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Adherence to Gluten-Free Diet in Children with Celiac Disease

Celiac disease (CD) can only be treated by rigorous life-long gluten-free diet (GFD). The study included 102 mothers and their CD children treated with GFD for at least two years. Frequency and cause of diet failure in children treated at present (54 children) and 10 years ago (48 children) were com...

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Autores principales: Czaja-Bulsa, Grażyna, Bulsa, Michał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213886/
https://www.ncbi.nlm.nih.gov/pubmed/30287732
http://dx.doi.org/10.3390/nu10101424
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author Czaja-Bulsa, Grażyna
Bulsa, Michał
author_facet Czaja-Bulsa, Grażyna
Bulsa, Michał
author_sort Czaja-Bulsa, Grażyna
collection PubMed
description Celiac disease (CD) can only be treated by rigorous life-long gluten-free diet (GFD). The study included 102 mothers and their CD children treated with GFD for at least two years. Frequency and cause of diet failure in children treated at present (54 children) and 10 years ago (48 children) were compared. Dietary adherence was evaluated serologically (tTG), while diet management difficulties were examined by means of a questionnaire. The study shows that one-third of patients fail to follow GFD, more often 10 years ago than now (40% vs. 26%; p < 0.05), mainly children aged 13–18 (54% vs. 40% now; p < 0.05). Younger children (up to 12) are less likely to abandon the diet (27% vs. 8%; p < 0.05). In this age group non-intentional diet failure prevails, while teenagers interrupt their diet intentionally (45% vs. 33%; p = ns (small population of children in this groups)). Currently, the most common causes of teenage diet failure are the absence of symptoms after consuming a small amount of gluten and, even more often, troublesome diet administration. Previously, the absence of peer acceptance prevailed. With this study we found that: 1. In West Pomerania, every fourth CD child does not follow GFD. 2. For years, teenagers have failed to follow GFD due to the absence of symptoms after consuming small amounts of gluten. 3. The incidence of non-intentional failure to follow GFD has significantly decreased over years, which indicates better dietary care.
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spelling pubmed-62138862018-11-06 Adherence to Gluten-Free Diet in Children with Celiac Disease Czaja-Bulsa, Grażyna Bulsa, Michał Nutrients Article Celiac disease (CD) can only be treated by rigorous life-long gluten-free diet (GFD). The study included 102 mothers and their CD children treated with GFD for at least two years. Frequency and cause of diet failure in children treated at present (54 children) and 10 years ago (48 children) were compared. Dietary adherence was evaluated serologically (tTG), while diet management difficulties were examined by means of a questionnaire. The study shows that one-third of patients fail to follow GFD, more often 10 years ago than now (40% vs. 26%; p < 0.05), mainly children aged 13–18 (54% vs. 40% now; p < 0.05). Younger children (up to 12) are less likely to abandon the diet (27% vs. 8%; p < 0.05). In this age group non-intentional diet failure prevails, while teenagers interrupt their diet intentionally (45% vs. 33%; p = ns (small population of children in this groups)). Currently, the most common causes of teenage diet failure are the absence of symptoms after consuming a small amount of gluten and, even more often, troublesome diet administration. Previously, the absence of peer acceptance prevailed. With this study we found that: 1. In West Pomerania, every fourth CD child does not follow GFD. 2. For years, teenagers have failed to follow GFD due to the absence of symptoms after consuming small amounts of gluten. 3. The incidence of non-intentional failure to follow GFD has significantly decreased over years, which indicates better dietary care. MDPI 2018-10-04 /pmc/articles/PMC6213886/ /pubmed/30287732 http://dx.doi.org/10.3390/nu10101424 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Czaja-Bulsa, Grażyna
Bulsa, Michał
Adherence to Gluten-Free Diet in Children with Celiac Disease
title Adherence to Gluten-Free Diet in Children with Celiac Disease
title_full Adherence to Gluten-Free Diet in Children with Celiac Disease
title_fullStr Adherence to Gluten-Free Diet in Children with Celiac Disease
title_full_unstemmed Adherence to Gluten-Free Diet in Children with Celiac Disease
title_short Adherence to Gluten-Free Diet in Children with Celiac Disease
title_sort adherence to gluten-free diet in children with celiac disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213886/
https://www.ncbi.nlm.nih.gov/pubmed/30287732
http://dx.doi.org/10.3390/nu10101424
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