No popular authors found.
Ads by Google:

Categories

No categories found.


Get Celiac.com's E-Newsletter





Ads by Google:


Follow / Share


  FOLLOW US:
Twitter Facebook Google Plus Pinterest RSS Podcast Email  Get Email Alerts
SHARE:

Popular Articles

No popular articles found.
Celiac.com Sponsors:

A Simple, Reliable Way to Score Gluten-Free Compliance in Patients with Celiac Disease

Celiac.com 10/13/2009 - The standard method of measuring successful observance of a gluten-free diet in patients with celiac disease is through a dietary interview performed by health professional. However, there is currently have no simple, objective method for conducting such a dietary interview.

To address this discrepancy, a team of researchers recently designed an easy, quick questionnaire based on four simple questions which yield a five-level score (0–IV). The score provides the test individual with an indication of their compliance level.

The research team was made up of Federico Biagi, Alida Andrealli, Paola Ilaria Bianchi, Alessandra Marchese, Catherine Klersy, and Gino Roberto Corazza.

Ads by Google:

The team recently set out to assess the accuracy of the questionnaire. They ran the questions past 168 celiac patients, 126 females and 42 males, with a median age of 42·4 (SD 12·9) years. All subjects were allegedly following a gluten-free diet (median 82, 25th–75th percentile 50–108, range 15–389 months).

They compared the resulting scores with the persistence of both villous atrophy and endomysial antibodies while on a gluten-free diet.  They also compared patient survival rates. Non-expert personnel interviewed patients by telephone.

The questionnaire took less than one minute to complete. The lowest results were markedly more common among the patients with a persistence of both villous atrophy and positive endomysial antibodies. Those patients also had significantly higher rates of death overall.

From these results, the researchers conclude that the questionnaire offers a simple, accurate way to verify compliance with a gluten-free diet for patients with celiac disease.

Source:
British Journal of Nutrition (2009), 102, 882–887

Celiac.com welcomes your comments below (registration is NOT required).












Related Articles



4 Responses:

 
Hallie
Rating: ratingfullratingemptyratingemptyratingemptyratingempty Unrated
said this on
13 Oct 2009 10:08:27 PM PDT
Oh not fair! Surely if the questionnaire only consisted of 4 questions, you could tell us what they were. Neither does the abstract of the study tell us! Sorry, but this in not up to your usual fine standards of reporting!

 
Michelle
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
16 Oct 2010 10:41:31 AM PDT
The article was very informative and did include the four questions. Hallie, click on the "Source" link at the bottom of the page. This takes you to the abstract. Click on "View PDF" and you have the whole article.

Thank you Celiac.Com for sharing this article. I am writing my dissertation on celiac disease and this information was invaluable!

 
Janelle
Rating: ratingfullratingfullratingfullratingemptyratingempty Unrated
said this on
14 Oct 2009 5:09:20 AM PDT
So what is the question? This left me hanging.

 
ellie
Rating: ratingfullratingfullratingfullratingemptyratingempty Unrated
said this on
25 Aug 2010 6:02:07 AM PDT
I need those 4 questions. How does one get them. I think I am a great detective but this one haunts me. Especially when counseling the teen and young adult.




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


So I have one pesky symptom that in the last few years has cropped up and never gone away. Lack of motivation to do some very basic things. So basic it's embarrassing to talk about. I barely manage to do a lot of adult tasks these days. It's a real stretch. It's like something is blocking me. Any...

Yeah I need someone to attend with me, I had someone else but they canceled on me. The hotel room is booked from the 16th-20th of August. I can pick up from the airport, greyhound, or train station and drop off if need be, room is booked from the 16th technically a day before the convention so yo...

No anti-sm(lupus)? Yes, anti dsDNA is for SLE(lupus). No ENA panel,anti-RNP, anti-SS-A, anti-SS-B, anti histone, scl-70, etc? I'd ask for a referral, if you feel that there is something going on. I think that would be a logical step because of the positive ANA and lack of investigation. 1:640 is ...

My MCH is always high too. Have some other oddities but doc always say labs are great as well. I dont think they ever really bother with the MCH. I'm also in testing and showed negative on the same ones you did. My IGA is fine though. As far as the other tests, maybe your girls GI can order or yo...

Hi there! I follow a low histamine diet that Cycling Lady brought to my attention a long time ago. Citrus fruits and their juices are histamine releasing foods. High histamine levels can cause hives just like in an allergic reaction. Here's a helpful site: https://www.histaminein...