ArticlePaediatrics & child health2014
Factors affecting adherence to a gluten-free diet in children with celiac disease.
Article in Paediatrics & child health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Gluten-Free Diet in Non-Celiac Hashimoto's Thyroiditis: A Systematic Review and Meta-Analysis.Nutrients · 2025Pooled it
- Text Message Intervention (TEACH) Improves Quality of Life and Patient Activation in Celiac Disease: A Randomized Clinical Trial.The Journal of pediatrics · 2017Trial
- Factors associated with adherence to gluten-free diet in patients with concomitant celiac disease and type 1 diabetes.JPGN reports · 2026Article
- Psychosocial Impact of Celiac Disease on Primary Caregivers of Children in Jordan: A Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
- Barriers to treatment adherence in pediatric eosinophilic esophagitis.JPGN reports · 2025Article
- Examination of eating attitudes and symptoms of orthorexia nervosa in adolescents with and without celiac disease.Journal of eating disorders · 2025Article
- Celiac Disease-Narrative Review on Progress in Celiac Disease.Foods (Basel, Switzerland) · 2025Review
- Living with Pediatric Coeliac Disease: Lessons for Health Service Delivery.Digestive diseases and sciences · 2025Article
- Burden of coeliac disease in Germany: real-world insights from a large retrospective health insurance claims database analysis.Therapeutic advances in gastroenterology · 2025Article
- Gluten-Free Diet Adherence Evaluation in Adults with Long-Standing Celiac Disease.Foods (Basel, Switzerland) · 2024Article
- Article
- Gut microbiota alterations and associations with nutrients in children with celiac disease.Food science & nutrition · 2024Article
- Assessment of a training course for cookery students regarding celiac disease and gluten-free diet.Heliyon · 2024Article
- Article
- Adherence to gluten free diet and problems faced by children with celiac disease and type 1 diabetes mellitus.Journal of family medicine and primary care · 2024Article
- From Struggle to Strength: A Multicentric Study on How Public Policies for Celiac Disease Transform Lives.Nutrients · 2024Article
- Compliance and Attitudes towards the Gluten-Free Diet in Celiac Patients in Italy: What Has Changed after a Decade?Nutrients · 2024Article
- Vulnerability in Children with Celiac Disease: Findings from a Scoping Review.Children (Basel, Switzerland) · 2024Article
- Experiences and difficulties for primary caretakers of children with celiac disease - A qualitative study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023Article
- Gluten-Free Diet Knowledge and Adherence in Adolescents with Celiac Disease: A Cross-Sectional Study.JPGN reports · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of celiac disease is a strict, life-long gluten-free (GF) diet. This diet is complex and can be challenging. Factors affecting adherence to the GF diet are important to identify for improving adherence.
objectiveTo identify factors that inhibit or improve adherence to a GF diet in children with celiac disease.
methodsPatients (<18 years of age) with biopsy-confirmed celiac disease followed by the gastroenterology service at a tertiary care paediatric institution were surveyed using a mailed questionnaire. Factors influencing adherence to a GF diet were scored from 1 to 10 based on how often they were problematic (1 = never, 10 = always). Parents of patients <13 years of age were instructed to complete the survey with their child. Adolescents ≥13 years of age were asked to complete the survey themselves.
resultsOf 253 subjects, 126 completed the survey; the median age was 12 years (range two to 18 years). Forty percent were adolescents. Overall, participants reported good adherence at home and school, but lower adherence at social events. Adolescents reported lower adherence compared with parents. Availability of GF foods and cost were the most significant barriers. Other factors identified to help with a GF diet included education for schools/restaurants and improved government support.
conclusionsAvailability, cost and product labelling are major barriers to adherence to a GF diet. Better awareness, improved labelling and income support are needed to help patients.
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