The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey
Objective: The only available treatment for coeliac disease (CD) is a lifelong strict gluten-free diet (GFD), which can be extremely challenging. Τhe aim of the present study was to gain an insight into patients' perceptions regarding the GFD, in relation to difficulties experienced, disease-sp...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | PEC Innovation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S277262822200022X |
| _version_ | 1811178663626932224 |
|---|---|
| author | Spyridaki Aspasia Kotsoni Emmanuela-Kalliopi Thalassinos Nikolaos Sfakianaki Eirini Sfendourakis Ioannis Markaki Anastasia |
| author_facet | Spyridaki Aspasia Kotsoni Emmanuela-Kalliopi Thalassinos Nikolaos Sfakianaki Eirini Sfendourakis Ioannis Markaki Anastasia |
| author_sort | Spyridaki Aspasia |
| collection | DOAJ |
| description | Objective: The only available treatment for coeliac disease (CD) is a lifelong strict gluten-free diet (GFD), which can be extremely challenging. Τhe aim of the present study was to gain an insight into patients' perceptions regarding the GFD, in relation to difficulties experienced, disease-specific symptoms, adherence level, and information sources used. Methods: Two hundred ninety CD patients (247 women and 43 men) aged 18–74 years, completed a self-administered questionnaire. Results: Self-rated dietary adherence was high in 65.5%, moderate in 27.5% and poor in 6.9% of the patients. The main difficulties encountered were the high cost and limited availability of GF foods and meals in markets and restaurants. The main source of information concerning CD and GFD was the internet, and the most useful source was the Coeliac Society. Dietary adherence correlated positively with Coeliac Society membership and awareness of the monthly CD allowance. Conclusion: Α substantial proportion of patients did not adhere to a strict GFD. Patients were not adequately followed-up. Innovation: A self-administered questionnaire was used to explore the practical challenges of a GFD in an understudied population, Greek adult coeliac patients. The results highlighted the need for dietitians with expertise on CD. |
| first_indexed | 2024-04-11T06:22:13Z |
| format | Article |
| id | doaj.art-cb026b53036f4a74a41e9f7f2c0e9f5c |
| institution | Directory Open Access Journal |
| issn | 2772-6282 |
| language | English |
| last_indexed | 2024-04-11T06:22:13Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | PEC Innovation |
| spelling | doaj.art-cb026b53036f4a74a41e9f7f2c0e9f5c2022-12-22T04:40:31ZengElsevierPEC Innovation2772-62822022-12-011100037The gluten-free diet challenge in adults with coeliac disease: the Hellenic surveySpyridaki Aspasia0Kotsoni Emmanuela-Kalliopi1Thalassinos Nikolaos2Sfakianaki Eirini3Sfendourakis Ioannis4Markaki Anastasia5Department of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceDepartment of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceDepartment of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceDepartment of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceDepartment of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceCorresponding author at: Department of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos Area, 723 00, Sitia, Crete, Greece.; Department of Nutrition and Dietetics Sciences, Hellenic Mediterranean University (HMU), Trypitos area, 723 00 Sitia, GreeceObjective: The only available treatment for coeliac disease (CD) is a lifelong strict gluten-free diet (GFD), which can be extremely challenging. Τhe aim of the present study was to gain an insight into patients' perceptions regarding the GFD, in relation to difficulties experienced, disease-specific symptoms, adherence level, and information sources used. Methods: Two hundred ninety CD patients (247 women and 43 men) aged 18–74 years, completed a self-administered questionnaire. Results: Self-rated dietary adherence was high in 65.5%, moderate in 27.5% and poor in 6.9% of the patients. The main difficulties encountered were the high cost and limited availability of GF foods and meals in markets and restaurants. The main source of information concerning CD and GFD was the internet, and the most useful source was the Coeliac Society. Dietary adherence correlated positively with Coeliac Society membership and awareness of the monthly CD allowance. Conclusion: Α substantial proportion of patients did not adhere to a strict GFD. Patients were not adequately followed-up. Innovation: A self-administered questionnaire was used to explore the practical challenges of a GFD in an understudied population, Greek adult coeliac patients. The results highlighted the need for dietitians with expertise on CD.http://www.sciencedirect.com/science/article/pii/S277262822200022XCoeliac diseasegluten-free dietdietary adherenceinformation sources |
| spellingShingle | Spyridaki Aspasia Kotsoni Emmanuela-Kalliopi Thalassinos Nikolaos Sfakianaki Eirini Sfendourakis Ioannis Markaki Anastasia The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey PEC Innovation Coeliac disease gluten-free diet dietary adherence information sources |
| title | The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey |
| title_full | The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey |
| title_fullStr | The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey |
| title_full_unstemmed | The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey |
| title_short | The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey |
| title_sort | gluten free diet challenge in adults with coeliac disease the hellenic survey |
| topic | Coeliac disease gluten-free diet dietary adherence information sources |
| url | http://www.sciencedirect.com/science/article/pii/S277262822200022X |
| work_keys_str_mv | AT spyridakiaspasia theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT kotsoniemmanuelakalliopi theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT thalassinosnikolaos theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT sfakianakieirini theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT sfendourakisioannis theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT markakianastasia theglutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT spyridakiaspasia glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT kotsoniemmanuelakalliopi glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT thalassinosnikolaos glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT sfakianakieirini glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT sfendourakisioannis glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey AT markakianastasia glutenfreedietchallengeinadultswithcoeliacdiseasethehellenicsurvey |