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Medicinski časopis
2017, vol. 51, br. 3, str. 79-84
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.5937/mckg51-15886


Uticaj socioekonomskog statusa porodica u Srbiji u kojima žive deca sa celijakijom na uspeh dijete bez glutena
aSchool of Applied Health Sciences, Belgrade
bUniverzitet u Kragujevcu, Medicinski fakultet
cUniverzitet u Beogradu, Medicinski fakultet, Univerzitetska dečija klinika
dUniverzitet u Beogradu, Medicinski fakultet, Institut za zdravstvenu zaštitu majke i deteta Republike Srbije 'Dr Vukan Čupić'
eUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pediatrics, Kragujevac

e-adresa: biljananstojanovic@gmail.com

Sažetak

Cilj istraživanja. Utvrditi ulogu koju socioekonomske karakteristike porodica dece sa celijakijom u Srbiji (nivo obrazovanja, zaposlenost, broj članova porodice, mesečni porodični prihod) imaju na rezultat uspeha terapije ishranom bez glutena, koji se meri serološkim testovima tTG . Metode. Istraživanjem je obuhvaćen uzorak od N = 116 roditelja i isto toliko dece i adolescenata N = 116 s dijagnozom celijakije, koji su na bezglutenskoj ishrani minimum godinu dana. Deca su uzrasta 5-18 godina. Mesto istraživanja su Univerzitetska dečja klinika u Beogradu i Institut za zdravstvenu zaštitu majke i deteta Srbije 'Dr Vukan Čupić', na Novom Beogradu. Vreme istraživanja obuhvata period od 1. aprila do 31. decembra 2016. godine. Korišćeni instrumenti istraživanja su Upitnik o socioekonomskim karakteristikama ispitanika i Dokumentacioni list, oba konstruisana za potrebe ovog istraživanja. Rezultati. Rezultati istraživanja pokazuju da je prosečna starost majki ispitivane dece 39,6 godina, a očeva 43,4 godine. Srednju stručnu spremu ima 58% (116) roditelja. Stalni radni odnos nema 46,55% majki i 35,34% očeva dece sa celijakijom. U braku je 82,76% roditelja. Porodice su najčešće četvoročlane. Visinu prihoda u odnosu na specifične potrebe 51% roditelja procenjuju kao vrlo loše i loše. Serološki testovi provere uspeha terapije bili su pozitivni kod 25,86% (30/116) dece. Zaključak. Nezadovoljavajući uspeh terapije dijetom bez glutena dece i adolescenata sa celijakijom ukazuje na veliki uticaj lošeg socioekonomekog statusa porodica u kojima žive. Uzimajući u obzir sve teškoće u sprovođenju bezglutenske ishrane dece u Srbiji, postaje jasno da je neophodno angažovanje i društva, a ne samo članova njihovih porodica.

