Compliance With Gluten‐free Diet in Children With Coeliac Disease

Abstract

Almost half of the coeliac patients were likely to abandon GFD without experiencing major symptoms, thus increasing the risk for developing complications later in life. An active attitude is required in the follow-up of patients with CD.

At-Risk Screened Children with Celiac Disease are Comparable in Disease Severity and Dietary Adherence to Those Found because of Clinical Suspicion: A Large Cohort Study

“…10 Other factors likely affecting dietary adherence could be the intensity and organization of follow-up, the possibility to meet a dietician, the presence of comorbidities, and celiac disease in other family members. 13,16,48 However, we found no association between the adherence and presence of concomitant type 1 diabetes in the child or celiac disease in the family. In any case, our results demonstrate that excellent adherence to the gluten-free diet is also attainable in screen-detected celiac disease patients diagnosed and followed in a well-organized clinical practice.…”

“…8,9 In particular, it remains unclear how well often mildly symptomatic or apparently asymptomatic screen-detected patients adhere to the demanding and socially restrictive gluten-free diet. 6,[10][11][12][13][14][15][16][17] Although untreated celiac disease is known to predispose to severe complications and incur incremental use of health care services and medicines in symptomatic patients, 9,18,19 it is obscure whether this also applies to screen-detected individuals, especially as it is possible that they have less severe histological damage 20 and subsequently better long-term outcome. Then again, complications such as poor growth, dental enamel defects and low bone mass have been observed even in otherwise asymptomatic children with celiac disease, and these maladies may remain permanent if left untreated.…”

Wheat Belly—An Analysis of Selected Statements and Basic Theses from the Book

“…Analysis -Numerous studies have shown that adults and children with celiac disease who stick to a gluten-free diet have higher BMIs than those who do not (43)(44)(45)(46). This is due in part to the highly available starch in diets based on tapioca, potato, and corn starches.…”

Prevalence of low bone mineral density in children and adolescents with celiac disease under treatment

“…Once the gluten has been eliminated and the symptoms have disappeared, its reintroduction causes no apparent symptoms. 34 Anti-tTG antibodies form complexes with the gluten present in the diet and, after a short time on a gluten-free diet, the test for these antibodies become negative. 20 This may elucidate why these antibodies were not detected in two of our patients with low BMD who said they had not been adhering to the diet, considering that such failures tend to be occasional rather than continuous and there is no single laboratory method to detect small dietary transgressions.…”

“…20 This may elucidate why these antibodies were not detected in two of our patients with low BMD who said they had not been adhering to the diet, considering that such failures tend to be occasional rather than continuous and there is no single laboratory method to detect small dietary transgressions. 34 The quantitative method most used for investigating bone mass in pediatrics is DXA. It is a method in which the measurements are based on two-dimensional projection of the three-dimensional bone structure, and this may induce measurement errors that are dependent on the size of the bone under evaluation.…”