Global Prevalence of Adherence to Gluten-Free Diet in Patients with Celiac Disease: A Systematic Review and Meta-analysis - PubMed
6 hours ago
- #celiac disease
- #gluten-free diet
- #adherence
- Strict gluten-free diet (GFD) is the standard treatment for celiac disease (CeD).
- A systematic review and meta-analysis estimated GFD adherence rates in CeD patients.
- Pooled adherence prevalence was 64% by objective methods and 74% by self-report.
- Adherence rates varied by assessment method: 65% (SDE), 57% (CDAT), 75% (BIAGI).
- Highest adherence rates were found in European and North American countries.
- No significant difference in adherence rates over time or by participant age.
- One in three CeD patients fails to maintain good GFD adherence.
- Strategies to improve GFD adherence are needed.