Adherence to Gluten-free Diet and the Social Related Factors in Adults with the Celiac Disease

Abstract

Adherence to Gluten-free Diet and the Social Related Factors in Adults with the Celiac Disease

Abstract

Purpose: Lifelong dietary adherence is very important in celiac disease. Several factors may affect adherence to a gluten-free diet (GFD). In this study, it was aimed to determine the adherence to a gluten-free diet (GFD) and the factors affecting social life in adults with celiac disease. Material and Methods: The questionnaire was administered via using telephone-interview method to 98 adults with celiac disease. Results: Multivariate logistic analysis was performed to determine related factors associated with adherence to GFD. 53.1% of the celiac patients reported their adherence to GFD was “excellent”, 46.9% was “poor”. The celiac patients’ 61.2% reported difficulties about to access GFPs and 49.0% of them never consume commercial GFPs. Before eating out, 67.3% of the celiac patients call the restaurant to ask if they have a gluten-free menu. The celiac patients’ 69.4% reported that they use a gluten-scanner application. The rates of “excellent” adherence to GFD were significantly higher in celiac patients had <10 diagnosed years, reported “good health status”, and easily accessed GFPs. There was no significant relationship between economic status and adherence to GFD in multivariate logistic analysis. Conclusion: This study emphasizes that family support, new diagnosis, absence of eating out habits and use of mobile applications positively affect adherence to GFD.

Keywords

• Celiac disease
• diet
• mobile applications
• chronic disease

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