Dietary management of celiac disease: Revisiting the guidelines
Abstract
Objective Medical nutrition therapy (MNT), by lifelong compliance with a gluten-free diet, is likely the only treatment for celiac disease (CD). Clinical practice guidelines (CPGs) regarding the management of CD emphasize the role of MNT over other treatment options. The aim of the present study was to review and critically appraise CD-specific MNT CPGs and identify areas in need of improvement for better adherence and outcomes. Methods A comprehensive search was performed using PubMed, Guidelines International Network (GIN), Google Scholar, gray literature, and websites of CD scientific organizations for CPGs, consensus and practice papers on the dietary management of CD, published in the English language. Results A total of 12 CPGs were retrieved and critically appraised by three independent reviewers using the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument. All CPGs were of low quality based on AGREE II. Among the 12 CPGs, the National Institute for Health and Care Excellence guidelines achieved the highest score and were unanimously recommended without modifications by the three reviewers, whereas the American Gastroenterology Association, Alberta Health Services, British Society of Paediatric Gastroenterology, Hepatology and Nutrition, Clinical Resource Efficiency Support Team, and Federation of International Societies of Pediatric Gastroenterology, Hepatology and Nutrition guidelines received the lowest scores. Conclusions The present study reveals…
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There is a lack of evidence-based recommendations or guidelines on the dietary management of coeliac disease.
“However, there is a lack of evidence-based recommendations or guidelines on the dietary management of CD (2).”
Cites
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MethodInfluentialFactors Associated with Dietary Adherence in Celiac Disease: A Nationwide Study
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Luque, V., Crespo‐Escobar, P., Hård af Segerstad, E. M., Koltai, T., Norsa, L., Roman, E., Vreugdenhil, A., Fueyo‐Díaz, R., & Ribes‐Koninckx, C. (2024) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1002/jpn3.12079 · Cited by 32 · see citing works
- Authors
- Theodoridis, X., Grammatikopoulou, M. G., Petalidou, A., Patelida, M., Gkiouras, K., Klonizakis, M., Pittas, S., & Bogdanos, D. P.
- Affiliations
- University of Thessaly (GR)
- International Hellenic University (GR)
- Sheffield Hallam University (GB)
- Aristotle University of Thessaloniki (GR)
- Corresponding author
- Grammatikopoulou, Maria G.
- ORCID
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 66
- Pages
- 70-77
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2940850639
- Cited by
- 22
- References
- 4
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 2
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- SHURA (Sheffield Hallam University Research Archive) (Sheffield Hallam University) (acceptedVersion)
- University of Thessaly Institutional Repository (University of Thessaly) (submittedVersion)
- Funders
- Sheffield Hallam University
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- celiac disease, medical nutrition therapy, gluten-free diet, guideline quality assessment, AGREE II, dietary management, guideline adherence, pediatric celiac disease
- MeSH terms
- Celiac Disease, Humans, Practice Guidelines as Topic, Disease Management, Diet, Gluten-Free
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