Dana Zelnik Yovel, Lena Berezovsky, Vered Richter, Tzippora Shalem, Daniel L Cohen, Haim Shirin, Efrat Broide
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引用次数: 0
Abstract
Past studies have reported differences between pediatric and adult celiac disease patients. We aimed to compare factors associated with adherence to a gluten-free diet between these groups. An anonymous online questionnaire was sent via the Israeli Celiac Association and social networks to celiac patients. The Biagi questionnaire was used to assess dietary adherence. A total of 445 subjects participated. Mean age was 25.7 ± 17.5 years and 71.9% were female. Subjects were divided into six groups according to age at diagnosis: younger than 6 years (134 patients, 30.7%), 6-12 (79 patients, 18.1%), 12-18 (41 patients, 9.4%), 18-30 (81 patients, 18.5%), 30-45 (79 patients, 18.1%), and 45 years and above (23 patients, 5.3%). There were several significant differences between childhood- and adulthood-diagnosed patients. Pediatric patients were less likely to be noncompliant with a gluten-free diet (3.7% vs. 9.4%, p < .001). They were also more frequently followed by a gastroenterologist ( p < .001), a dietitian ( p < .001), and participated in a celiac support group ( p = .002). In logistic regression analyses, longer duration of disease was associated with poor compliance. In conclusion, pediatric-diagnosed celiac patients are more adherent to a gluten-free diet than those diagnosed in adulthood, with better social support and nutritional follow-up possibly contributing.
期刊介绍:
Gastroenterology Nursing: The Official Leader in Science and Practice delivers the information nurses need to stay ahead in this specialty. The journal keeps gastroenterology nurses and associates informed of the latest developments in research, evidence-based practice techniques, equipment, diagnostics, and therapy. The only professional, peer-reviewed nursing journal covering this area, Gastroenterology Nursing is an invaluable resource for current SGNA guidelines, new GI procedures, pharmacology, career development, and certification review. Its lively editorial style and illustrations make the journal a pleasure to read and consult.
Official Journal of the Society of Gastroenterology Nurses and Associates and Canadian Society of Gastroenterology Nurses and Associates