Determinants of adherence to gluten-free diet in Greek children with coeliac disease: a cross-sectional study
Abstract
Background/objective A strict and lifelong commitment to a gluten-free diet (GFD) remains one of the most challenging issues in children with coeliac disease. The present study aimed to record compliance rates and investigate the connection between dietary compliance and demographics, disease-related factors and parental knowledge. Subjects/methods Parents of 90 Greek children diagnosed with coeliac disease were recruited from the outpatient gastroenterology clinic of a children's hospital in Athens, Greece. Dietary compliance and a range of demographic and clinical data were obtained from parents through a specially constructed questionnaire. Further data included parental perceived and actual knowledge about coeliac disease and GFD. Compliant and noncompliant groups were compared for measured factors and a multivariate approach was followed to elicit independent effects of compliance determinants. Results Overall, 44.4% of children with coeliac disease were reported to be compliant to a strict GFD. A 1-year increase in the age of the child was associated with 15% lower odds of adhering to a strict diet after adjusting for other variables (odds ratio (OR)=0.85, 95% CI: 0.75-0.96). Parental perceived knowledge was also independently and significantly associated with dietary compliance (OR=3.3, 95% CI=1.1-9.8). No statistically significant correlation emerged between dietary compliance and other clinical or demographic variables. Discussion Low compliance rates to GFD were obs…
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Adherence to a gluten-free diet in children with coeliac disease may vary between 45% and 90%.
“reinforcing at each visit the importance of dietary compliance which may vary between 45-90% (6-9).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [7]
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- Authors
- Charalampopoulos, D., Panayiotou, J., Chouliaras, G., Zellos, A., Kyritsi, E., & Roma, E.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Technological Educational Institute of Athens (GR)
- Corresponding author
- Charalampopoulos, D
- Venue
- European Journal of Clinical Nutrition
- Published
- 2013-03-06
- Volume
- 67
- Issue
- 6
- Pages
- 615-619
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2046832959
- Cited by
- 52
- References
- 22
- Citations by year
- 2026: 3 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 1
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Explore Bristol Research (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Bristol Research (University of Bristol) (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 › Family Practice › Medication Adherence and Compliance
- Keywords
- celiac disease, gluten-free diet, dietary adherence, children, parental knowledge, perceived knowledge, age, risk factors, patient counseling
- MeSH terms
- Adolescent, Adolescent Behavior, Celiac Disease, Child, Child Behavior, Child, Preschool, Cross-Sectional Studies, Female, Follow-Up Studies, Greece, Hospitals, Pediatric, Hospitals, University, Humans, Health Knowledge, Attitudes, Practice, Male, Outpatient Clinics, Hospital, Parents, Patient Compliance, Pilot Projects, Urban Health, Health Behavior, Diet, Gluten-Free
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