Systematic review: adherence to a gluten‐free diet in adult patients with coeliac disease
Summary Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten‐free diet, can have a considerable impact on daily living. Understanding the factors associated with non‐...
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| Veröffentlicht in: | Alimentary pharmacology & therapeutics 2009-08, Vol.30 (4), p.315-330 |
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| container_title | Alimentary pharmacology & therapeutics |
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| creator | HALL, N. J. RUBIN, G. CHARNOCK, A. |
| description | Summary
Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten‐free diet, can have a considerable impact on daily living. Understanding the factors associated with non‐adherence is important in terms of supporting patients with their condition.
Aim To investigate factors associated with adherence to a gluten‐free diet in adults with coeliac disease.
Methods A literature search of multiple electronic databases using a pre‐determined search string for literature between 1980 and November 2007 identified a possible 611 hits. After checking for relevance, 38 studies were included in this review.
Results Rates for strict adherence range from 42% to 91% depending on definition and method of assessment and are the lowest among ethnic minorities and those diagnosed in childhood. Adherence is most strongly associated with cognitive, emotional and socio‐cultural influences, membership of an advocacy group and regular dietetic follow‐up. Screen and symptom‐detected coeliac patients do not differ in their adherence to a gluten‐free diet.
Conclusions The existing evidence for factors associated with non‐adherence to a gluten‐free diet is of variable quality. Further and more rigorous research is needed to characterize those individuals most likely to be non‐adherent to assist them better with their treatment. |
| doi_str_mv | 10.1111/j.1365-2036.2009.04053.x |
| format | Article |
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Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten‐free diet, can have a considerable impact on daily living. Understanding the factors associated with non‐adherence is important in terms of supporting patients with their condition.
Aim To investigate factors associated with adherence to a gluten‐free diet in adults with coeliac disease.
Methods A literature search of multiple electronic databases using a pre‐determined search string for literature between 1980 and November 2007 identified a possible 611 hits. After checking for relevance, 38 studies were included in this review.
Results Rates for strict adherence range from 42% to 91% depending on definition and method of assessment and are the lowest among ethnic minorities and those diagnosed in childhood. Adherence is most strongly associated with cognitive, emotional and socio‐cultural influences, membership of an advocacy group and regular dietetic follow‐up. Screen and symptom‐detected coeliac patients do not differ in their adherence to a gluten‐free diet.
Conclusions The existing evidence for factors associated with non‐adherence to a gluten‐free diet is of variable quality. Further and more rigorous research is needed to characterize those individuals most likely to be non‐adherent to assist them better with their treatment.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/j.1365-2036.2009.04053.x</identifier><identifier>PMID: 19485977</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Biological and medical sciences ; Celiac Disease - diet therapy ; Celiac Disease - psychology ; Digestive system ; Food Labeling ; Gastroenterology. Liver. Pancreas. Abdomen ; Glutens - administration & dosage ; Humans ; Medical sciences ; Other diseases. Semiology ; Patient Compliance ; Pharmacology. Drug treatments ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Young Adult</subject><ispartof>Alimentary pharmacology & therapeutics, 2009-08, Vol.30 (4), p.315-330</ispartof><rights>2009 Blackwell Publishing Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3983-f86204657b806b143713ffef4a897b86149ad5ee6b08e0f827aefc0ad6c8e7b23</citedby><cites>FETCH-LOGICAL-c3983-f86204657b806b143713ffef4a897b86149ad5ee6b08e0f827aefc0ad6c8e7b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2036.2009.04053.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2036.2009.04053.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21742657$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19485977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HALL, N. J.</creatorcontrib><creatorcontrib>RUBIN, G.</creatorcontrib><creatorcontrib>CHARNOCK, A.</creatorcontrib><title>Systematic review: adherence to a gluten‐free diet in adult patients with coeliac disease</title><title>Alimentary pharmacology & therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary
Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten‐free diet, can have a considerable impact on daily living. Understanding the factors associated with non‐adherence is important in terms of supporting patients with their condition.
Aim To investigate factors associated with adherence to a gluten‐free diet in adults with coeliac disease.
Methods A literature search of multiple electronic databases using a pre‐determined search string for literature between 1980 and November 2007 identified a possible 611 hits. After checking for relevance, 38 studies were included in this review.
Results Rates for strict adherence range from 42% to 91% depending on definition and method of assessment and are the lowest among ethnic minorities and those diagnosed in childhood. Adherence is most strongly associated with cognitive, emotional and socio‐cultural influences, membership of an advocacy group and regular dietetic follow‐up. Screen and symptom‐detected coeliac patients do not differ in their adherence to a gluten‐free diet.
