dc.contributor.author	Greaney, Cian	en
dc.contributor.author	McCarthy, Ellen	en
dc.contributor.author	O'Brien, Lauren	en
dc.contributor.author	Tecklenborg, Sarah	en
dc.contributor.author	Howlett, Ciara	en
dc.contributor.author	Cronin, Karen	en
dc.contributor.author	Landers, Clodagh	en
dc.contributor.author	Connolly, Mary	en
dc.contributor.author	O'Sullivan, Derbhla	en
dc.contributor.author	Whiston, Aoife	en
dc.contributor.author	Robinson, Katie	en
dc.contributor.author	Tierney, Audrey	en
dc.contributor.funder	Health Research Board	en
dc.contributor.funder	Health Research Charities Ireland	en
dc.contributor.funder	Cystic Fibrosis Ireland	en
dc.date.accessioned	2025-07-22T10:59:35Z
dc.date.available	2025-07-22T10:59:35Z
dc.date.issued	2025 -07-11	en
dc.description.abstract	Background: With evolving Cystic Fibrosis (CF) phenotypes resulting from changes to clinical management, healthier dietary practices are warranted for many people with CF. Whilst diet composition is reported, diet quality data is lacking in CF. This study aims to evaluate dietary intakes and diet quality in adults with CF via guideline comparison and a validated diet quality index. Methods: Cross-sectional study of Irish adults with CF. Demographic questionnaires and three-day food diaries were completed. Healthy Eating Index – 2020 (HEI-2020) assessed diet quality. Data was statistically analysed in SPSS®. Results: Of n = 68 participants (female: 58.8 %, age: 35.2 ± 10.1 years, FEV1%: 77.4 ± 25.1 %), 36.8 % were overweight/obese and 77.6 % pancreatic insufficient. While median (interquartile range) percentage estimated average requirement (EAR) was 110.1 (45.3) %, 50.0 % of participants were below CF energy requirements (110 % EAR). Mean percentage total energy intake (%TEI) protein (18.0 ± 3.9 %) aligned to dietary reference values (DRV). %TEI carbohydrates (44.1 ± 6.5 %) was below, and %TEI fat (37.1 ± 5.4 %), saturated fat (14.1 ± 3.3 %) and sugar (17.4 ± 5.6 %) exceeded DRV. Median vitamin A intake was adequate [936.6 (1005.2) µg], but vitamin D [3.6 (4.3) µg], E (9.6 ± 5.2 mg) and K1 [31.1 (71.2) µg] intakes were insufficient without supplementation. Regarding Irish healthy eating guidelines, 95.6 % of participants overconsumed energy-dense nutrient poor (EDNP) foods, with 76.5 % below vegetables, salad and fruit intake guidelines. Participants’ mean HEI-2020 score (0–100) was 59.3 ± 12.4. Conclusion: Findings indicate suboptimal diet quality. Despite reliance on EDNP foods, many did not achieve energy targets. Moving forward, emphasis on diet quality is of paramount importance to improve overall health in people with CF.	en
dc.description.sponsorship	Health Research Charities Ireland / Health Research Board (Joint Funding Scheme 2020 with Cystic Fibrosis Ireland 9HRCI-HRB-2020\u2013025); Irish Research Council (GOIPG/2023/4258)	en
dc.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Greaney, C., McCarthy, E., O'Brien, L., Tecklenborg, S., Howlett, C., Cronin, K., Landers, C., Connolly, M., O'Sullivan, D., Whiston, A. and Robinson, K. (2025) 'Dietary intakes and quality of Irish adults with cystic fibrosis: Comparisons to nutrition guidelines and HEI-2020', Journal of Cystic Fibrosis. https://doi.org/10.1016/j.jcf.2025.07.004	en
dc.identifier.doi	10.1016/j.jcf.2025.07.004	en
dc.identifier.issn	15691993	en
dc.identifier.journaltitle	Journal of Cystic Fibrosis	en
dc.identifier.uri	https://hdl.handle.net/10468/17736
dc.language.iso	en	en
dc.publisher	Elsevier B.V.	en
dc.rights	© 2025, the Author(s). Published by Elsevier B.V. on behalf of European Cystic Fibrosis Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)	en
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Cystic fibrosis	en
dc.subject	Diet quality	en
dc.subject	Food serves	en
dc.subject	Macronutrients	en
dc.subject	Micronutrients	en
dc.title	Dietary intakes and quality of Irish adults with cystic fibrosis: Comparisons to nutrition guidelines and HEI-2020	en
dc.type	Article (peer reviewed)	en

Dietary intakes and quality of Irish adults with cystic fibrosis: Comparisons to nutrition guidelines and HEI-2020

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