Health-related quality of life in children and adolescents with celiac disease: survey of a population from central Italy
Open accessAbstract
BACKGROUND: Celiac Disease (CD) is an increasingly common autoimmune disorder. It requires a strict lifelong adherence to a gluten-free diet (GFD) which can influence health-related quality of life (HRQOL). This study assesses HRQOL in children and adolescents with CD and explores how several demographic and clinical characteristics and GFD adherence affect their perceived health status. METHODS: We recruited 140 consecutive children and adolescents with CD confirmed by small bowel biopsy. HRQOL was assessed using the SF-12 questionnaire plus some CD-specific questions exploring wellbeing and lifestyle. Patients, aged 10 to 18 years, were identified by pediatric gastroenterologists and guided in filling out the questionnaire by trained psychologists. Parametric or non-parametric tests were applied to analyze continuous variables and frequencies as appropriate. RESULTS: The SF-12 mean mental component summary score (MCS12) was lower than in the general Italian population (p < 0.001), whereas differences in terms of physical health were not significant (p = 0.220). More than one third of those interviewed reported feeling angry "always" or "most of the time" about having to follow the GFD, and nearly 20% reported feeling different from others and misunderstood because of CD "always" or "most of the time". CONCLUSIONS: Our findings highlight the need for health professionals to identify adolescents with major disease-related problems. The food industry should improve its range of gluten-free food products and public bodies and institutions should promote informative campaigns and help promote the overall quality of life of children and adolescents with CD.
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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 [95]
The Discussion reports impaired mental and social HRQOL in children and adolescents with celiac disease; their mental-health score was lower than that of an age- and sex-matched Italian population. Physical-health scores did not differ significantly, but that does not support the unqualified claim of similar HRQOL. This paper also does not establish the citing sentence’s count of nine studies. (LLM, conf=0.88)
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- Authors
- Altobelli, E., Paduano, R., Gentile, T., Caloisi, C., Marziliano, C., Necozione, S., & di Orio, F.
- Affiliations
- University of L'Aquila (IT)
- Corresponding author
- Altobelli, Emma
- Venue
- Health and Quality of Life Outcomes
- Published
- 2013
- Volume
- 11
- Issue
- 1
- Pages
- 204
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC3878970
- OpenAlex
- W2129860731
- Cited by
- 63
- References
- 33
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 10 · 2021: 4 · 2020: 8 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 8 · 2015: 4 · 2014: 3
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion, cc-by)
- Funders
- Università degli Studi dell'Aquila
- 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, children and adolescents, gluten-free diet adherence, mental health, emotional distress, social stigma, SF-12, autoimmune disease
- MeSH terms
- Adolescent, Celiac Disease, Child, Female, Health Status, Humans, Italy, Male, Quality of Life, Surveys and Questionnaires, Logistic Models
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