Daily Life Restrictions are Common and Associated with Health Concerns and Dietary Challenges in Adult Celiac Disease Patients Diagnosed in Childhood

被引:13
作者
Leinonen, Heini [1 ,2 ,3 ]
Kivela, Laura [2 ,3 ,4 ,5 ]
Lahdeaho, Marja-Leena [2 ,3 ]
Huhtala, Heini [6 ]
Kaukinen, Katri [1 ,7 ,8 ]
Kurppa, Kalle [1 ,2 ,3 ,9 ]
机构
[1] Tampere Univ, Fac Med & Hlth Technol, Tampere 33014, Finland
[2] Tampere Univ, Ctr Child Hlth Res, Tampere 33014, Finland
[3] Tampere Univ Hosp, Dept Pediat, Tampere 33014, Finland
[4] Univ Helsinki, Childrens Hosp, Pediat Res Ctr, Helsinki 00029, Finland
[5] Helsinki Univ Hosp, Helsinki 00029, Finland
[6] Tampere Univ, Fac Social Sci, Tampere 33014, Finland
[7] Tampere Univ Hosp, Dept Internal Med, Tampere 33014, Finland
[8] Tampere Univ, Celiac Dis Res Ctr, Tampere 33014, Finland
[9] Univ Consortium Seinajoki, Seinajoki 60320, Finland
关键词
celiac disease; daily life; experience; follow up; gluten-free diet; restrictions; transition; QUALITY-OF-LIFE; GLUTEN-FREE DIET; LONG-TERM HEALTH; RATING-SCALE; CHILDREN; IMPACT; ADHERENCE; ADOLESCENTS; GUIDELINES; TRANSITION;
D O I
10.3390/nu11081718
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The prevalence and associated factors of daily life restrictions due to a gluten-free diet in adult celiac disease patients diagnosed in childhood are poorly known. We investigated these issues by collecting the medical data of 955 pediatric patients and sending questionnaires evaluating various health outcomes to the 559 patients who had reached adulthood. Of the 231 respondents, 46% reported everyday life restrictions caused by dietary treatment. Compared with those without restrictions, they more often had anemia at diagnosis (37% vs. 22%, p = 0.014), but the groups were comparable in other diagnostic features. In adulthood, patients with restrictions reported more overall symptoms (32% vs. 17%, p = 0.006), although the symptoms measured with the Gastrointestinal Symptom Rating Scale questionnaire were comparable. Despite strict dietary adherence in both groups, the experience of restrictions was associated with dietary challenges (34% vs. 9%, p < 0.001), health concerns (22% vs. 13%, p = 0.050), and lower vitality scores in the Psychological General Well-Being questionnaire. The groups did not differ in their current age, socioeconomic status, family history of celiac disease, general health or health-related lifestyle, the presence of co-morbidities, or regular follow up. Our results encourage healthcare professionals to discuss the possible health concerns and dietary challenges with patients to avoid unnecessary daily life restrictions, especially when young patients start to take responsibility for their treatment.
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页数:10
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