and Worries Influencing the Quality of Life of Female Celiac Disease Patients Following a Gluten-Free Diet" Nutrients 10, no. 10: 1414. https://doi.org/10.3390/nu10101414