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Cited by 23Celiac Disease Research and ManagementChild Nutrition and Feeding IssuesEosinophilic Esophagitis

Effect of gluten‐free diet and compliance on quality of life in pediatric celiac disease patients

Open access
Chellan, Deepak, Muktesh, Gaurav, Vaiphei, Kim, Berry, Neha, Dhaka, Narendra, Sinha, Saroj Kant, Thapa, Babu Ram, Kochhar, Rakesh·2019·JGH Open
DOI 10.1002/jgh3.12172PMC PMC6788369
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Abstract

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.

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  • Non-adequate labelling of food products is widely recognised as a barrier for adhering to a gluten-free diet, especially in countries such as the USA and India where regulations are less strict than in the European Union.

    “Non-adequate labelling of food products is widely recognised as a barrier for adhering to a GFD, especially in countries such as the USA (regulations in 2004) (42) and India (43,44) where regulations are less strict than in the European Union.”

    From Gluten-free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease. (2024) · cites this paper as [44]

    The Discussion (page not supplied) says that absent food labeling is a common problem for children with celiac disease and that proper labeling is not performed in India. It contrasts this with more stringent policies in Western countries, but does not specifically compare Indian regulations with those of the European Union. The USA portion has a separate citation in the citing sentence and is not attributed to this source. (LLM, conf=0.84)

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Cited by

Sorted by citations

Authors
Chellan, D., Muktesh, G., Vaiphei, K., Berry, N., Dhaka, N., Sinha, S. K., Thapa, B. R., & Kochhar, R.
Affiliations
Post Graduate Institute of Medical Education and Research (IN)
Corresponding author
Kochhar, Rakesh
ORCID
Venue
JGH Open
Publisher
Wiley
Published
2019-03-27
Volume
3
Issue
5
Pages
388-393
ISSN
2397-9070 (ISSN-L)
DOI
10.1002/jgh3.12172
PMC
PMC6788369
OpenAlex
W2933037059
Cited by
23
References
2
Citations by year
2026: 5 · 2025: 3 · 2024: 10 · 2023: 1 · 2022: 2 · 2020: 1 · 2019: 1
FWCI
0.91
Type
journal article
Language
en
Open access
Licence
Locations
  • JGH Open (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
Keywords
pediatric celiac disease, gluten-free diet, dietary adherence, quality of life, psychosocial impact, social isolation, food labeling, emotional burden, North Indian children

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