Quality of life of adult coeliac patients treated for 10 years

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

“…Contrary to predictions, and inconsistent with previous research in CD (15,19,21) and across a wide variety of health conditions (53,54), no gender differences in QOL were observed.…”

Exploring Dietary Sacrifice in Intimate Relationships for Couples with Celiac Disease

“…Current findings indicate that communal eating, or shared eating behaviors, may be an important component of relationship satisfaction for both members of a couple; however, the only empirical study thus far to include communal eating as a variable (Franks et al, 2012) looked only at the frequency with which couples ate together, not whether they were eating the same foods during those meals. This may help explain the weak association found in this study between shared meals and marital satisfaction, as some researchers posit that chronic disease patients experience worse quality of life outcomes to the extent that they have to cook one type of food for themselves and a separate type for their families during mealtimes (Hallert et al, 1998;Hallert et al, 2002). Little is known regarding the motivational processes driving one intimate partner to voluntarily participate in the required diet of the other or what effect this form of sacrifice has on the perceived quality of the relationship.…”

“…Previous CD findings have revealed significant gender differences between patients on measures of well-being and health-related quality of life such that females tend to experience lower levels than males (e.g., Hallert et al, 1998;Hallert et al, 2002;Zardakas et al, 2006). Explanations for these differences may be attributable to the increased number of symptoms experienced specifically by women (e.g., infertility, early menopause, menstrual irregularities, osteoporosis; Shah & Leffler, 2010), as well as food-related gender norms that may add increased stress and hassle to women's daily family experiences (e.g., Hallert et al, 2002).…”

“…Some have speculated that these experiences are attributable, in part, to societal norms pertaining to cooking behaviors. They posit that Celiac patients may experience lower well-being and increased illness-related distress to the extent that they are cooking separate meals for themselves and their families during shared mealtimes (Hallert et al, 1998;Hallert et al, 2002). As of yet, no empirical investigations have been performed to test this proposed association; however, it is posited here that one of the ways in which cooking separate meals may be particularly distressing for Celiac individuals in cohabitating intimate relationships is due to the fact that maintaining the GFD requires a divergence from couples' communal eating norms.…”

Coeliac disease in Europe

“…This effect appears to persist despite improvement in disease parameters, possibly as a result of the limitations of treatment. 10 Coeliac disease represents a major public health issue, as osteoporosis and anaemia are common consequences of untreated coeliac disease. In untreated coeliac patients, the incidence of lymphoma is increased 4-100-fold, and other conditions such as diabetes, thyroid disease, and epilepsy are also increased.…”