Is Dietitian Use Associated with Celiac Disease Outcomes?
Abstract
:1. Introduction
2. Methods
3. Results
3.1. Patient Characteristics
n (%) | ||
---|---|---|
Total number | 413 | |
Age | ||
18–30 | 80 (19) | |
31–40 | 67 (16) | |
41–50 | 75 (18) | |
51–60 | 93 (23) | |
61–70 | 67 (16) | |
>70 | 31 (8) | |
Gender | ||
Male | 94 (23) | |
Female | 319 (77) | |
Educational level | ||
High school or less | 43 (10) | |
College | 197 (48) | |
Graduate school | 167 (40) | |
Presentation | ||
Classical | 166 (40) | |
Atypical | 204 (49) | |
None | 32 (8) | |
Years since diagnosis | ||
<1 | 55 (13) | |
1–4 | 149 (36) | |
5–10 | 115 (28) | |
>10 | 93 (23) | |
Delay to diagnosis in years | ||
<1 | 51 (12) | |
1–4 | 149 (36) | |
5–10 | 115 (28) | |
>10 | 93 (23) | |
Mean Body Mass Index | 24.1 | |
Symptoms improved on GFD | ||
Yes | 288 (70) | |
Somewhat | 73 (18) | |
No | 28 (7) | |
Filled in survey | ||
Online | 195 (47) | |
Paper | 204 (49) |
3.2. Disease Characteristics
3.3. Dietitian Use
Not seen n (%) | Seen n (%) | p | |
---|---|---|---|
Total number | 87 (100) | 326 (100) | |
Age ≥60 | 20 (23) | 78 (24) | 0.96 |
Female gender | 72 (83) | 247 (76) | 0.21 |
College educated | 75 (86) | 289 (89) | 0.53 |
Symptoms improved on GFD | 63 (72) | 225 (69) | 0.54 |
Mean BMI | 25.6 | 24.0 | 0.45 |
3.4. Quality of Life, Disease Activity, and Dietary Adherence
Not seen | Seen | p | |
---|---|---|---|
CD-QOL | 75.4 | 72.6 | 0.08 |
CSI | 33.5 | 33.3 | 0.62 |
CDAT | 12.9 | 12.1 | 0.11 |
Covariate | Low CD-QOL | High CSI | High CDAT | |||
---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | |
Seen a dietitian | 1.49 | 0.68–3.24 | 0.86 | 0.45–1.63 | 0.85 | 0.47–1.55 |
Older age (>60) | 0.60 | 0.26–1.37 | 0.35 | 0.17–0.71 | 0.53 | 0.28–1.01 |
Male gender | 1.29 | 0.61–2.72 | 1.24 | 0.58–2.64 | 0.92 | 0.48–1.77 |
College educated | 3.65 | 0.97–13.7 | 1.33 | 0.53–3.38 | 0.74 | 0.32–1.71 |
Time since diagnosis 1 | 0.38 | 0.13–1.10 | 0.34 | 0.13–0.87 | 0.48 | 0.20–1.13 |
Delayed diagnosis 1 | 3.92 | 1.45–10.63 | 2.08 | 0.98–4.41 | 1.05 | 0.53–2.07 |
Underweight vs. normal | 3.46 | 1.12–10.68 | 2.52 | 0.79–8.04 | 1.90 | 0.66–5.51 |
Overweight vs. normal | 1.31 | 0.62–2.75 | 0.60 | 0.31–1.16 | 0.66 | 0.36–1.21 |
Obese vs. normal | 0.86 | 0.33–2.23 | 0.75 | 0.32–1.76 | 0.65 | 0.29–1.46 |
4. Discussion
5. Conclusions
Acknowledgements
Conflict of Interest
References
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Mahadev, S.; Simpson, S.; Lebwohl, B.; Lewis, S.K.; Tennyson, C.A.; Green, P.H.R. Is Dietitian Use Associated with Celiac Disease Outcomes? Nutrients 2013, 5, 1585-1594. https://doi.org/10.3390/nu5051585
Mahadev S, Simpson S, Lebwohl B, Lewis SK, Tennyson CA, Green PHR. Is Dietitian Use Associated with Celiac Disease Outcomes? Nutrients. 2013; 5(5):1585-1594. https://doi.org/10.3390/nu5051585
Chicago/Turabian StyleMahadev, SriHari, Suzanne Simpson, Benjamin Lebwohl, Suzanne K. Lewis, Christina A. Tennyson, and Peter H. R. Green. 2013. "Is Dietitian Use Associated with Celiac Disease Outcomes?" Nutrients 5, no. 5: 1585-1594. https://doi.org/10.3390/nu5051585