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Cited by 62Celiac Disease Research and ManagementMedication Adherence and ComplianceEosinophilic Esophagitis

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

Rajpoot, Preeti, Sharma, Aishwairya, Harikrishnan, S., Baruah, Bhaskar J., Ahuja, Vineet, Makharia, Govind K.·2015·Indian Journal of Gastroenterology
DOI 10.1007/s12664-015-0607-y
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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 a…

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Metadata

Authors
Rajpoot, P., Sharma, A., Harikrishnan, S., Baruah, B. J., Ahuja, V., & Makharia, G. K.
Affiliations
All India Institute of Medical Sciences (IN)
Corresponding author
Makharia, Govind K.
ORCID
Venue
Indian Journal of Gastroenterology
Publisher
Springer Science and Business Media LLC
Published
2015-09
Volume
34
Issue
5
Pages
380-386
ISSN
  • 0254-8860 (ISSN-L)
  • 0975-0711
DOI
10.1007/s12664-015-0607-y
OpenAlex
W2246965145
Cited by
62
References
1
Citations by year
2026: 5 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 10 · 2021: 10 · 2020: 9 · 2019: 6 · 2018: 5 · 2017: 1 · 2016: 2
FWCI
2.77
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Indian Journal of Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
Keywords
celiac disease, gluten-free diet, dietary adherence, barriers to adherence, patient counseling, nutrition education, quality of life, treatment-naive patients, food availability
MeSH terms
Adolescent, Adult, Celiac Disease, Female, Humans, India, Male, Patient Compliance, Patient Education as Topic, Surveys and Questionnaires, Time Factors, Directive Counseling, Diet, Gluten-Free, Young Adult, Memory, Episodic, Tertiary Care Centers

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