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Adherence to the Gluten-Free Diet during the Lockdown for COVID-19 Pandemic: A Web-Based Survey of Italian Subjects with Celiac Disease
Open accessAbstract
We aimed to assess the perceived impact of the lockdown, imposed to control the spreading of COVID-19, on the adherence of Italian celiac disease (CD) subjects to the gluten-free diet by a web-based survey. A total of 1983 responses were analyzed, 1614 (81.4%) by CD adults and 369 (18.6%) by parents/caregivers of CD children/adolescents. The compliance with the GFD was unchanged for 69% of the adults and 70% of the children, and improved for 29% of both. The factors increasing the probability to report stricter compliance were the presence of CD symptoms in the last year before the lockdown (odds ratio (OR) 1.98, 95% confidence interval (CI) 1.46–2.26), a partial usual adherence to gluten-free diet (GFD) (OR 1.91, 95% CI 1.2–3.06), and having tried recipes with naturally gluten-free ingredients more than usual (OR 1.58, 95% CI 1.28–1.96) for adults; the presence of CD symptoms in the last year (OR 2.05, 95% CI 1.21–3.47), still positive CD antibodies (OR 1.89, 95% CI 1.14–3.13), and other family members with CD (OR 2.24, 95% CI 1.3–3.85) for children/adolescents. Therefore, the lockdown led to a reported improved adherence to the GFD in one-third of the respondents, in particular in those with previous worse disease control, offering the opportunity to avoid sources of contamination/transgression and increase the use of naturally gluten-free products.
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One study on adherence to the gluten-free diet during the Covid-19 lockdown observed an improvement in compliance with the gluten-free diet by 29% in both children and adults.
“including one study on adherence to the GFD during the lockdown for Covid-19 pandemic (142), observing an improvement in compliance with the GFD by 29% in both children and adults.”
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Metadata
- Authors
- Monzani, A., Lionetti, E., Felici, E., Fransos, L., Azzolina, D., Rabbone, I., & Catassi, C.
- Affiliations
- Università degli Studi del Piemonte Orientale “Amedeo Avogadro” (IT)
- Marche Polytechnic University (IT)
- Pediatric and Pediatric Emergency Unit, Children Hospital, 15121 Alessandria, Italy
- Piedmont Section, Italian Celiac Association, 10136 Turin, Italy
- Corresponding author
- Monzani, Alice
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-11-12
- Volume
- 12
- Issue
- 11
- Pages
- 3467
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7698218
- OpenAlex
- W3100310238
- Cited by
- 38
- References
- 15
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 11
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Keywords
- celiac disease, gluten-free diet, dietary adherence, COVID-19 lockdown, celiac antibodies, children and adolescents, disease control
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Adult, Celiac Disease, Child, Female, Humans, Italy, Male, Middle Aged, Patient Compliance, Pneumonia, Viral, Quarantine, Surveys and Questionnaires, Coronavirus Infections, Diet, Gluten-Free, Young Adult, Pandemics
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