Next Article in Journal
Piece of Cake: Coping with COVID-19
Previous Article in Journal
Effect of Overeating Dietary Protein at Different Levels on Circulating Lipids and Liver Lipid: The PROOF Study
Article

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

1
Department of Medical Translational Sciences, University Federico II, 80131 Naples, Italy
2
European Laboratory for the Investigation of Food-Induced Diseases, University Federico II, 80131 Naples, Italy
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(12), 3802; https://doi.org/10.3390/nu12123802
Received: 18 October 2020 / Revised: 4 December 2020 / Accepted: 8 December 2020 / Published: 11 December 2020
(This article belongs to the Section Clinical Nutrition)
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. View Full-Text
Keywords: coeliac disease; compliance; gluten free diet; diet adherence coeliac disease; compliance; gluten free diet; diet adherence
Show Figures

Figure 1

MDPI and ACS Style

Pedoto, D.; Troncone, R.; Massitti, M.; Greco, L.; Auricchio, R. Adherence to Gluten-Free Diet in Coeliac Paediatric Patients Assessed through a Questionnaire Positively Influences Growth and Quality of Life. Nutrients 2020, 12, 3802. https://doi.org/10.3390/nu12123802

AMA Style

Pedoto D, Troncone R, Massitti M, Greco L, Auricchio R. Adherence to Gluten-Free Diet in Coeliac Paediatric Patients Assessed through a Questionnaire Positively Influences Growth and Quality of Life. Nutrients. 2020; 12(12):3802. https://doi.org/10.3390/nu12123802

Chicago/Turabian Style

Pedoto, Deianira, Riccardo Troncone, Margherita Massitti, Luigi Greco, and Renata Auricchio. 2020. "Adherence to Gluten-Free Diet in Coeliac Paediatric Patients Assessed through a Questionnaire Positively Influences Growth and Quality of Life" Nutrients 12, no. 12: 3802. https://doi.org/10.3390/nu12123802

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop