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Nutrition Assessment, Interventions, and Monitoring for Patients with Celiac Disease: An Evidence Analysis Center Scoping Review
Journal of the Academy of Nutrition and Dietetics ( IF 3.5 ) Pub Date : 2020-08-01 , DOI: 10.1016/j.jand.2019.09.019
Feon W. Cheng , Deepa Handu

The objectives of this scoping review were to identify and characterize studies examining nutrition assessment, interventions, and measures to monitor gluten-free diet (GFD) adherence/compliance in patients with celiac disease (CD). An electronic literature search of four databases (Cochrane Database for systematic reviews, CINAHL, Embase, and Ovid MEDLINE) was conducted to identify articles examining nutrition care in CD individuals. Except for narrative review, grey literature, and case study/report, all types of peer-reviewed articles published between January 2007 and August 2018 were eligible. There were a total of 10,823 records; 10,368 were excluded during the first round of screening due to irrelevancy and/or duplication. Of the 455 full-text articles that were assessed, 292 met the criteria and were included. Most of the studies were observational studies (n=212), followed by experimental trials (n=50), evidence-based practice guideline (EBPG)/report/statement (n=16), and systematic review (SR) (n=14). Nine original studies examined assessment, focusing mainly on different tools/ways to assess GFD adherence. The majority of the included original articles (n=235) were in the nutrition intervention category with GFD, oats, and prebiotics/probiotics as the top-three most studied interventions. There were eight SRs on GFD and five on oats. One SR and 21 original studies investigated the effectiveness of different measures to monitor GFD adherence/compliance. Although recent CD EBPGs were identified, different methods with varying levels of rigor, in terms of literature search and assessment of evidence strength, were used. Based on this scoping review, interventions focused on gluten-free diet and oats have been significantly covered by either SRs or EBPGs. Studies related to prebiotics/probiotics and education program/counseling focused interventions, as well as assessment, in CD patients have increased in recent years. Thus, it might be beneficial to conduct SRs/EBPGs focused on these topics to guide practitioners.

中文翻译:

乳糜泻患者的营养评估、干预和监测:证据分析中心范围审查

本范围审查的目的是确定和描述研究营养评估、干预措施和措施的研究,以监测乳糜泻 (CD) 患者的无麸质饮食 (GFD) 依从性/依从性。对四个数据库(用于系统评价的 Cochrane 数据库、CINAHL、Embase 和 Ovid MEDLINE)进行了电子文献检索,以确定研究 CD 患者营养保健的文章。除叙述性评论、灰色文献和案例研究/报告外,2007 年 1 月至 2018 年 8 月期间发表的所有类型的同行评审文章均符合条件。共有 10,823 条记录;由于不相关和/或重复,在第一轮筛选中排除了 10,368 人。在评估的 455 篇全文文章中,292 篇符合标准并被纳入。大多数研究是观察性研究 (n=212),其次是实验性试验 (n=50)、循证实践指南 (EBPG)/报告/声明 (n=16) 和系统评价 (SR) (n= 14)。九项原始研究审查了评估,主要侧重于评估 GFD 依从性的不同工具/方法。大多数纳入的原始文章 (n=235) 属于营养干预类别,其中 GFD、燕麦和益生元/益生菌是研究最多的前三大干预措施。GFD 有 8 个 SR,燕麦有 5 个。一项 SR 和 21 项原始研究调查了监测 GFD 依从性/依从性的不同措施的有效性。尽管确定了最近的 CD EBPG,但在文献搜索和证据强度评估方面使用了不同严格程度的不同方法。基于此范围界定审查,SRs 或 EBPGs 已经大量涵盖了专注于无麸质饮食和燕麦的干预措施。近年来,与益生元/益生菌和教育计划/咨询重点干预措施以及 CD 患者评估相关的研究有所增加。因此,开展专注于这些主题的 SR/EBPG 以指导从业者可能是有益的。
更新日期:2020-08-01
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