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ThesisItem Open Access Assessment of Nutritional and Health Status of Celiac Disease Patients(CCSHAU,HiSAR, 2020-09) Bishnoi, Mantavya; Sangwan, VeenuCeliac disease (CD) is an autoimmune situation described by a thorough serological and histological outline activated by gluten absorption in inherently susceptible characters and the current study was conducted to evaluate the nutritional and health status of total 100 celiac disease patients (30 children aged 7-9 years, 35 men and 35 women) to examine the impact of imparting nutritional education on knowledge gain of 100 respondents (adults and mother/father of children). The patients were selected randomly from the hospitals of Hisar and Fatehabad districts. Nutritional status of the patients was determined by means of dietary assessment (24 hr recall method), anthropometric measurements (height, weight, BMI, waist and hip circumference, waist to hip ratio and waist to height ratio). Results related to personal and socio-economic profile of children (7-9 years) and adults exposed that 43.34 and 57.15 per cent patients were from general category. The maximum children (70%) and adults (61.42%) were from nuclear families. A major portion of children‟s and adult‟s father worked in a private firm (30 and 61.44%), whereas, 56.66 per cent of children‟s mother was non- working. The monthly family income of 36.67 and 30 per cent children and adults families was below Rs.15, 000/- and as many as 33.33 per cent of children and 35.72 per cent of adults were having a genetic medical history of celiac disease. As far as general health is concerned, nearly half (52.0%) of the patients were observed with breathlessness and 28 per cent of the patients consumed nutritional supplements. A greater part of the patients were vegetarians (73.0%), majority (50%) of the patients consumed meals three times a day, followed by nearly half of the patients (49%) were having fast food cravings and 48 per cent of them consumed it once in a week. The mean daily intake of cereal, pulses, fats and oils, sugars and jaggery, green leafy vegetables, roots and tubers, other vegetables and milk and milk products was significantly lower than RDI among all the patients except the intake of fats and oils and sugars and jaggery, which was significantly higher in adults. The mean nutrient intake of the patients comprising energy, protein, fat, calcium, iron, β-carotene, thiamine, riboflavin, niacin, vitamin C, folic acid and vitamin B12 was significantly lower as compared to RDA, but the fat intake was significantly higher in both men and women. The mean height, weight, BMI, waist and hip circumference, waist to hip ratio and waist to height ratio were significantly lower than the reference value except the waist to hip ratio in boys and BMI in men, which were non- significant to the ICMR recommendations. As per Water low‟s Classification, 18.18 and 15.78 per cent of the children aged 7-8 and 8-9 years were mildly stunted and majority of the children of 7-8 years (54.54%) and 8-9 years (47.36%) were categorized under Grade-I malnutrition according to Gomez Classification. BMI illustrated that women were more underweight (25.71%) than men (34.28%). The findings of the current study revealed that intake of food stuffs and nutrients were higher in patients belonging to high income group, small sized and nuclear family. In accordance with the present research, it is concluded that the mean daily consumption of nutrients and foodstuffs were considerably lesser than their corresponding RDAs and RDIs in celiac disease patients. All the anthropometric measurements in this study were significantly (p≤0.01) lower except the WHR in boys and BMI in men. The impact of daily intake of foodstuffs and nutrients on nutritional and health status of an individual signifies an urge of awareness concerning a healthy lifestyle in near future by nutritional intervention.