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Adherence to gluten-free diet and barriers to adherence in patients with celiac disease

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Indian Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

Background

While 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.

Methods

Both 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.

Results

Among 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.

Conclusions

Repeated counseling increased the level of adherence to GFD.

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Authors and Affiliations

  1. Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India

    Preeti Rajpoot, Aishwairya Sharma, S. Harikrishnan, Bhaskar J. Baruah, Vineet Ahuja & Govind K. Makharia

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  1. Preeti Rajpoot
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  2. Aishwairya Sharma
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  3. S. Harikrishnan
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  6. Govind K. Makharia
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Corresponding author

Correspondence to Govind K. Makharia.

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Conflict of interest

PR, AS, SH, BJB, VA, and GKM declare that they have no competing interests.

Ethics statement

The authors declare that the study was performed in a manner to conform with the Helsinki Declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com. This study was approved by the Ethics Committee of All India Institute of Medical Sciences (IESC/T-27/04.01.2013).

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Rajpoot, P., Sharma, A., Harikrishnan, S. et al. Adherence to gluten-free diet and barriers to adherence in patients with celiac disease. Indian J Gastroenterol 34, 380–386 (2015). https://doi.org/10.1007/s12664-015-0607-y

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  • DOI: https://doi.org/10.1007/s12664-015-0607-y

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