[Food consumption and dietary behaviour in haemophilia patients before and after a nutrition consultation].
In over two-thirds of deaths, nutrition is a determining factor. Nutritional condition and dietary recommandations are unspecified in the haemophilia treatment. Aim of this study was to examine the food consumption and dietary behaviour in affected patients before and after a nutrition consultation.


METHODS
Data were assessed via questionnaires and compared between 38 patients with haemophilia (PwH) and 20 controls without haemophilia. Furthermore, in a randomised controlled trial 11 patients with haemophilia (PwH-I) took part in an adapted nutrition consultation and were supervised over six months as opposed to 12 patients with haemophilia (PwH-O) without intervention. PwH were compared to controls more pleased with their weight (53 vs. 40%), used more nutrition consultations in the past (53 vs. 15%) and consumed more dairy products (40 vs. 15%) and fruits (45 vs. 30%).


RESULTS
After nutrition consultation PwH-I were better informed about their own blood values than PwH-O. The nutrition rated high in both groups, but PwH-I were more mindful of the feeling of satiety (9 vs. 36%) compared to PwH-O (33 vs. 17%). Moreover, PwH-I ate less under stress and/or out of boredom, showed a higher satisfaction regarding their weight and increased the liquid intake (55 vs. 73%), which remained unchanged in PwH-O with 42%. Compared to PwH-O, PwH-I ate more roughage, low-fat food, fish and fruits, therefore consuming less coffee/tea.


CONCLUSIONS
Food consumption and dietary behaviour are similar between patients with haemophilia and controls without haemophilia. A nutrition consultation affected the food consumption and dietary behaviour in patients with haemophilia positively and can consequently contribute to preservation of health and prevention of nutritional diseases.
Dörte Czepa, Lehrstuhl für Sportmedizin Bergische Universität Wuppertal, Pauluskirchstraße 7, 42285 Wuppertal, Tel. 02 02/439 59 12, Fax 02 02/439 59 10, E-Mail: sportmedizin@uni-wuppertal.de.
D
D
Czepa
W
W
Hilberg
J
J
Poschmann
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S
Straaten
T
T
Hilberg
D000328:Adult; D000368:Aged; D001835:Body Weight; D004035:Diet Therapy / Q000379:methods; D004435:Eating; D005247:Feeding Behavior; D005260:Female; D005858:Germany; D006293:Health Promotion; D006467:Hemophilia A / Q000175:diagnosis / Q000178:diet therapy* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D011788:Quality of Life; D012017:Referral and Consultation; D040242:Risk Reduction Behavior; D016896:Treatment Outcome
Haemophilia; dietary behaviour; food consumption; nutrition consultation