Estudio de la adherencia a la dieta sin gluten en pacientes celiacos

Miaja, María Fernández; Martín, Juan José Díaz; Treviño, Santiago Jiménez; González, Maraelys Morales; García, Carlos Bousoño

doi:10.1016/j.anpedi.2020.06.017

Cited by 13 publications

(7 citation statements)

References 29 publications

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“…Gerasimidis et al [ 26 ] found 16% positive stool GIP in pediatric celiac patients who reported good GFD compliance after 6 months of GFD, while Comino et al [ 19 ] demonstrated a stool GIP positivity of 23% in celiac children after 6 months of GFD. Fernandez et al [ 38 ] found 92.5% GFD adherence as determined by stool GIPs, with a large percentage of patients with positive stool GIPs but negative serological controls (anti-transglutaminase antibodies); in this study, lower GFD adherence was reported with increasing patient age and time since diagnosis of CD. Other authors have also described a worsening of adherence with longer disease progression [ 39 ].…”

Section: Discussionsupporting

confidence: 53%

The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease

et al. 2023

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A gluten-free diet (GFD) is the only treatment available for celiac disease (CD); hence, it is important to ensure correct adherence to the diet and adequate monitoring of the diet. The present study aims to assess the importance of an early follow-up of celiac patients after diagnosis of the disease, identify the role of stool gluten immunogenic peptides (GIPs) in the assessment of GFD adherence, and analyze possible nutritional imbalances or deficiencies in the GFD. This is a cross-sectional study carried out in pediatric patients with newly diagnosed CD in a tertiary hospital in Spain. Of the 61 patients included, 14% had positive stool GIPS at 4 months after CD diagnosis, Among them, 88% had negative stool GIPS at 9 months after diagnosis, following dietary advice. We found nutritional deficiencies in the GFD, such as vitamin D (with only 27% of patients with adequate intakes), folate, calcium, magnesium, and fiber. Similarly, we found imbalances: excess protein and fat intakes and a high percentage of total daily energy intake came from ultra-processed foods (UPF). These findings emphasize the importance of early follow-up of children after diagnosis of CD. It is also crucial to identify patients with poor GFD compliance based on stool GIPS and analyze GFD nutritional imbalances and deficits. Our findings may contribute to the development of specific strategies for the early follow-up of patients with CD, including appropriate nutritional counselling.

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Section: Discussionsupporting

confidence: 53%

The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease

et al. 2023

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“…Las características sociodemográficas y clínicas, la adherencia estimada mediante GIP y CDAT, y los resultados de la encuesta ad hoc sobre los factores relacionados con la adherencia ya están detallados en una publicación previa (9).…”

Section: Resultsunclassified

“…2). Los pacientes que estaban satisfechos con la textura de los alimentos sin gluten referían una CV "neutra" (45,8 (22,9)), mientras que los que estaban insatisfechos la tachaban de "mala" (35,4 (22,9)) (p = 0,009) (Fig. 3).…”

Section: Resultsunclassified

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Analysis of health-related quality life in celiac patients

Miaja¹,

González²,

Martín³

et al. 2021

Nutr Hosp

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“…could be helpful to evaluate exposure to gluten in the past 6 h. This could serve as a complementary test in particular situations, such as patients who exhibit compliant behavior but still experience symptoms or maintain persistent positive serology. Also, in just one sample of stool or urine from children and adolescents with CD, Miaja et al 21 found a concordance percentage of 87.3% when evaluating CDAT and GIP content in the stool 20 and Meijer et al 21 found 74.4% concordance between a validated questionnaire in Dutch and u-GIP. On the other hand, Skodje et al, 22 in the adult population, found a discordance of 41.4% (n = 29) between the CDAT and the GIP content in stool, as well as a 47.1% (n = 33) discordance between CDAT and u-GIP, when the u-GIP was performed by research subjects.…”

Section: Discussionmentioning

confidence: 99%

Gluten‐free diet adherence in pediatric celiac patients: Evaluating CDAT questionnaire and test for gluten detection in urine

Mello,

da Silva,

Lins

et al. 2024

J. pediatr. gastroenterol. nutr.

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ObjectivesThis study aimed to evaluate the contributions of the Adapted Celiac Dietary Adherence Test (CDAT) and the Rapid Urinary Gluten Detection Test (u‐GIP) in assessing gluten‐free diet adherence in children and adolescents with celiac disease.MethodsFifty‐four celiac patients from two pediatric gastroenterology outpatient clinics affiliated with university hospitals were evaluated. The original CDAT was adapted for children through a transcultural process, and the original cutoff point was adopted to define adherence. A single examiner carried out the u‐GIP test in fresh urine samples. Sociodemographic and clinical factors and family food security status were also evaluated.ResultsA total of 88.9% of participants (confidence interval [CI]: 77.4–95.8; p<0.001) adhered to the gluten‐free diet, as determined by the adapted CDAT score, while 87.0% (CI: 75.1–94.6; p<0.001) had negative u‐GIP results. Among the 48 children adhering to the CDAT, six exhibited positive u‐GIP results in a urine sample. Of the six nonadherent participants, only one had a positive u‐GIP result. Notably, none of the children and adolescents with celiac disease who tested positive for u‐GIP reported symptoms on the day of testing, and their growth rates remained stable.ConclusionsEven celiac children and adolescents adhering to the CDAT questionnaire may show a positive u‐GIP in a single measurement without accompanying symptoms or growth impairment. The u‐GIP could be helpful in complementary tests in specific situations, such as for patients who exhibit compliant behavior but still experience symptoms or maintain persistent positive serology.

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Estudio de la adherencia a la dieta sin gluten en pacientes celiacos

Cited by 13 publications

References 29 publications

The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease

The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease

Analysis of health-related quality life in celiac patients

Gluten‐free diet adherence in pediatric celiac patients: Evaluating CDAT questionnaire and test for gluten detection in urine

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