Evidence map›Paper›PMID 26729543›Full record

ArticleThe American journal of gastroenterology2016

Prevalence of Adult Celiac Disease in India: Regional Variations and Associations.

B S Ramakrishna, Govind K Makharia, Kamal Chetri, Sangitanjan Dutta, Prashant Mathur, Vineet Ahuja, Ritvik Amarchand, Ramadass Balamurugan, Sudipta D Chowdhury, Dolly Daniel and 10 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The American journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
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  8. Article
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  11. Article
  12. Article
  13. Celiac Disease in Children: A 2023 Update.Indian journal of pediatrics · 2024
    Review
  14. Article
  15. Review
  16. Clinical and demographic comparison of celiac disease diagnosed during adulthoodJGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Clinical profile of patients with seronegative celiac disease.Gastroenterology and hepatology from bed to bench · 2023
    Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

B S RamakrishnaDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Govind K MakhariaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Kamal ChetriDepartment of Gastroenterology, International Hospital, Guwahati, India.
Sangitanjan DuttaDepartment of Medicine, Guwahati Medical College, Guwahati, India.
Prashant MathurIndian Council of Medical Research, New Delhi, India.
Vineet AhujaDepartment of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India.
Ritvik AmarchandDepartment of Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Ramadass BalamuruganDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Sudipta D ChowdhuryDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Dolly DanielDepartment of Transfusion Medicine, Christian Medical College, Vellore, India.
Anup DasDepartment of Medicine, Guwahati Medical College, Guwahati, India.
Gemlyn GeorgeDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Siddhartha Datta GuptaDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Anand KrishnanDepartment of Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Jasmin H PrasadDepartment of Community Health, Christian Medical College, Vellore, India.
Gurvinder KaurDepartment of Transfusion Medicine and Immunohematology, All India Institute of Medical Sciences, New Delhi, India.
Srinivasan PugazhendhiDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Anna PulimoodDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Kartik RamakrishnaDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
Anil K VermaDepartment of Gastrointestinal Sciences, Christian Medical College, Vellore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough celiac disease (CeD) affects 1% of people in the northern part of India, it is believed to be uncommon in the southern and northeastern parts because of significant differences in dietary pattern and ethnicity. We estimated the prevalence of CeD in these three populations. In a subset, we also investigated differences in the prevalence of HLA-DQ 2/8 allelotype and dietary grain consumption.

methodsA total of 23,331 healthy adults were sampled from three regions of India-northern (n=6207), northeastern (n=8149), and southern (n=8973)-and screened for CeD using IgA anti-tissue transglutaminase antibody. Positive tests were reconfirmed using a second ELISA. CeD was diagnosed if the second test was positive and these participants were further investigated. A subsample of participants was tested for HLA-DQ2/-DQ8 and underwent detailed dietary evaluation.

resultsAge-adjusted prevalence of celiac autoantibodies was 1.23% in northern, 0.87% in northeastern, and 0.10% in southern India (P<0.0001). Prevalence of CeD and latent CeD, respectively, was 8.53/1,000 and 3.70/1,000 in northern, 4.66/1,000 and 3.92/1,000 in northeastern, and 0.11/1,000 and 1.22/1,000 in the southern part. The population prevalence of genes determining HLA-DQ2 and/or -DQ8 expression was 38.1% in northern, 31.4% in northeastern, and 36.4% in southern India. Mean daily wheat intake was highest in northern (455 g) compared with northeastern (37 g) or southern part (25 g), whereas daily rice intake showed an inverse pattern.

conclusionsCeD and latent CeD were most prevalent in northern India and were the least in southern India. The prevalence correlated with wheat intake and did not reflect differences in the genetic background.

Indexed as

AdolescentAdultCeliac DiseaseDietEdible GrainFemaleHumansIndiaMaleMiddle AgedPrevalenceYoung Adult

Identifiers

PMID26729543

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