Prevalence of Eating Disorders in Adults with Celiac Disease

Passananti, Valentina; Siniscalchi, Mario; Zingone, Fabiana; Bucci, Cristina; Tortora, Raffaella; Iovino, Paola; Ciacci, Carolina

doi:10.1155/2013/491657

Cited by 54 publications

(61 citation statements)

References 29 publications

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“…Planning and preparing food should not dominate thoughts and dictate behaviours above and beyond that of other daily activities (24) . Recent research on disordered eating in CD indicates that both extreme GFD adherence and dietary transgressions are associated with disordered eating patterns (26)(27)(28)(29)(30)(31)(32) . For those who fail to adhere to their GFD, the challenges of managing the GFD may lead to restrictive or bulimic eating behaviours (31)(32)(33) .…”

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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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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“…At the onset, patients may present typical manifestation (diarrhea, weight loss), may be oligosymptomatic, or may present atypical symptoms such as headache and psychiatric disturbances,1 including eating disorders (EDs) 2. Anorexia nervosa (AN) is one of the most common psychiatric diagnoses in adolescent girls (<1%–4% of the female population).…”

Section: Introductionmentioning

confidence: 99%

Anorexia nervosa of the restrictive type and celiac disease in adolescence

Nacinovich¹,

Tremolizzo²,

Corbetta³

et al. 2017

NDT

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BackgroundAnorexia nervosa (AN) is usually present in adolescence with symptoms partially overlapping celiac disease (CD), but the relationship between these two conditions has received little attention in the literature. The aim of this work was to explore this relationship, considering if CD could be associated with specific baseline AN-related clinical features.MethodsIn this retrospective study, 82 adolescent female out- and inpatients with AN of the restrictive type (ANr), according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, were recruited. CD diagnosis and related serology were recorded, including tissue transglutaminase type-2 antibodies, endomysial antibodies, and antibodies against deamidated forms of gliadin peptides. Eating disorder inventory-3, Children’s Depression Inventory, body mass index, age, and disease duration data recorded at the time of blood withdrawal were also obtained from each patient.ResultsFive (6.1%) subjects presented a CD disorder associated with AN: none of the collected psychometric measures was significantly correlated with any CD-related parameter or characterized as a specific subgroup.ConclusionCD diagnosis or serology does not relate to ANr clinical or demographic characteristics. However, a slight increase in prevalence with respect to the general population might be hypothesized and possibly elucidated by further studies with an appropriate design.

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“…Even within this subset of undiagnosed individuals with pathological CD, research has found altered eating behaviors [50]. In all, eating pathology has been demonstrated to be more common in young women living with CD compared to young men with CD and healthy controls [50].…”

Section: Ed Risk Factors Associated With CDmentioning

confidence: 99%

Adolescents with Diet-Related Chronic Health Conditions (DRCHCs) and Unique Risk for Development of Eating Pathology

David¹,

Culnan²,

Эрнст³

2017

J Child Adolesc Behav

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Diet-Related Chronic Health Conditions (DRCHCs) are a subset of chronic health illnesses, which presently includes Inflammatory Bowel Disease (IBD), Type 1 Diabetes (T1D), Cystic Fibrosis (CF), and Celiac Disease (CD). Food and diet play integral roles in the management and progression of each condition. The diversity of treatments for DRCHCs encompass therapies that impact diet, weight, and body shape, such as steroids, insulin, and special and/or restrictive diets. Often with efforts to control unwanted side effects of the myriad of treatments, there is poor adherence to prescribed therapies. Given the psychosocial burden of DRCHCs, and the high degree of focus on weight and diet involved in managing each disorder, it is not surprising that those living with DRCHCs may be at risk for developing body image concerns, including poor body image and weight concerns, which may increase the risk for the development of eating pathology. In addition to summarizing current eating pathology risk factors present in DRCHCs, the proposed article builds on previous research by recommending an expansion of the category of DRCHCs to include Type II Diabetes and serious/anaphylactic food allergies, and hypothesizes DRCHC-specific eating pathology risk factors, such as hyper focus on weight, medically-related food restriction, and societal acceptance of thinness despite health issues. The article concludes with clinical recommendations for pediatric medical providers to potentially minimize the negative impact of DRCHC on pediatric patients' medical and psychosocial outcomes.

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Prevalence of Eating Disorders in Adults with Celiac Disease

Cited by 54 publications

References 29 publications

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

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

Anorexia nervosa of the restrictive type and celiac disease in adolescence

Adolescents with Diet-Related Chronic Health Conditions (DRCHCs) and Unique Risk for Development of Eating Pathology

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