Celiac Disease and Anorexia Nervosa: A Nationwide Study

Mårild, Karl; Størdal, Ketil; Bulik, Cynthia M.; Rewers, Marian; Ekbom, Anders; Liu, Edwin; Ludvigsson, Jonas F.

doi:10.1542/peds.2016-4367

Cited by 79 publications

(74 citation statements)

References 29 publications

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“…It is worth considering screening for celiac disease with a total immunoglobulin A (IgA) and tissue transglutaminase IgA, as there is a high rate of co-occurrence of celiac disease and AN (16). Patients with bradycardia or hemodynamic instability should have an electrocardiogram.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

et al. 2018

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Purpose of review: Avoidant/restrictive food intake disorder (ARFID) was added to the psychiatric nomenclature in 2013. However, youth with ARFID often present first to medical— rather than psychiatric—settings, making its evaluation and treatment relevant to pediatricians. Recent findings: ARFID is defined by limited volume or variety of food intake motivated by sensory sensitivity, fear of aversive consequences, or lack of interest in food or eating, and associated with medical, nutritional, and/or psychosocial impairment. It appears to be as common as anorexia nervosa and bulimia nervosa and can occur in individuals of all ages. ARFID is heterogeneous in presentation and may require both medical and psychological management. Summary: Pediatricians should be aware of the diagnostic criteria for ARFID and the possibility that these patients may require medical intervention and referral for psychological treatment. The neurobiology underlying ARFID is unknown, and novel treatments are currently being tested.

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Section: Discussionmentioning

confidence: 99%

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

et al. 2018

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“…Dietary restraint may induce counter‐regulatory responses, reduce sensitivity to satiety signals and result in disinhibited, binge‐like eating patterns. Evidence suggests that the increased focus on the content of food may inadvertently lead to other features of eating pathology …”

Section: Discussionmentioning

confidence: 99%

“…However, until recently, the relevant studies were mainly case reports and one population‐based study that included only hospital admitted CD patients, which might have amplified the reported risk. A recent nationwide study conducted in Sweden showed a positive bidirectional association between CD and anorexia nervosa …”

Section: Introductionmentioning

confidence: 99%

Increased prevalence of disordered eating in the dual diagnosis of type 1 diabetes mellitus and celiac disease

et al. 2018

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“…Planning and preparing food should not dominate thoughts and dictate behaviours above and beyond that of other daily activities . Recent research on disordered eating in CD indicates that both extreme GFD adherence and dietary transgressions are associated with disordered eating patterns . For those who fail to adhere to their GFD, the challenges of managing the GFD may lead to restrictive or bulimic eating behaviours .…”

Section: Introductionmentioning

confidence: 99%

Diminished quality of life among adolescents with coeliac disease using maladaptive eating behaviours to manage a gluten‐free diet: a cross‐sectional, mixed‐methods study

Cadenhead

Wolf

Lebwohl

et al. 2019

J Human Nutrition Diet

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Background Certain approaches to managing a strict gluten‐free diet (GFD) for coeliac disease (CD) may lead to impaired psychosocial well‐being, a diminished quality of life (QOL) and disordered eating. The present study aimed to understand adolescents’ approaches to managing a GFD and the association with QOL. Methods Thirty adolescents with CD (13–17 years old) following the GFD for at least 1 year completed the Celiac Dietary Adherence Test (CDAT) and QOL survey. Their approaches to GFD management were explored using a semi‐structured interview, where key themes were developed using an iterative process, and further analysed using a psychosocial rubric to classify management strategies and QOL. CDAT ratings were compared across groups. Results Gluten‐free diet management strategies were classified on a four‐point scale. Adaptive eating behaviours were characterised by greater flexibility (versus rigidity), trust (versus avoidance), confidence (versus controlling behaviour) and awareness (versus preoccupation) with respect to maintaining a GFD. Approximately half the sample (53.3%) expressed more maladaptive approaches to maintaining a GFD and those who did so were older with lower CD‐Specific Pediatric Quality of Life (CDPQOL) scores, mean subscale differences ranging from 15.0 points for Isolation (t = 2.4, P = 0.03, d.f. = 28) to 23.4 points for Limitations (t = 3.0, P = 0.01, d.f. = 28). Conclusions Adolescents with CD who manage a GFD with maladaptive eating behaviours similar to known risk factors for feeding and eating disorders experience diminished QOL. In accordance with CD management recommendations, we recommend ongoing follow‐up with gastroenterologists and dietitians and psychosocial support referrals, as needed.

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Celiac Disease and Anorexia Nervosa: A Nationwide Study

Abstract: BACKGROUND AND OBJECTIVE: Previous research suggests an association of celiac disease (CD) with anorexia nervosa (AN), but data are mostly limited to case reports. We aimed to determine whether CD is associated with the diagnosis of AN.

Cited by 79 publications

References 29 publications

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Increased prevalence of disordered eating in the dual diagnosis of type 1 diabetes mellitus and celiac disease

Diminished quality of life among adolescents with coeliac disease using maladaptive eating behaviours to manage a gluten‐free diet: a cross‐sectional, mixed‐methods study

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