Browse by author
Lookup NU author(s): Dr Nicola HallORCiD, Emeritus Professor Greg RubinORCiD
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Background Coeliac disease is increasingly diagnosed in adult patients who present with atypical symptoms or who are asymptomatic and detected by case screening. Its treatment, a gluten-free diet, can have a considerable impact on daily living. Understanding the factors associated with non-adherence is important in terms of supporting patients with their condition. Aim To investigate factors associated with adherence to a gluten-free diet in adults with coeliac disease. Methods A literature search of multiple electronic databases using a pre-determined search string for literature between 1980 and November 2007 identified a possible 611 hits. After checking for relevance, 38 studies were included in this review. Results Rates for strict adherence range from 42% to 91% depending on definition and method of assessment and are the lowest among ethnic minorities and those diagnosed in childhood. Adherence is most strongly associated with cognitive, emotional and socio-cultural influences, membership of an advocacy group and regular dietetic follow-up. Screen and symptom-detected coeliac patients do not differ in their adherence to a gluten-free diet. Conclusions The existing evidence for factors associated with non-adherence to a gluten-free diet is of variable quality. Further and more rigorous research is needed to characterize those individuals most likely to be non-adherent to assist them better with their treatment. © 2009 Blackwell Publishing Ltd.
Author(s): Hall NJ, Rubin G, Charnock A
Publication type: Review
Publication status: Published
Journal: Alimentary Pharmacology and Therapeutics
Year: 2009
Volume: 30
Issue: 4
Pages: 315-330
Print publication date: 01/08/2009
Online publication date: 20/07/2009
ISSN (print): 0269-2813
ISSN (electronic): 1365-2036
URL: https://doi.org/10.1111/j.1365-2036.2009.04053.x
DOI: 10.1111/j.1365-2036.2009.04053.x
PubMed id: 19485977