A gluten-free diet effectively reduces symptoms and health care consumption in a Swedish celiac disease population
نویسندگان
چکیده
BACKGROUND A gluten-free diet is the only available treatment for celiac disease. Our aim was to investigate the effect of a gluten-free diet on celiac disease related symptoms, health care consumption, and the risk of developing associated immune-mediated diseases. METHODS A questionnaire was sent to 1,560 randomly selected members of the Swedish Society for Coeliacs, divided into equal-sized age- and sex strata; 1,031 (66%) responded. Self-reported symptoms, health care consumption (measured by health care visits and hospitalization days), and missed working days were reported both for the year prior to diagnosis (normal diet) and the year prior to receiving the questionnaire while undergoing treatment with a gluten-free diet. Associated immune-mediated diseases (diabetes mellitus type 1, rheumatic disease, thyroid disease, vitiligo, alopecia areata and inflammatory bowel disease) were self-reported including the year of diagnosis. RESULTS All investigated symptoms except joint pain improved after diagnosis and initiated gluten-free diet. Both health care consumption and missed working days decreased. Associated immune-mediated diseases were diagnosed equally often before and after celiac disease diagnosis. CONCLUSIONS Initiated treatment with a gluten-free diet improves the situation for celiac disease patients in terms of reduced symptoms and health care consumption. An earlier celiac disease diagnosis is therefore of great importance.
منابع مشابه
Author's response to reviews Title: A gluten-free diet effectively reduces symptoms and health care consumption in a Swedish celiac disease population Authors:
متن کامل
بررسی رابطه بیماری سلیاک و روان پریشی
Background and purpose : There has been some controversies about the etiological relationship between celiac and psychosis. Ït is even considered that the difference in prevalence of schizophrenia in different countries is due to differences in cereal and wheat consumption. There are reports that psychotic symptoms of schizophrenic patients have been reduced after consumption of gluten free d...
متن کاملUndiagnosed celiac disease in a patient with polyarthritis: Case Report
Celiac disease is one of the most common autoimmune diseases with a prevalence rate of 0.5-1% in the total population. Diagnosis has increased in recent years; however, many cases of the disease still seem to be diagnosed late. Although the rheumatic manifestations of celiac disease are not uncommon, they are often overlooked. A 30-year-old female patient referred to the rheumatology clinic of ...
متن کاملGluten - Not a Friendly Protein
Introduction: Gluten is a protein found in grains. Research has shown that the gluten that is in grains of wheat, barley, rye, and oats (to a lesser degree) is toxic to many individuals. While gluten is essential for the make-up of these 4 grains, our bodies do not need it. Is it healthful? The protein in today’s wheat is poorly digested and can be harmful. An estimated 95% of prepared fo...
متن کاملPrinciples of Proper Nutrition in Children with Celiac Disease
Introduction: Celiac disease (CD) is a hereditary disorder of the immune system which damages the mucosa of the small intestine caused by gluten consumption(even very small amounts). Villous atrophy, leads to malabsorption, which is due to decreased absorption levels. The first bowel symptoms are seen during the first 2 years of life. Currently, the only treatment is to compliance with a glut...
متن کامل