Daily Life Restrictions are Common and Associated with Health Concerns and Dietary Challenges in Adult Celiac Disease Patients Diagnosed in Childhood

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Leinonen , H , Kivelä , L , Lähdeaho , M-L , Huhtala , H , Kaukinen , K & Kurppa , K 2019 , ' Daily Life Restrictions are Common and Associated with Health Concerns and Dietary Challenges in Adult Celiac Disease Patients Diagnosed in Childhood ' , Nutrients , vol. 11 , no. 8 , 1718 . https://doi.org/10.3390/nu11081718

Title: Daily Life Restrictions are Common and Associated with Health Concerns and Dietary Challenges in Adult Celiac Disease Patients Diagnosed in Childhood
Author: Leinonen, Heini; Kivelä, Laura; Lähdeaho, Marja-Leena; Huhtala, Heini; Kaukinen, Katri; Kurppa, Kalle
Contributor: University of Helsinki, Children's Hospital
Date: 2019-08
Language: eng
Number of pages: 10
Belongs to series: Nutrients
ISSN: 2072-6643
URI: http://hdl.handle.net/10138/306593
Abstract: The prevalence and associated factors of daily life restrictions due to a gluten-free diet in adult celiac disease patients diagnosed in childhood are poorly known. We investigated these issues by collecting the medical data of 955 pediatric patients and sending questionnaires evaluating various health outcomes to the 559 patients who had reached adulthood. Of the 231 respondents, 46% reported everyday life restrictions caused by dietary treatment. Compared with those without restrictions, they more often had anemia at diagnosis (37% vs. 22%, p = 0.014), but the groups were comparable in other diagnostic features. In adulthood, patients with restrictions reported more overall symptoms (32% vs. 17%, p = 0.006), although the symptoms measured with the Gastrointestinal Symptom Rating Scale questionnaire were comparable. Despite strict dietary adherence in both groups, the experience of restrictions was associated with dietary challenges (34% vs. 9%, p <0.001), health concerns (22% vs. 13%, p = 0.050), and lower vitality scores in the Psychological General Well-Being questionnaire. The groups did not differ in their current age, socioeconomic status, family history of celiac disease, general health or health-related lifestyle, the presence of co-morbidities, or regular follow up. Our results encourage healthcare professionals to discuss the possible health concerns and dietary challenges with patients to avoid unnecessary daily life restrictions, especially when young patients start to take responsibility for their treatment.
Subject: celiac disease
daily life
experience
follow up
gluten-free diet
restrictions
transition
QUALITY-OF-LIFE
GLUTEN-FREE DIET
LONG-TERM HEALTH
RATING-SCALE
CHILDREN
IMPACT
ADHERENCE
ADOLESCENTS
GUIDELINES
TRANSITION
3143 Nutrition
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