Document Detail

Compliance to a gluten-free diet in adolescents, or "what do 300 coeliac adolescents eat every day?".
MedLine Citation:
PMID:  9476181     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/AIMS: Compliance to a gluten-free diet is currently an important issue in the care of both adolescent and adult coeliac patients. The aim of this study was evaluate the compliance to a gluten-free diet and the dietary habits in general of coeliac teenagers and young adults. PATIENTS AND METHODS: A total of 306 adolescents and young adults were followed in a coeliac clinic. They were grouped on the basis of: strict compliance to a gluten-free dietary regimen (n = 223, 73%); dietary transgressions 2-3 times/month (n = 46, 15%); and frequent transgressions or a full gluten-containing diet (n = 37, 12%). RESULTS: The physical growth status was optimal in the male patients, and less so in the females, but was not related to compliance. Symptoms were very rare in all groups. Compliance to the diet was related to sex (females better than males), age (younger better than older), good school grades, and good self-esteem. CONCLUSIONS: The teen-agers studied consumed an average of about 11.32 kg/month of gluten-free products provided by the Italian Health System. Gluten-free pasta and bread were the daily choices. The mean cost for each patient was estimated to be Italian Lire 242,640 (ECU 124) per month or ECU 1,490/year.
L Greco; M Mayer; G Ciccarelli; R Troncone; S Auricchio
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Italian journal of gastroenterology and hepatology     Volume:  29     ISSN:  1125-8055     ISO Abbreviation:  Ital J Gastroenterol Hepatol     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1998-03-25     Completed Date:  1998-03-25     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9711056     Medline TA:  Ital J Gastroenterol Hepatol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Department of Paediatrics, Federico II University of Naples, Italy.
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MeSH Terms
Adolescent Nutritional Physiological Phenomena
Celiac Disease / diet therapy*,  pathology,  psychology
Cost-Benefit Analysis
Diet, Protein-Restricted*
Follow-Up Studies
Food Habits / psychology*
Patient Compliance*
Reg. No./Substance:
Comment In:
Ital J Gastroenterol Hepatol. 1997 Aug;29(4):310-1   [PMID:  9476182 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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