Conclusions The existing evidence for factors associated with non‐adherence to a gluten‐free diet is of variable quality. Further and more rigorous research is needed to characterize those individuals most likely to be non‐adherent to assist them better with their treatment.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Celiac Disease - diet therapy</subject><subject>Celiac Disease - psychology</subject><subject>Digestive system</subject><subject>Food Labeling</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Glutens - administration & dosage</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Patient Compliance</subject><subject>Pharmacology. Drug treatments</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Young Adult</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtO3DAUhq2qqEwpr1B5g1gl9SWxHaQuEOpNQqISdMXCcpzj4lEmmdoOw-x4hD5jnwSHGcG2Z-Mj-_uP7Q8hTElJc31alpSLumCEi5IR0pSkIjUvH96gxcvBW7QgTDQFU5QfovcxLgkhQhL2Dh3SplJ1I-UC3V5vY4KVSd7iAPceNmfYdHcQYLCA04gN_t1PCYZ_j39dAMCdh4T9kKGpT3idgzCkiDc-3WE7Qu-NzUwEE-EDOnCmj3C8X4_Qr69fbi6-F5dX335cnF8WljeKF04JRipRy1YR0dKKS8qdA1cZ1eQ9QavGdDWAaIkC4hSTBpwlphNWgWwZP0Knu7nrMP6ZICa98tFC35sBxilqyXktK8VnUu1IG8YYAzi9Dn5lwlZTomezeqlngXoWqGez-tmsfsjRj_tLpnYF3WtwrzIDJ3vARGt6F8xgfXzhGJUVy5_M3Ocdt_E9bP_7Afr8583c8SfLepVk</recordid><startdate>20090815</startdate><enddate>20090815</enddate><creator>HALL, N. J.</creator><creator>RUBIN, G.</creator><creator>CHARNOCK, A.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090815</creationdate><title>Systematic review: adherence to a gluten‐free diet in adult patients with coeliac disease</title><author>HALL, N. J. ; RUBIN, G. ; CHARNOCK, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3983-f86204657b806b143713ffef4a897b86149ad5ee6b08e0f827aefc0ad6c8e7b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Celiac Disease - diet therapy</topic><topic>Celiac Disease - psychology</topic><topic>Digestive system</topic><topic>Food Labeling</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Glutens - administration & dosage</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Patient Compliance</topic><topic>Pharmacology. Drug treatments</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HALL, N. J.</creatorcontrib><creatorcontrib>RUBIN, G.</creatorcontrib><creatorcontrib>CHARNOCK, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology & therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HALL, N. J.</au><au>RUBIN, G.</au><au>CHARNOCK, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review: adherence to a gluten‐free diet in adult patients with coeliac disease</atitle><jtitle>Alimentary pharmacology & therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2009-08-15</date><risdate>2009</risdate><volume>30</volume><issue>4</issue><spage>315</spage><epage>330</epage><pages>315-330</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary
Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten‐free diet, can have a considerable impact on daily living. Understanding the factors associated with non‐adherence is important in terms of supporting patients with their condition.
Aim To investigate factors associated with adherence to a gluten‐free diet in adults with coeliac disease.
Methods A literature search of multiple electronic databases using a pre‐determined search string for literature between 1980 and November 2007 identified a possible 611 hits. After checking for relevance, 38 studies were included in this review.
Results Rates for strict adherence range from 42% to 91% depending on definition and method of assessment and are the lowest among ethnic minorities and those diagnosed in childhood. Adherence is most strongly associated with cognitive, emotional and socio‐cultural influences, membership of an advocacy group and regular dietetic follow‐up. Screen and symptom‐detected coeliac patients do not differ in their adherence to a gluten‐free diet.
Conclusions The existing evidence for factors associated with non‐adherence to a gluten‐free diet is of variable quality. Further and more rigorous research is needed to characterize those individuals most likely to be non‐adherent to assist them better with their treatment.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19485977</pmid><doi>10.1111/j.1365-2036.2009.04053.x</doi><tpages>16</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Celiac Disease - diet therapy Celiac Disease - psychology Digestive system Food Labeling Gastroenterology. Liver. Pancreas. Abdomen Glutens - administration & dosage Humans Medical sciences Other diseases. Semiology Patient Compliance Pharmacology. Drug treatments Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Young Adult |
| title | Systematic review: adherence to a gluten‐free diet in adult patients with coeliac disease |
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