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Nutrients 2018, 10(10), 1424;

Adherence to Gluten-Free Diet in Children with Celiac Disease

Department of Pediatric Diseases and Pediatric Nursing, Clinic of Pediatrics, Gastrology and Childrens Rheumatology, Pomeranian Medical University, 71-454 Szczecin, Poland
Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, 71-454 Szczecin, Poland
Author to whom correspondence should be addressed.
Received: 27 August 2018 / Revised: 21 September 2018 / Accepted: 28 September 2018 / Published: 4 October 2018
(This article belongs to the Special Issue Gluten-Free Diet)
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Celiac disease (CD) can only be treated by rigorous life-long gluten-free diet (GFD). The study included 102 mothers and their CD children treated with GFD for at least two years. Frequency and cause of diet failure in children treated at present (54 children) and 10 years ago (48 children) were compared. Dietary adherence was evaluated serologically (tTG), while diet management difficulties were examined by means of a questionnaire. The study shows that one-third of patients fail to follow GFD, more often 10 years ago than now (40% vs. 26%; p < 0.05), mainly children aged 13–18 (54% vs. 40% now; p < 0.05). Younger children (up to 12) are less likely to abandon the diet (27% vs. 8%; p < 0.05). In this age group non-intentional diet failure prevails, while teenagers interrupt their diet intentionally (45% vs. 33%; p = ns (small population of children in this groups)). Currently, the most common causes of teenage diet failure are the absence of symptoms after consuming a small amount of gluten and, even more often, troublesome diet administration. Previously, the absence of peer acceptance prevailed. With this study we found that: 1. In West Pomerania, every fourth CD child does not follow GFD. 2. For years, teenagers have failed to follow GFD due to the absence of symptoms after consuming small amounts of gluten. 3. The incidence of non-intentional failure to follow GFD has significantly decreased over years, which indicates better dietary care. View Full-Text
Keywords: gluten-free diet; celiac disease; children; teenagers gluten-free diet; celiac disease; children; teenagers

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Czaja-Bulsa, G.; Bulsa, M. Adherence to Gluten-Free Diet in Children with Celiac Disease. Nutrients 2018, 10, 1424.

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