scholarly journals Histological recovery and gluten-free diet adherence: a prospective 1-year follow-up study of adult patients with coeliac disease

2014 ◽  
Vol 40 (6) ◽  
pp. 639-647 ◽  
Author(s):  
G. Galli ◽  
G. Esposito ◽  
E. Lahner ◽  
E. Pilozzi ◽  
V. D. Corleto ◽  
...  
Keyword(s):  
Coeliac Disease ◽  
Adult Patients ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Diet Adherence ◽  
Follow Up Study

scholarly journals Adherence to Gluten-Free Diet in Coeliac Paediatric Patients Assessed through a Questionnaire Positively Influences Growth and Quality of Life

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3802
Author(s):  
Deianira Pedoto ◽  
Riccardo Troncone ◽  
Margherita Massitti ◽  
Luigi Greco ◽  
Renata Auricchio
Keyword(s):  
Quality Of Life ◽  
Influencing Factors ◽  
Average Length ◽  
Study Data ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Diet Adherence ◽  
School Career

Assessment of adherence to gluten-free diet (GFD) represents the cornerstone in the management of coeliac disease. The primary aim of this study was to assess diet adherence through a questionnaire adapted to children. The secondary aim was to identify influencing factors and outcomes related to diet adherence. In this study, data about diagnosis, education, quality of life (QoL) and anti-transglutaminase (anti-TG2) titers of 160 coeliac children were collected. For the assessment of diet adherence, all participants completed the questionnaire modified from Leffler et al. (2009), while a random sample of 37 also underwent an extensive dietary interview. According to the questionnaire, diet adherence was excellent in 95 (59.4%), fair in 46 (28.8%) and low in 19 (11.9%) patients. Children diagnosed with biopsy showed better adherence than those with a biopsy-sparing approach (p = 0.036). Adherence to GFD tended to worsen during the follow up, with the average length of follow up being associated with lower scores of diet adherence (p = 0.009). Moreover, adherence to GFD decreased throughout school career, dropping from elementary until high school (p = 0.037). A positive correlation was observed between adherence to GFD and growth percentiles, which increased when higher scores of adherence were achieved. Diet adherence positively correlated with QoL (p = 0.001). In conclusion, the questionnaire displayed good sensitivity in detecting problems in diet adherence, being useful as a screening tool. Better comprehension of influencing factors and outcomes may allow the development of new strategies to improve diet adherence.

scholarly journals Interventions to Increase Adherence to a Gluten Free Diet in Patients with Coeliac Disease: A Scoping Review

2020 ◽  
Vol 2 (3) ◽  
pp. 318-326
Author(s):  
Humayun Muhammad ◽  
Sue Reeves ◽  
Sauid Ishaq ◽  
Yvonne Jeanes
Keyword(s):  
Coeliac Disease ◽  
Intervention Studies ◽  
Gluten Free Diet ◽  
Online Course ◽  
Dietary Adherence ◽  
Inflammatory Disorder ◽  
Gluten Free ◽  
Robust Methods ◽  
Chronic Inflammatory Disorder

Coeliac disease is a chronic inflammatory disorder of the small bowel, characterised by permanent intolerance to gluten. The only current and effective treatment for coeliac disease is a gluten free diet [GFD], however this is challenging for patients to adhere to. The review aims to identify published interventions designed to improve patients’ adherence to a GFD. Ten intervention studies were identified and included within the review; whilst heterogeneous in delivery, all included an educational, behavioural, and practical element. Five interventions significantly improved dietary adherence, these included follow-up appointments, a telephone clinic, an online course, cooking sessions and psychological support. All studies were small and used varied methods to assess adherence. There is a paucity of well-designed interventions to promote dietary adherence, in future more robust methods for ascertaining adherence is needed, we recommend greater inclusion of dietetic assessment and combining more than one method for assessing adherence.

Compliance with gluten-free diet in adolescents with screening-detected celiac disease: A 5-year follow-up study

2000 ◽  
Vol 136 (6) ◽  
pp. 0841-0843 ◽  
Author(s):  
Elisabetta Fabiani ◽  
Luciana Maria Taccari ◽  
Ilse-Maria R[auml ]tsch ◽  
Silvia Di Giuseppe ◽  
Giovanni Valentino Coppa ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Follow Up Study

scholarly journals Symposium 1: Joint BAPEN and British Society of Gastroenterology Symposium on ‘Coeliac disease: basics and controversies’ Dietitians are better than clinicians in following up coeliac disease

2009 ◽  
Vol 68 (3) ◽  
pp. 249-251 ◽  
Author(s):  
Claire Stuckey ◽  
Jacqui Lowdon ◽  
Peter Howdle
Keyword(s):  
Coeliac Disease ◽  
Healthcare Professionals ◽  
Good Evidence ◽  
Gluten Free Diet ◽  
British Society ◽  
Annual Review ◽  
Team Approach ◽  
Gluten Free ◽  
Better Than

It seems obvious to healthcare professionals that patients with coeliac disease should receive regular follow-up. Surprisingly, there is little evidence that patients benefit in terms of reduced morbidity or mortality. However, several authoritative bodies have published guidelines on the management of coeliac disease that recommend regular follow-up. There is good evidence that compliance with a gluten-free diet reduces the risk of complications such as osteoporosis or small bowel lymphoma. Compliance is enhanced particularly by education about the disease and the gluten-free diet and by support from peers or professionals. Such input can be provided by regular follow-up, which thereby should improve compliance and hence long-term health. The consensus of the recommendations for follow-up suggests an annual review by a physician and dietitian. At annual follow-up the disease status can be checked and nutritional advice can be given, including checking the adequacy of, and the compliance with, the gluten-free diet. Complications and associated medical conditions can be sought, genetic risks explained and support and reassurance given. Specialist dietitians have particular expertise in relation to diet and nutritional management; specialist clinicians have a broader range of expertise in many aspects of management of the disease. A team approach for providing follow-up is the ideal, with a clinician and dietitian, both with expertise in coeliac disease, being involved. No one particular group of healthcare professionals is necessarily better than the other at providing follow-up.

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