Evaluation of eating disorders, body image, sleep quality, and the eating disorders association with body image and sleep quality in patients with celiac disease

Abstract

disorders (P< 0.05) and poor sleep quality (P< 0.001) were significantly lower in patients who adhered to a gluten-free diet compared to patients who didn’t adhere gluten-free diet. Although, there were no differences in the prevalence of body image dissatisfaction between adherence and non-adherence patients. Based on body mass index (BMI) classification, patients with normal BMI had a significantly lower prevalence of eating disorders than overweight and obese patients (P=0.016). In addition, the results have shown body image dissatisfaction was significantly lower in patients with normal BMI than thin, overweight, and obese patients (P=0.043). The logistic regression demonstrated a positive significant association between body image dissatisfaction and eating disorders (OR= 2.14, 95%CI: [1.13- 4.07] , P= 0.019). However, there was no association between sleep quality and eating disorders (OR= 1.34, 95% CI: [0.71- 2.50] , P= 0.371).

Conclusion: Based on the results, considering the high prevalence of eating disorders, body image dissatisfaction, and poor sleep quality. In addition, a significant association between a gluten-free diet with eating disorders and sleep quality in patients with celiac disease, nutritional consultation for compliance with a gluten-free diet, and planning for patients to reach normal weight might be effective in these problems in patients with celiac disease.

Key words: celiac disease, eating disorders, body image, sleep quality, gluten-free diet