Gluten-free dietary compliance in Brazilian celiac patients: questionnaire versus serological test

  • Coutinho de Almeida, Malta Almeida, Puppin Zandonadi
  • Published 2013

Abstract

This study assessed the adherence to treatment of celiac disease (CD) patients being followed at Brasilia’s University Hospital. Forty-six CD patients underwent structural interviews. Their answers were compared with their IgA-tTG test results to determine their level of compliance with a gluten-free diet (GDF). The serological test results showed that 56.5% of the patients did not follow a GFD. Consumption of processed gluten-free foods (GFF) was significantly associated with IgA-tTG test result. Eighteen patients had other diseases in addition to CD and 77.8% of these had positive IgA-tTG results. 90.0% of the patients who presented negative serological test results attended the follow-up visits regularly. Adherence to treatment by this group of CD patients is low although most of them report complying with the diet. Compliance is affected by consumption of GFF, follow-up attendance and presence of other diseases. Awareness of these factors allows the establishment of actions that are beneficial to the celiac‘s treatment.

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Cite this paper

@inproceedings{Almeida2013GlutenfreeDC, title={Gluten-free dietary compliance in Brazilian celiac patients: questionnaire versus serological test}, author={Coutinho de Almeida and Malta Almeida and Puppin Zandonadi}, year={2013} }