Body Composition, Celiac Disease, Diet, Gluten-Free, Exercise, Quality of Life, Resistance Training
Conditions
Brief summary
Celiac disease (CD) is an immunological disorder that mainly affects the small intestine, generating an inflammatory process in response to the presence of gluten (a protein). Autoimmune diseases are part of a group of diseases that are difficult to diagnose without a specific protocol or consensus to detect them due to the number of symptoms and diseases with which it has a relationship. The incidence of CD in Spain -according to data from the rest of the European Economic Community, since there is no study on incidence in Spain- is assumed to be approximately 1 per 100 live births. It is more frequent in women, with a 2:1 ratio. The only treatment consists of a STRICT GLUTEN-FREE DIET FOR LIFE. This results in the disappearance of symptoms, normalization of serology and recovery of intestinal villi. Failure to follow the diet can lead to important complications which, especially in adulthood, can manifest themselves in the form of osteopenia, osteoporosis and a high risk of neoplasms in the digestive tract, mainly. The main objective is to achieve a physical and physiological improvement in menopausal or post-menopausal celiac women. The specific objectives will be to know the influence of a dietary-nutritional program combined with physical exercise in menopausal or post-menopausal celiac women on: * Physical condition (strength, endurance, functional autonomy...). * Body composition. * Psychological aspects. * Physiological parameters (heart rate, maximum oxygen consumption, blood analysis...).
Interventions
BEHAVIORALGluten-free nutrition plan + exercise group
Menopausal or post-menopausal celiac women will follow a physical exercise program 3/4 times per week and their dietary intake will be gluten-free isocaloric
BEHAVIORALGluten-free nutrition plan group
Menopausal or post-menopausal celiac women will follow a gluten-free isocaloric dietary program
BEHAVIORALActive Comparator: Celiac controls group
Menopausal or post-menopausal celiac women in whom all the tests were measured but they did not perform an intervention program with physical exercise or special follow-up of an adapted dietary-nutritional program
Sponsors
University of Alicante
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Women * Over 40 years old * Menopausal or post-menopausal women * Women with celiac disease (in the case of the experimental groups)
Exclusion criteria
* Men * Women of childbearing age * Women \< 40 years old * Failure to sign informed consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life (QoL) | 12 weeks | A QoL questionnaire was performed; the WHOQOL-BREF of the World Health Organization |
| Body Composition - Fat Mass | 12 weeks | Evaluation of body fat by bioimpedance. |
| Body Composition - Lean Body Mass | 12 weeks | Evaluation of lean body mass by bioimpedance. |
| Body Composition - Visceral Fat | 12 weeks | Evaluation of visceral fat by bioimpedance. |
| Weight | 12 weeks | Weight evaluation using a digital scale |
| Strength | 12 weeks | A calibrated handgrip dynamometer (Takei 5101, Tokyo, Japan) measure isometric grip strength (HGS) |
| Adherence to gluten-free diet | 12 weeks | Questionnaire Adherence to gluten-free diet was performed. |
| Anthropometric assessment - Skinfolds | 12 weeks | Restricted profile proposed by the International Society for the Development of Cineanthropometry was carried out. |
| Anthropometric assessment - Perimeters | 12 weeks | Restricted profile proposed by the International Society for the Development of Cineanthropometry was carried out. |
| Anthropometric assessment - Diameters | 12 weeks | Restricted profile proposed by the International Society for the Development of Cineanthropometry was carried out. |
| Anthropometric assessment - Height | 12 weeks | Restricted profile proposed by the International Society for the Development of Cineanthropometry was carried out. |
| Resistance test | 12 weeks | 6-minute walk test. This test is an adaptation of the Rikli and Jones (1998) test. |
| Balance test | 12 weeks | By means of the PSYMTEC® contact platform, which act as switches and are useful for recording contact times between supports. |
| Functional autonomy test | 12 weeks | GDLAM protocol |
| State of mind | 12 weeks | Evaluation by using the Profile of Mood States POMS questionnaire. |
| Eating disorders | 12 weeks | Eating disorders questionnaire: Eating Attitudes Test Questionnaire (EAT) in its 26-item version (EAT-26) in Spanish (Rivas et al., 2010). |
| Heart rate variability | 12 weeks | Using novel Firstbeat Bodyguard device (Föhr, 2016) |
| Maximum oxygen consumption | 12 weeks | Heart rate measurement and recording with Firsbeat Bodyguard |
| Glucose in blood | 12 weeks | Glucose by blood test |
| Cholesterol in blood | 12 weeks | Cholesterol by blood test |
| Creatinine in blood | 12 weeks | Creatinine by blood test |
| Urea in blood | 12 weeks | Urea by blood test |
Countries
Spain
Outcome results
None listed