Evaluation of nutritional characteristics with mediterranean diet in celiac patients

Aim: Celiac disease is an autoimmune small intestinal disease that can be diagnosed in all age groups, where nutrition has an absolute place in the prognosis of the disease and requires a lifelong diet. The aim of our study is to evaluate the adaptation of celiac patients to Mediterranean diet. Materyal and Methods: Our study was designed prospectively; The study included 60 patients aged between 7-18 years who were followed-up with the diagnosis of celiac in Ege University Medical Faculty Hospital Pediatric Gastroenterology outpatient clinic between December 2016 and November 2018, and between the ages of 7-18 years who admitted to the General Pediatric Polyclinic of Ege University Medical Faculty Hospital. The control group consisted of 100 patients with no accompanying chronic disease. Age, gender, height and weight SDS of all cases were evaluated. Also; KIDMED index of two groups was examined and body fat analysis was performed with TANITA SC-330. KIDMED index (Mediterranean Diet Quality Index); It is evaluated with a questionnaire consisting of 16 questions containing the characteristics of the Mediterranean diet. There are questions about the frequency of consumption of milk and milk products, the consumption of fruits and vegetables, the frequency of fast-food consumption, the consumption of olive oil and the consumption of fish. The results of the questionnaire were evaluated as ≥8 points good fit, 4-7 points medium (development required), uyum 3 points poor diet quality. Results: 70% of the patient group is female and 30% is male; 55% of the control group was female and 45% was male. The median age of the patient group was 12.55 (7.06 / 18.04) and the control group was 14.15 (7.56 / 17.98). When the weight, height and total body fat values of the patient group and control group were compared, it was found that the values of the patient group were statistically significantly lower. While KIDMED index result of 29% of the control group was consistent with poor diet quality, this rate was 13.3% in the patient group (p = 0.034). When the patients were divided into two groups as ın11 and> 11 according to the age group, it was seen that the ones with good KIDMED index were significantly higher in the age group> 11 years. vi Discussion: In this study, it is observed that the adaptation of the celiacs to the Mediterranean diet increases as the age increases. Due to the small number of patients, a larger patient group is needed to support this result. Key words: Celiac disease, Mediterranean diet, KIDMED