Health-related quality of life in adolescents with screening-detected celiac disease, before and one year after diagnosis and initiation of gluten-free diet, a prospective nested case-referent study
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BACKGROUND: Celiac disease (CD) is a chronic disorder in genetically predisposed individuals in which a small intestinal immune-mediated enteropathy is precipitated by dietary gluten. It can be difficult to diagnose because signs and symptoms may be absent, subtle, or not recognized as CD related and therefore not prompt testing within routine clinical practice. Thus, most people with CD are undiagnosed and a public health intervention, which involves screening the general population, is an option to find those with unrecognized CD. However, how these screening-detected individuals experience the diagnosis and treatment (gluten-free diet) is not fully understood. The aim of this study is to investigate the health-related quality of life (HRQoL) of adolescents with screening-detected CD before and one year after diagnosis and treatment. METHODS: A prospective nested case-referent study was done involving Swedish adolescents who had participated in a CD screening study when they were in the sixth grade and about 12 years old. Screening-detected adolescents (n = 103) and referents without CD who participated in the same screening (n = 483) answered questionnaires at the time of the screening and approximately one year after the screening-detected adolescents had received their diagnosis that included the EQ-5D instrument used to measure health status and report HRQoL. RESULTS: The HRQoL for the adolescents with screening-detected CD is similar to the referents, both before and one year after diagnosis and initiation of the gluten-free diet, except in the dimension of pain at follow-up. In the pain dimension at follow-up, fewer cases reported problems than referents (12.6% and 21.9% respectively, Adjusted OR 0.50, 95% CI 0.27-0.94). However, a sex stratified analysis revealed that the significant difference was for boys at follow-up, where fewer screening-detected boys reported problems (4.3%) compared to referent boys (18.8%) (Adjusted OR 0.17, 95% CI 0.04-0.73). CONCLUSIONS: The findings of this study suggest that adolescents with unrecognized CD experience similar HRQoL as their peers without CD, both before and one year after diagnosis and initiation of gluten-free diet, except for boys in the dimension of pain at follow-up.
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Nine studies found similar health-related quality of life in children with celiac disease as in control children.
“Nine of these studies found similar HRQOL in children with CD as in control children (4, 82, 95, 96, 99, 100, 102, 103, 106).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [103]
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Self-citation
- Authors
- Nordyke, K., Norström, F., Lindholm, L., Stenlund, H., Rosén, A., & Ivarsson, A.
- Affiliations
- Umeå University (SE)
- Corresponding author
- Nordyke, Katrina
- Venue
- BMC Public Health
- Published
- 2013-02-16
- Volume
- 13
- Issue
- 1
- Pages
- 142-142
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC3585471
- OpenAlex
- W2143147520
- Cited by
- 57
- References
- 46
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 1 · 2019: 1 · 2018: 9 · 2017: 3 · 2016: 5 · 2015: 13 · 2014: 8 · 2013: 3
- FWCI
- 9.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- European Commission (521-2004-7093, 222-2004-1918, 521-2007-2953, FP6-2005-FOOD-4B-36383, 2005-0802, 222-2007-1394)
- Forskningsrådet för Arbetsliv och Socialvetenskap (2005‐0802, 222-2004-1918, FP6-2005-FOOD-4B-36383, 521-2004-7093, 222-2007-1394, 521-2007-2953)
- Vetenskapsrådet (521-2007-2953, 2005-0802, FP6-2005-FOOD-4B-36383, 222-2004-1918, 222-2007-1394, 521-2004-7093 and 521-2007-2953, 521-2004-7093)
- Umeå Universitet
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- celiac disease, health-related quality of life, adolescents, mass screening, gluten-free diet, diagnosis, pain, sex differences, EQ-5D
- MeSH terms
- Adolescent, Celiac Disease, Child, Female, Follow-Up Studies, Health Status, Humans, Male, Mass Screening, Prospective Studies, Quality of Life, Surveys and Questionnaires, Sweden, Time Factors, Case-Control Studies, Treatment Outcome, Diet, Gluten-Free
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