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Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

Authors
  • Poulimeneas, Dimitrios1
  • Grammatikopoulou, Maria G.2
  • Devetzi, Panagiota2, 3
  • Petrocheilou, Argyri4
  • Kaditis, Athanasios G.4, 5
  • Papamitsou, Theodora6
  • Doudounakis, Stavros E.4
  • Vassilakou, Tonia
  • 1 Department of Nutrition and Dietetics, Harokopio University, E. Venizelou 70, GR-17671 Athens, Greece
  • 2 (P.D.)
  • 3 Faculty of Biotechnology, Universidade Católica Portuguesa, Rua de Diogo Botelho, 1327, 4169-005 Porto, Portugal
  • 4 (S.E.D.)
  • 5 Division of Pediatric Pulmonology and Sleep Disorders Laboratory, First Department of Pediatrics, National and Kapodistrian University of Athens School of Medicine and Aghia Sophia Children’s Hospital, Thivon 1, GR-11527 Athens, Greece
  • 6 Laboratory of Histology and Embryology, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, GR-54124 Thessaloniki, Greece
Type
Published Article
Journal
Nutrients
Publisher
MDPI AG
Publication Date
Oct 13, 2020
Volume
12
Issue
10
Identifiers
DOI: 10.3390/nu12103126
PMID: 33066268
PMCID: PMC7602117
Source
PubMed Central
Keywords
License
Green

Abstract

Nutrition is an important component of cystic fibrosis (CF) therapy, with a high-fat diet being the cornerstone of treatment. However, adherence to the dietary recommendations for CF appears suboptimal and burdensome for most children and adolescents with CF, leading to malnutrition, inadequate growth, compromised lung function and increased risk for respiratory infections. A cross-sectional approach was deployed to examine the degree of adherence to the nutrition recommendations and diet quality among children with CF. A total of 76 children were recruited from Aghia Sophia’s Children Hospital, in Athens, Greece. In their majority, participants attained their ideal body weight, met the recommendations for energy and fat intake, exceeding the goal for saturated fatty acids consumption. Carbohydrate and fiber intake were suboptimal and most participants exhibited low or mediocre adherence to the Mediterranean diet prototype. It appears that despite the optimal adherence to the energy and fat recommendations, there is still room for improvement concerning diet quality and fiber intake.

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