Evidence map›Paper›PMID 33057793›Full record

ArticleEuropean journal of nutrition2021

Analysis of gluten immunogenic peptides in feces to assess adherence to the gluten-free diet in pediatric celiac patients.

María Roca, Ester Donat, Etna Masip, Paula Crespo-Escobar, Antonio José Cañada-Martínez, Begoña Polo, Carmen Ribes-Koninckx

Abstract read
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In one paragraph

Article in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Use of technology to educate patients with celiac disease.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  5. The follow-up of patients with celiac disease.Journal of translational autoimmunity · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
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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

7 authors at 3 institutions in 1 country.

María RocaCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain. maria_roca@iislafe.es.ORCID http://orcid.org/0000-0001-8157-2446
Ester DonatCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain.
Etna MasipCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain.
Paula Crespo-EscobarCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain.
Antonio José Cañada-MartínezData Science Unit, Instituto de Investigación Sanitaria La Fe, P.O. Box 46026, Valencia, Spain.
Begoña PoloCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain.
Carmen Ribes-KoninckxCeliac Disease and Digestive Immunopathology Unit, Instituto de Investigación Sanitaria La Fe, Avda. Fernando Abril Martorell, 106, P.O. Box 46026, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ESInstituto de Investigación Sanitaria La Fe · ESUniversidad Europea Miguel de Cervantes · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn celiac disease (CD) there is a need for precise and non-invasive tools to assess dietary compliance to the gluten-free diet (GFD). Our aim is to evaluate the efficacy of the detection of gluten immunogenic peptides (GIP) in feces, to monitor in real life, the adherence to GFD in pediatric patients with CD.

methodsA cross-sectional, prospective study was conducted. Fecal samples from CD children were analyzed by a rapid immunochromatographic (IC) test and by an ELISA method, both based on the antigliadin 33-mer monoclonal antibody.

resultsGroup 1 comprises 43 children on a GFD. According to the food records (FR), 39/43 patients were compliant with the GFD and gluten consumption was recorded in 4. GIP were detected in 15/43 individuals by the ELISA method and also in 7 by IC strips. Group 2: comprise 18 children at CD diagnosis; GIP levels decreased over time (p < 0.001) in a non-linear way (p = 0.028) after starting a GFD and were below the detection limit on the third day in most individuals.

conclusionGIP were detected, both by ELISA and by IC strips, in CD patients on a GFD, in which no consumption of gluten had been registered on the FR, confirming GIP detection to be superior to FR discovering involuntary transgressions. Despite a positive correlation between the amount of gluten intake and the concentration of GIP in feces, the interindividual variations observed suggest gastrointestinal factors influencing GIP recovery need to be further investigated.

Indexed as

Celiac DiseaseDiet, Gluten-FreeChildCross-Sectional StudiesFecesGlutensHumansPatient CompliancePeptidesProspective StudiesGlutensPeptidesCeliac diseaseGluten-free dietGluten immunogenic peptides

Identifiers

PMID33057793
OpenAlexW3093427357

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.