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Disordered eating patterns in coeliac disease: a framework analysis.

R-M Satherley1, S Higgs1, R Howard1

  • 1University of Birmingham, Edgbaston, UK.

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
|April 19, 2017
PubMed
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Dietary management for coeliac disease can lead to disordered eating. This study explored eating experiences, finding that some individuals with coeliac disease exhibit binge/restrict cycles and body image concerns related to their gluten-free diet.

Area of Science:

  • Gastroenterology and Nutrition Science
  • Psychology and Behavioral Health

Background:

  • Coeliac disease necessitates strict gluten-free dietary management.
  • This dietary restriction may inadvertently contribute to disordered eating patterns.
  • A theoretical model exists to explain disordered eating in coeliac disease.

Purpose of the Study:

  • To explore the lived experiences of individuals with coeliac disease regarding typical and disordered eating.
  • To understand the specific pathways within the theoretical model of disordered eating in coeliac disease.
  • To gain deeper insights into the relationship between gluten-free diets and eating behaviors.

Main Methods:

  • Qualitative study involving 21 individuals with coeliac disease.
  • Semi-structured interviews were conducted focusing on food experiences.
Keywords:
anorexia nervosabinge eatingbulimia nervosacoeliac diseaseeating behavioursfood attitudesframework analysis

Related Experiment Videos

  • Disordered eating status was assessed via questionnaire, and interviews were analyzed using Framework analysis.

    • Main Results:

    • Significant differences in eating experiences were observed between typical eaters and those with disordered eating.
    • Individuals with disordered eating reported concerns about body image and engaged in binge/restrict eating cycles.
    • Typical eaters managed their diet but still experienced food restriction due to contamination fears.

    Conclusions:

    • Coeliac disease significantly impacts eating patterns, with varied effects.
    • Balancing gluten-free adherence with fears of cross-contamination can promote disordered eating.
    • The theoretical model adequately explains disordered eating patterns observed in coeliac disease.