Factors governing long‐term adherence to a gluten‐free diet in adult patients with coeliac disease

Abstract

SUMMARY BackgroundA strict gluten-free diet is the cornerstone of treatment for coeliac disease. Studies of gluten-free diet adherence have rarely used validated instruments. There is a paucity of data on long-term adherence to the gluten-free diet in the adult population.

Dietary compliance in celiac disease

“…The gluten-free diet may be difficult to pursue in some countries that have limited access to gluten-free products, or in settings where limited or minimal financial support is available[15], especially from government or other health care providers. Gluten-free diets are generally costly and perceived cost remains a barrier to adherence[16]. In some countries, governments may provide a stipend to alleviate costs or, alternatively, consider the costs of a gluten-free diet as an annual tax credit to the well-documented patient with biopsy-defined celiac disease[17].…”

Editorial: adherence in coeliac disease – those that can will and those that can't won't (and need support)! authors’ reply

“…The authors’ declarations of personal and financial interests are unchanged from those in the original article …”

“…We appreciate the interest of Kurien et al . in our study looking at factors governing long‐term adherence to a gluten‐free diet (GFD) . Our database unfortunately did not record the frequency of clinical follow‐up during the period on a GFD.…”

Obesity, Metabolic Syndrome, and Cardiac Risk Factors: Going Gluten-Free, for Better or Worse?

“…As an example, consuming a GFD does not make one more female and hence might not contribute toward weight loss or to the lack of other metabolic or cardiac risk factors. As following a GFD is associated with higher educational attainment and income, and improved self-awareness [7], one might have predicted, a priori, that cardiovascular risk profiles would be superior to those of the average population eating gluten. Despite using a large database like NHANES, the study only identified 155 nonceliac GFD followers.…”