Ključne reči

celijakija; dete; bezglutenska ishrana

Reference

*** (2016) Kako žive oboleli od celijakije u Srbiji. https://www.google.rs/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&cad
Addolorato, G., de Lorenzi, G., Abenavoli, L., Leggio, L., Capristo, E., Gasbarrini, G. (2004) Psychological support counselling improves gluten-free diet compliance in coeliac patients with affective disorders. Alimentary Pharmacology and Therapeutics, 20(7): 777-782
Altobelli, E., Paduano, R., Gentile, T., Caloisi, C., Marziliano, C., Necozione, S., di Orio, F. (2013) Health-related quality of life in children and adolescents with celiac disease: survey of a population from central Italy. Health and Quality of Life Outcomes, 11(1): 204
Araújo, H.M.C., Araújo, W.M.C. (2011) Coeliac disease. Following the diet and eating habits of participating individuals in the Federal District, Brazil. Appetite, 57(1): 105-109
Bacigalupe, G., Plocha, A. (2015) Celiac is a social disease: Family challenges and strategies. Families, Systems, & Health, 33(1): 46-54
Biagetti, C., Gesuita, R., Gatti, S., Catassi, C. (2015) Quality of life in children with celiac disease: A paediatric cross-sectional study. Digestive and Liver Disease, 47(11): 927-932
Black, J. L., Orfila, C. (2011) Impact of coeliac disease on dietary habits and quality of life. Journal of Human Nutrition and Dietetics, 24(6): 582-587
Chauhan, J. C., Kumar, P., Dutta, A. K., Basu, S., Kumar, A. (2010) Assessment of dietary compliance to Gluten Free Diet and psychosocial problems in Indian children with celiac disease. Indian Journal of Pediatrics, 77(6): 649-654
Ciacci, C., Iavarone, A., Siniscalchi, M., Romano, R., Rosa, A.D. (2002) Psychological dimensions of celiac disease. Digestive Diseases and Sciences, 47(9): 2082-2087
di Filippo, T., Orlando, M., Concialdi, G., i dr. (2013) The quality of life in developing age children with celiac disease. Minerva Pediatr, 65: 599-608
Green, P.H.R., Jabri, B. (2003) Coeliac disease. Lancet, 362(9381): 383-91
Gutiérrez, R.A.Y. (2013) Psychological characte-rization of schoolchildren suffering from Celiac disease. Rev. Ciencias Médicas, 17: 102-11
Husby, S., Koletzko, S., Korponay-Szabó, I.R., Mearin, M.L., Phillips, A., Shamir, R., Troncone, R., Giersiepen, K., Branski, D., Catassi, C., Lelgeman, M., Mäki, M., Ribes-Koninckx, C., Ventura, A., Zimmer, K.P. (2012) European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease. Journal of Pediatric Gastroenterology and Nutrition, 54(1): 136-60
Kang, J. Y., Kang, A. H. Y., Green, A., Gwee, K. A., Ho, K. Y. (2013) Systematic review: worldwide variation in the frequency of coeliac disease and changes over time. Alimentary Pharmacology & Therapeutics, 38(3): 226-245
Khurana, B., Lomash, A., Khalil, S., Bhattacharya, M., Rajeshwari, K., Kapoor, S. (2015) Evaluation of the impact of celiac disease and its dietary manipulation on children and their caregivers. Indian Journal of Gastroenterology, 34(2): 112-116
Leffler, D.A., Edwards-George, J., Dennis, M., Schuppan, D., Cook, F., Franko, D.L., Blom-Hoffman, J., Kelly, C.P. (2008) Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease. Digestive Diseases and Sciences, 53(6): 1573-1581
Mulder, C.J., Wierdsma, N.J., Berkenpas, M., Jacobs, M.A.J.M., Bouma, G. (2015) Preventing complications in celiac disease: Our experience with managing adult celiac disease. Best Practice & Research Clinical Gastroenterology, 29(3): 459-468
Radlović, N. (2008) Celijačna bolest kod dece savremeni dijagnostički pristup. Srpski arhiv za celokupno lekarstvo, 136(Suppl 2):152-7
Radlović, N. (2013) Celiac disease. Srpski arhiv za celokupno lekarstvo, vol. 141, br. 1-2, str. 122-126
Rajpoot, P., Makharia, G. (2013) Problems and Challenges to Adaptation of Gluten Free Diet by Indian Patients with Celiac Disease. Nutrients, 5(12): 4869-4879
Rampertab, S.D., Pooran, N., Brar, P. (2006) Trends in the presentation of celiac disease. Am J Med, 119:9-14
Roma, E., Roubani, A., Kolia, E., Panayiotou, J., Zellos, A., Syriopoulou, V.P. (2010) Dietary compliance and lifestyle of children with coeliac disease. J Hum Nutr Diet, 23: 176-82
Sallfors, C., Hallberg, L.R.-M. (2003) A Parental Perspective on Living with a Chronically Ill Child: A Qualitative Study. Families, Systems, & Health, 21(2): 193-204
Sarkhy, A., el Mouzan, M.I., Saeed, E., Alanazi, A., Alghamdi, S., Anil, S., Assiri, A. (2016) Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease. Pediatric Gastroenterology, Hepatology & Nutrition, 19(3): 162
Schuppan, D., Dennis, M.D., Kelly, C.P. (2005) Celiac disease: epidemiology, pathogenesis, diagnosis, and nutritional management. Nutr Clin Care, 8: 54-69
Singh, J., Whelan, K. (2011) Limited availability and higher cost of gluten-free foods. Journal of Human Nutrition and Dietetics, 24(5): 479-486
Sverker, A., Östlund, G., Hallert, C., Hensing, G. (2007) Sharing life with a gluten-intolerant person ? the perspective of close relatives. Journal of Human Nutrition and Dietetics, 20(5): 412-422
West, J., Fleming, K.M., Tata, L.J., Card, T.R., Crooks, C.J. (2014) Incidence and Prevalence of Celiac Disease and Dermatitis Herpetiformis in the UK Over Two Decades: Population-Based Study. American Journal of Gastroenterology, 109(5): 757-768
Whitaker, J. K. H., West, J., Holmes, G. K. T., Logan, R. F. A. (2009) Patient perceptions of the burden of coeliac disease and its treatment in the UK. Alimentary Pharmacology & Therapeutics, 29(10): 1131-1136
Zingone, F., West, J., Crooks, C.J., Fleming, K.M., Card, T.R., Ciacci, C., Tata, L.J. (2015) Socioeconomic variation in the incidence of childhood coeliac disease in the UK. Archives of Disease in Childhood, 100(5): 466-473