Health-related quality of life is not impaired in children with undetected as well as diagnosed celiac disease: a large population based cross-sectional study
Open accessAbstract
BACKGROUND: Knowledge regarding the health-related quality of life (HRQoL) of children with celiac disease remains limited and inconclusive. We investigated the HRQoL of three groups of 12-year-olds with: i) undetected celiac disease ii) clinically diagnosed celiac disease, and iii) without celiac disease. METHODS: A school-based cross-sectional multicenter screening study invited 18 325 children, whereof 68% consented to participate. Participants provided a blood sample, which was later analyzed for anti-tissue-tranglutaminase antibodies, and alongside filled in a questionnaire. When anti-tissue-tranglutaminase antibodies were elevated, a small intestinal biopsy verified the screening-detected celiac disease diagnosis. Self-reported HRQoL was measured using Kidscreen, a generic 52 items instrument with proven reliability and validity. Scores were linearly transformed into a 0-100 scale with higher values indicating better HRQoL. Mean values with standard deviations (mean ± SD) were compared, and uni- and multivariate logistic regression models tested the odds of a low HRQoL among children with undetected or diagnosed celiac disease, respectively. RESULTS: Children with undetected celiac disease (n = 238) reported similar HRQoL as children without celiac disease (n = 12 037) (83.0 ± 11.0 vs. 82.5 ± 11.3, P = 0.51), and also similar HRQoL (82.2 ± 12.2, P = 0.28) to that of children with diagnosed celiac disease (n = 90), of whom 92% were adherent to treatment. Having undetected celiac disease did not increase the odds of low overall HRQoL, independent of sex, area of residence, study year and occurrence of gastrointestinal symptoms (adjusted odds ratio 0.77, 95% CI 0.54-1.10). Comparable results were seen for diagnosed celiac disease cases (adjusted odds ratio 1.11, 95% CI 0.67-1.85). CONCLUSION: Children with undetected celiac disease reported comparable HRQoL as their peers with diagnosed celiac disease, and those without celiac disease, when reporting prior to receiving the diagnosis through screening. Thus, children with celiac disease, both untreated and diagnosed, perceive their HRQoL as unimpaired by their disease.
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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 [102]
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- Authors
- Myléus, A., Petersen, S., Carlsson, A., Hammarroth, S., Högberg, L., & Ivarsson, A.
- Affiliations
- Umeå University (SE)
- Lund University (SE)
- Södertälje Sjukhus (SE)
- Linköping University (SE)
- Corresponding author
- Myléus, Anna
- Venue
- BMC Public Health
- Published
- 2014-05-05
- Volume
- 14
- Issue
- 1
- Pages
- 425-425
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC4021079
- OpenAlex
- W2142315848
- Cited by
- 37
- References
- 50
- Citations by year
- 2024: 4 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 1 · 2016: 4 · 2015: 6 · 2014: 1
- FWCI
- 4.01
- 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)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- 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)
- Svenska Forskningsrådet Formas (222-2004-1918, 521-2004-7093, 2005-0802, 521-2007-2953, 222-2004-1918 and 222-2007-1394, FP6-2005-FOOD-4B-36383, 222-2007-1394)
- Vetenskapsrådet (521-2007-2953, 2005-0802, FP6-2005-FOOD-4B-36383, 222-2004-1918, 222-2007-1394, 521-2004-7093)
- Umeå Universitet
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
- Health Sciences › Medicine › Surgery › Gastrointestinal disorders and treatments
- Keywords
- undiagnosed celiac disease, health-related quality of life, anti-tissue transglutaminase antibodies, small bowel biopsy, KIDSCREEN, medication adherence, gastrointestinal symptoms, 12-year-old children, school-based screening, subjective quality of life, gluten-free diet adherence
- MeSH terms
- Attitude to Health, Celiac Disease, Child, Cross-Sectional Studies, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Sweden
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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