Academic Journal
Effect of gluten‐free diet and compliance on quality of life in pediatric celiac disease patients
العنوان: | Effect of gluten‐free diet and compliance on quality of life in pediatric celiac disease patients |
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المؤلفون: | Chellan, Deepak, Muktesh, Gaurav, Vaiphei, Kim, Berry, Neha, Dhaka, Narendra, Sinha, Saroj Kant, Thapa, Babu Ram, Kochhar, Rakesh |
المصدر: | JGH Open ; volume 3, issue 5, page 388-393 ; ISSN 2397-9070 2397-9070 |
بيانات النشر: | Wiley |
سنة النشر: | 2019 |
المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
الوصف: | Background Quality of life (QOL) in children with celiac disease (CD) has been sparsely studied. Aims We aimed to study QOL in pediatric CD and the effect of a gluten‐free diet (GFD) in a North Indian population. Methods QOL was assessed at baseline and 6 months after GFD using a pediatric symptom checklist (PSC) score. The effect of GFD was assessed using a CD‐specific questionnaire on domains such as dietary compliance, parental behavior and perceptions, children's feeling, and difficulty identifying gluten‐free foods. Results A total of 60 CD children (age 6.03 ± 0. 42 years, range: 2–12 years, M:F 2:1) were prospectively enrolled. The median PSC score at baseline was 11.5 (2–35), which showed a statistically significant improvement after GFD to 2.5 (0–34) ( P < 0.001). Significant concerns regarding specific domains emerged: difficulty in maintaining GFD 26.2%, at school 14.3%, at parties 43.2%, poor taste 11.4%, special diet a burden 28.5%, felt left out at school or friend's home 40.9%, felt different from other kids 40.9%, felt embarrassed to bring GFD to parties 54.6%, felt angry about following a special diet 56.8%, felt not invited out for meals because of CD 13.6%, and difficulty determining if food available was gluten free in 75%. Conclusion GFD has a significant impact on emotional, behavioral, and psychosocial domains in children with CD. Proper labeling of commercially available food items, counseling, and patient support groups are the need of the hour. |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
DOI: | 10.1002/jgh3.12172 |
الاتاحة: | https://doi.org/10.1002/jgh3.12172 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fjgh3.12172 https://onlinelibrary.wiley.com/doi/pdf/10.1002/jgh3.12172 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/jgh3.12172 |
Rights: | http://creativecommons.org/licenses/by-nc/4.0/ |
رقم الانضمام: | edsbas.AD4D18D3 |
قاعدة البيانات: | BASE |
DOI: | 10.1002/jgh3.12172 |
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