Predictors of Compliance to Gluten-Free Diet in Children with Celiac Disease

Garg, Anu; Gupta, Rajkumar

doi:10.1155/2014/248402

Cited by 27 publications

(70 citation statements)

References 26 publications

(33 reference statements)

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“…The percentage of compliant children dropped from 75.92% in children > 2-5 years to 41.37% in children above 9 years of age. Therefore our outputs are also in accordance with study of Gar and Gupta (24). Compliance rate of 93% at 12 years of child's age was decreasing to 76% in the age group 15-17 years (25).…”

Section: Insufficient Labelling 21supporting

confidence: 88%

“…Mean age of children in our sample group was almost identical to the study of Rashid et al (11). Young children with celiac disease adhered better to GF diet because of parental influence, the situation remains complex in adolescents (24). The results of the study (24) found decreased dietary compliance in children above 9 years of age.…”

Section: Insufficient Labelling 21supporting

confidence: 81%

“…GF -gluten-free quality of life: gender, age of diagnosis, teenage diet, absence of symptoms, education of parents and also income per capita in the family (23). Age of the child is an important factor influencing GF diet compliance (11,23,24). Mean age of children in our sample group was almost identical to the study of Rashid et al (11).…”

Section: Insufficient Labelling 21supporting

confidence: 73%

“…Young children with celiac disease adhered better to GF diet because of parental influence, the situation remains complex in adolescents (24). The results of the study (24) found decreased dietary compliance in children above 9 years of age. The percentage of compliant children dropped from 75.92% in children > 2-5 years to 41.37% in children above 9 years of age.…”

Section: Insufficient Labelling 21mentioning

confidence: 92%

“…Compliance rate of 93% at 12 years of child's age was decreasing to 76% in the age group 15-17 years (25). There are various reasons which may be responsible for increasing the non-compliance with increasing age of the child, including more intensive social interactions, increased peer group pressure, increased outdoor activities, and need for experimentation (24,25).…”

Section: Insufficient Labelling 21mentioning

confidence: 99%

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Compliance with gluten-free diet in a selected group of celiac children in the Slovak Republic

Rimárová¹,

Dorko²,

Jana³

et al. 2018

Cent Eur J Public Health

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Objective: Celiac disease (CD) is a chronic long-term disease with autoimmune disorder connected to an allergic reaction to the molecule of gluten. CD is manifested in persons who are genetically predisposed. The only therapy for CD is a strong gluten-free (GF) diet. The aim of our study was to follow the adherence to the gluten-free diet in the selected group of parents and caregivers of children with CD, and to compare factors influencing the adherence to GF diet and therefore influencing also clinical symptoms of CD. We compared and examined important food-related activities as well, by using a personal questionnaire in the group of CD children's parents or caregivers.Methods: We designed a cross-sectional study; 325 parents or caregivers of children with CD were recruited in the sample. CD was confirmed by the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) criteria. The anonymous questionnaires were collected at summer camps within period data 2012-2016 and followed factors which might have an influence on compliance with GF diet, according to parents' opinions.Results: Adherence to GF diet was statistically significantly higher among girls compared to boys. Parents' questionnaires confirmed that younger group of children and children with the family history of CD had statistically higher compliance with GF diet. Parents with higher education confirmed better adherence to GF diet, statistical analyses confirmed higher adherence in mother´s education compared to father's education. Duration of CD, socio-demographic factors of parents -age of parent, gender of parent, and residency were not statistically significant in terms of compliance with the diet.Conclusions: Our study confirmed important factors influencing adherence to the GF diet, which are connected to the symptoms and consequences of CD. The assessment of parents' opinions and burden on the families of children with celiac disease should be also reflected in the evaluation of patient's status. Important is also the role of parents in order to facilitate and support clinical interventions and prevention of CD.

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Section: Insufficient Labelling 21supporting

confidence: 88%

Section: Insufficient Labelling 21supporting

confidence: 81%

Section: Insufficient Labelling 21supporting

confidence: 73%

Section: Insufficient Labelling 21mentioning

confidence: 92%

Section: Insufficient Labelling 21mentioning

confidence: 99%

See 3 more Smart Citations

Compliance with gluten-free diet in a selected group of celiac children in the Slovak Republic

Rimárová¹,

Dorko²,

Jana³

et al. 2018

Cent Eur J Public Health

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Effect of gluten‐free diet and compliance on quality of life in pediatric celiac disease patients

et al. 2019

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Background Quality of life (QOL) in children with celiac disease (CD) has been sparsely studied. Aims We aimed to study QOL in pediatric CD and the effect of a gluten‐free diet (GFD) in a North Indian population. Methods QOL was assessed at baseline and 6 months after GFD using a pediatric symptom checklist (PSC) score. The effect of GFD was assessed using a CD‐specific questionnaire on domains such as dietary compliance, parental behavior and perceptions, children's feeling, and difficulty identifying gluten‐free foods. Results A total of 60 CD children (age 6.03 ± 0. 42 years, range: 2–12 years, M:F 2:1) were prospectively enrolled. The median PSC score at baseline was 11.5 (2–35), which showed a statistically significant improvement after GFD to 2.5 (0–34) (P < 0.001). Significant concerns regarding specific domains emerged: difficulty in maintaining GFD 26.2%, at school 14.3%, at parties 43.2%, poor taste 11.4%, special diet a burden 28.5%, felt left out at school or friend's home 40.9%, felt different from other kids 40.9%, felt embarrassed to bring GFD to parties 54.6%, felt angry about following a special diet 56.8%, felt not invited out for meals because of CD 13.6%, and difficulty determining if food available was gluten free in 75%. Conclusion GFD has a significant impact on emotional, behavioral, and psychosocial domains in children with CD. Proper labeling of commercially available food items, counseling, and patient support groups are the need of the hour.

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Gluten‐free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease

Luque,

Crespo‐Escobar,

Hård af Segerstad

et al. 2024

J. pediatr. gastroenterol. nutr.

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Background and ObjectiveCoeliac disease is a chronic, immune‐mediated disorder for which the only treatment consists of lifelong strict adherence to gluten‐free diet (GFD). However, there is a lack of evidence‐based guidelines on the GFD dietary management of coeliac disease. This position paper, led by the Special Interest Group in coeliac disease of the European Society of Pediatric, Gastroenterology Hepatology, and Nutrition, supported by the Nutrition Committee and the Allied Health Professionals Committee, aims to present evidence‐based recommendations on the GFD as well as how to support dietary adherence.MethodsA wide literature search was performed using the MeSH Terms: “diet, gluten free,” “gluten‐free diet,” “diets, gluten‐free,” “gluten free diet,” and “coeliac disease” in Pubmed until November 8th, 2022.ResultsThe manuscript provides an overview of the definition of the GFD, regulations as basis to define the term “gluten‐free,” which foods are naturally gluten‐free and gluten‐containing. Moreover, it provides recommendations and educational tips and infographics on suitable food substitutes, the importance of reading food labels, risk of gluten cross‐contact at home and in public settings, nutritional considerations as well as factors associated to dietary adherence based on available evidence, or otherwise clinical expertise.ConclusionsThis position paper provides guidance and recommendations to support children with coeliac disease to safely adhere to a GFD.

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Predictors of Compliance to Gluten-Free Diet in Children with Celiac Disease

Cited by 27 publications

References 26 publications

Compliance with gluten-free diet in a selected group of celiac children in the Slovak Republic

Compliance with gluten-free diet in a selected group of celiac children in the Slovak Republic

Effect of gluten‐free diet and compliance on quality of life in pediatric celiac disease patients

Gluten‐free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease

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