Adherence to a Gluten-free Diet: Assessment by Dietician Interview and Serology
العنوان: | Adherence to a Gluten-free Diet: Assessment by Dietician Interview and Serology |
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المؤلفون: | Marisa Dzarnoski Riley, Zhaoxing Pan, Edwin Liu, Pooja Mehta |
المصدر: | Journal of Pediatric Gastroenterology & Nutrition. 66:e67-e70 |
بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | Male, Health Knowledge, Attitudes, Practice, medicine.medical_specialty, Adolescent, Tissue transglutaminase, Disease, Serology, Diet, Gluten-Free, Young Adult, 03 medical and health sciences, 0302 clinical medicine, GTP-Binding Proteins, 030225 pediatrics, Internal medicine, medicine, Humans, Protein Glutamine gamma Glutamyltransferase 2, Nutritionists, Young adult, Child, Autoantibodies, chemistry.chemical_classification, Transglutaminases, biology, business.industry, Gastroenterology, Autoantibody, Diet assessment, Gluten, Celiac Disease, chemistry, Child, Preschool, Pediatrics, Perinatology and Child Health, Immunology, biology.protein, Patient Compliance, Female, 030211 gastroenterology & hepatology, Gluten free, business, Biomarkers, Follow-Up Studies |
الوصف: | We aimed to determine whether tissue transglutaminase (tTG) autoantibody positivity was associated with dietitian-assessed adherence to a gluten-free diet in pediatric patients with celiac disease and identify areas where adherence falters. We reviewed the records of children with celiac disease who had a standardized evaluation of adherence by a registered dietitian. A negative tTG value was not associated with good adherence (P = NS). Adherent and nonadherent children differed with respect to purposeful and accidental gluten exposure (P < 0.0001), knowledge (P = 0.003), cross-contact (P = 0.003), potential exposure via medications and cosmetics (P = 0.004), and potential exposure while at restaurants (P < 0.0001), but not with respect to potential exposure at school (P = NS). Based on our findings, we suggest that negative tTG levels are not necessarily indicative of good adherence to a gluten-free diet in pediatric patients with celiac disease. A separate assessment of adherence is needed focusing on knowledge, behavior while dining out, and intent to adhere. |
تدمد: | 1536-4801 0277-2116 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0e5aa2a762906b754558be0f2f20c74fTest https://doi.org/10.1097/mpg.0000000000001705Test |
رقم الانضمام: | edsair.doi.dedup.....0e5aa2a762906b754558be0f2f20c74f |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15364801 02772116 |
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