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Nutrients 2013, 5(5), 1585-1594; doi:10.3390/nu5051585
Article

Is Dietitian Use Associated with Celiac Disease Outcomes?

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Received: 1 April 2013; in revised form: 6 May 2013 / Accepted: 6 May 2013 / Published: 15 May 2013
(This article belongs to the Special Issue Nutrition and Celiac Disease)
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Abstract: A gluten-free diet (GFD) is the treatment for celiac disease (CD), but due to its complexity, dietitian referral is uniformly recommended. We surveyed patients with CD to determine if dietitian use is associated with quality of life, symptom severity, or GFD adherence. The survey utilized three validated CD-specific instruments: the CD quality of life (CD-QOL), CD symptom index (CSI) and CD adherence test (CDAT). Four hundred and thirteen patients with biopsy-proven CD were eligible for inclusion. The majority (77%) were female and mean BMI was 24.1. Over three-quarters of patients (326, 79%) had seen a dietitian, however, 161 (39%) had seen a dietitian only once. Age, sex, and education level were not associated with dietitian use; nor was BMI (24.6 vs. 24.0, p = 0.45). On multivariate analysis, adjusting for age gender, education, duration of disease, and body mass index, dietitian use was not associated with CD-QOL, CSI, or CDAT scores. Our survey did not show an association between dietitian use and symptom severity, adherence, or quality of life. Delay in diagnosis was associated with poorer outcomes. This is a preliminary study with several limitations, and further prospective analysis is needed to evaluate the benefits and cost-effectiveness of dietitian-referral in the care of celiac disease patients.
Keywords: celiac disease; dietary services; quality of life; quality improvement celiac disease; dietary services; quality of life; quality improvement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Mahadev, S.; Simpson, S.; Lebwohl, B.; Lewis, S.K.; Tennyson, C.A.; Green, P.H.R. Is Dietitian Use Associated with Celiac Disease Outcomes? Nutrients 2013, 5, 1585-1594.

AMA Style

Mahadev S, Simpson S, Lebwohl B, Lewis SK, Tennyson CA, Green PHR. Is Dietitian Use Associated with Celiac Disease Outcomes? Nutrients. 2013; 5(5):1585-1594.

Chicago/Turabian Style

Mahadev, SriHari; Simpson, Suzanne; Lebwohl, Benjamin; Lewis, Suzanne K.; Tennyson, Christina A.; Green, Peter H.R. 2013. "Is Dietitian Use Associated with Celiac Disease Outcomes?" Nutrients 5, no. 5: 1585-1594.


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