Dietary adherence is not dependent on the mode of diagnosis in children with coeliac disease.
Acta Paediatr
; 113(9): 2140-2146, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38656690
ABSTRACT
AIM:
To compare the adherence to gluten-free diet between children with serology-based and biopsy-proven coeliac disease.METHODS:
Medical records were retrospectively reviewed in 257 Swedish children diagnosed with coeliac disease between 2012 and 2019 at a tertiary hospital. Adherence to a gluten-free diet was systematically assessed by trained dietitians at follow-up. Mixed models were used to analyse the dietary adherence by mode of diagnosis (serology-based vs. biopsy-proven).RESULTS:
After mean 6.3 (SD 2.4) years, there was neither a difference in the dietary adherence over time depending on the mode of diagnosis (OR 0.64 [95% confidence interval (CI) 0.26, 1.60], p = 0.342), nor if coeliac disease was detected in screening studies (OR 0.74 [95% CI 0.25, 2.17], p = 0.584) or in risk-groups (OR 1.01 [95% CI 0.26, 3.91], p = 0.991) compared to clinically detected diagnosis. Non-adherence to a gluten-free diet increased with age (OR 1.19 [95% CI 1.06, 1.33], p = 0.003). There was no difference in the proportion of patients improving their dietary adherence from non-adherent to adherent over time (p = 0.322).CONCLUSION:
Mode of diagnosis did not influence the dietary adherence in Swedish children with coeliac disease, although adherence to a gluten-free diet was inversely associated with increasing age.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doença Celíaca
/
Cooperação do Paciente
/
Dieta Livre de Glúten
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Suécia