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Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children

PURPOSE: To describe the clinical characteristics of celiac disease (CD) among Saudi children and to determine the adherence rate to gluten free diet (GFD) and its determinant factors among them. METHODS: A cross-sectional study was conducted, in which all the families registered in the Saudi Celiac...

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Autores principales: Sarkhy, Ahmed Al, El Mouzan, Mohammad I., Saeed, Elshazaly, Alanazi, Aziz, Alghamdi, Sharifa, Anil, Shirin, Assiri, Asaad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391997/
https://www.ncbi.nlm.nih.gov/pubmed/25866730
http://dx.doi.org/10.5223/pghn.2015.18.1.23
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author Sarkhy, Ahmed Al
El Mouzan, Mohammad I.
Saeed, Elshazaly
Alanazi, Aziz
Alghamdi, Sharifa
Anil, Shirin
Assiri, Asaad
author_facet Sarkhy, Ahmed Al
El Mouzan, Mohammad I.
Saeed, Elshazaly
Alanazi, Aziz
Alghamdi, Sharifa
Anil, Shirin
Assiri, Asaad
author_sort Sarkhy, Ahmed Al
collection PubMed
description PURPOSE: To describe the clinical characteristics of celiac disease (CD) among Saudi children and to determine the adherence rate to gluten free diet (GFD) and its determinant factors among them. METHODS: A cross-sectional study was conducted, in which all the families registered in the Saudi Celiac Patients Support Group were sent an online survey. Only families with children 18 years of age and younger with biopsy-confirmed CD were included. RESULTS: The median age of the 113 included children was 9.9 years, the median age at symptom onset was 5.5 years and the median age at diagnosis was 7 years, the median time between the presentation and the final diagnosis was 1 year. Sixty two of the involved children were females. Ninety two percent of the patients were symptomatic at the diagnosis while eight percent were asymptomatic. The commonest presenting symptoms included: chronic abdominal pain (59.3%), poor weight gain (54%), abdominal distention, gases, bloating (46.1%) and chronic diarrhea (41.6%). Sixty percent of the involved children were reported to be strictly adherent to GFD. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate. CONCLUSION: CD has similar clinical presentations among Saudi children compared to other parts of the ward; however, the adherence to GFD is relatively poor. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate.
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spelling pubmed-43919972015-04-10 Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children Sarkhy, Ahmed Al El Mouzan, Mohammad I. Saeed, Elshazaly Alanazi, Aziz Alghamdi, Sharifa Anil, Shirin Assiri, Asaad Pediatr Gastroenterol Hepatol Nutr Original Article PURPOSE: To describe the clinical characteristics of celiac disease (CD) among Saudi children and to determine the adherence rate to gluten free diet (GFD) and its determinant factors among them. METHODS: A cross-sectional study was conducted, in which all the families registered in the Saudi Celiac Patients Support Group were sent an online survey. Only families with children 18 years of age and younger with biopsy-confirmed CD were included. RESULTS: The median age of the 113 included children was 9.9 years, the median age at symptom onset was 5.5 years and the median age at diagnosis was 7 years, the median time between the presentation and the final diagnosis was 1 year. Sixty two of the involved children were females. Ninety two percent of the patients were symptomatic at the diagnosis while eight percent were asymptomatic. The commonest presenting symptoms included: chronic abdominal pain (59.3%), poor weight gain (54%), abdominal distention, gases, bloating (46.1%) and chronic diarrhea (41.6%). Sixty percent of the involved children were reported to be strictly adherent to GFD. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate. CONCLUSION: CD has similar clinical presentations among Saudi children compared to other parts of the ward; however, the adherence to GFD is relatively poor. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2015-03 2015-03-30 /pmc/articles/PMC4391997/ /pubmed/25866730 http://dx.doi.org/10.5223/pghn.2015.18.1.23 Text en Copyright © 2015 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Sarkhy, Ahmed Al
El Mouzan, Mohammad I.
Saeed, Elshazaly
Alanazi, Aziz
Alghamdi, Sharifa
Anil, Shirin
Assiri, Asaad
Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title_full Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title_fullStr Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title_full_unstemmed Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title_short Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children
title_sort clinical characteristics of celiac disease and dietary adherence to gluten-free diet among saudi children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391997/
https://www.ncbi.nlm.nih.gov/pubmed/25866730
http://dx.doi.org/10.5223/pghn.2015.18.1.23
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