Observational studyIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2015
Adherence to gluten-free diet and barriers to adherence in patients with celiac disease.
Observational study in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Celiac Disease and the Nervous System: A Comprehensive Overview of Neurological Manifestations and Underlying Mechanisms.Neuromolecular medicine · 2026Review
- Micronutrient Deficiencies and Nutritional Status in Children with Celiac Disease: A Retrospective Study.Children (Basel, Switzerland) · 2026Article
- Article
- Celiac disease in children with focus on symptoms and quality of life.Scientific reports · 2025Article
- Article
- Utilizing Telemedicine Applications in Celiac Disease and Other Gluten-Free-Diet-Dependent Conditions: Insights from the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2024Review
- Guidelines for best practices in monitoring established coeliac disease in adult patients.Nature reviews. Gastroenterology & hepatology · 2024Review
- Safety Assessment of Foods and Drinks Consumed by People on a Gluten-Free Diet.Molecules (Basel, Switzerland) · 2022Article
- Non-Responsive and Refractory Coeliac Disease: Experience from the NHS England National Centre.Nutrients · 2022Article
- Application of a Platform for Gluten-Free Diet Evaluation and Dietary Advice: From Theory to Practice.Sensors (Basel, Switzerland) · 2022Article
- Smartphone Application for Celiac Patients: Assessing Its Effect on Gastrointestinal Symptoms in a Randomized Controlled Clinical Trial.International journal of telemedicine and applications · 2022Article
- Impact of Corona Virus Disease 2019 pandemic on adherence to gluten-free diet in Indian patients with celiac disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021Article
- The influence of a gluten-free diet on health-related quality of life in individuals with celiac disease.BMC gastroenterology · 2021Article
- Challenges of Monitoring the Gluten-Free Diet Adherence in the Management and Follow-Up of Patients with Celiac Disease.Nutrients · 2021Review
- Telephone clinic improves gluten-free dietary adherence in adults with coeliac disease: sustained at 6 months.Frontline gastroenterology · 2021Article
- Participant characteristics and self-reported weight status in a cross-sectional pilot survey of self-identified followers of popular diets: Adhering to Dietary Approaches for Personal Taste (ADAPT) Feasibility Survey.Public health nutrition · 2020Article
- Article
- Celiac disease in the East and the West: Bridging the gaps between the guidelines and their implementation in daily practice is mandatory.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019Review
- Coeliac disease in children: the need to improve awareness in resource-limited settings.Sudanese journal of paediatrics · 2019Review
- All that a physician should know about gluten-free diet.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile adherence to gluten-free diet (GFD) is essential for effective control of celiac disease, the level of adherence to GFD may vary. We assessed the level of adherence to GFD and identified barriers to adherence in patients with celiac disease.
methodsBoth treatment-naive and follow up patients with celiac disease were recruited from a celiac disease clinic. All the patients were assessed for symptom improvement using celiac symptom index (CSI), weight, and hemoglobin; adherence to GFD using detailed dietary history and food-labeled quiz questionnaire; identification of barriers to GFD using a self-administered 36-point questionnaire; and quality of life using a standard 36-item short form (SF36) questionnaire.
resultsAmong the patients who were already on GFD, only 53.3% maintained an excellent or good level of adherence, which increased to 92.4% at 6 months with repeated counseling. Among the treatment-naive patients, 64.8% maintained either excellent or good compliance at 1 month after first counseling, which increased to 96.3% at 6 months with repeated counseling. The most common barrier to adherence was non-availability of GFD. Certain barriers could be modified with repeated counseling and education. Response to GFD, as measured by CSI, gain in weight, and improvement in hemoglobin, was better in those having either excellent or good compliance to GFD compared to those who remained poorly adherent.
conclusionsRepeated counseling increased the level of adherence to GFD.
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