dc.creator | Wieser, Herbert | es |
dc.creator | Ruiz Carnicer, Ángela | es |
dc.creator | Segura Montero, Verónica | es |
dc.creator | Comino Montilla, Isabel María | es |
dc.creator | Sousa Martín, Carolina | es |
dc.date.accessioned | 2022-01-19T17:05:49Z | |
dc.date.available | 2022-01-19T17:05:49Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Wieser, H., Ruiz Carnicer, Á., Segura Montero, V., Comino Montilla, I.M. y Sousa Martín, C. (2021). Challenges of monitoring the gluten-free diet adherence in the management and follow-up of patients with celiac disease. Nutrients, 13 (7), 2274. | |
dc.identifier.issn | 2072-6643 | es |
dc.identifier.uri | https://hdl.handle.net/11441/129001 | |
dc.description.abstract | Celiac disease (CD) is a chronic gluten-responsive immune mediated enteropathy and is treated with a gluten-free diet (GFD). However, a strict diet for life is not easy due to the ubiquitous nature of gluten. This review aims at examining available evidence on the degree of adherence to a GFD, the methods to assess it, and the barriers to its implementation. The methods for monitoring the adherence to a GFD are comprised of a dietary questionnaire, celiac serology, or clinical symptoms; however, none of these methods generate either a direct or an accurate measure of dietary adherence. A promising advancement is the development of tests that measure gluten immunogenic peptides in stools and urine. Causes of adherence/non-adherence to a GFD are nu-merous and multifactorial. Inadvertent dietary non-adherence is more frequent than intentional non-adherence. Cross-contamination of gluten-free products with gluten is a major cause of inadvertent non-adherence, while the limited availability, high costs, and poor quality of certified gluten-free products are responsible for intentionally breaking a GFD. Therefore, several studies in the last decade have indicated that many patients with CD who follow a GFD still have difficulty controlling their diet and, therefore, regularly consume enough gluten to trigger symptoms and damage the small intestine. | es |
dc.description.sponsorship | Junta de Andalucía AT17_5489_USE, PI-0053-2018 | es |
dc.format | application/pdf | es |
dc.format.extent | 22 p. | es |
dc.language.iso | eng | es |
dc.publisher | Multidisciplinary Digital Publishing Institute (MDPI) | es |
dc.relation.ispartof | Nutrients, 13 (7), 2274. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Celiac disease | es |
dc.subject | Dietary adherence | es |
dc.subject | Gluten-free diet | es |
dc.subject | Patients with CD | es |
dc.subject | Symptoms | es |
dc.title | Challenges of monitoring the gluten-free diet adherence in the management and follow-up of patients with celiac disease | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Microbiología y Parasitología | es |
dc.relation.projectID | AT17_5489_USE | es |
dc.relation.projectID | PI-0053-2018 | es |
dc.relation.publisherversion | https://doi.org/10.3390/nu13072274 | es |
dc.identifier.doi | 10.3390/nu13072274 | es |
dc.journaltitle | Nutrients | es |
dc.publication.volumen | 13 | es |
dc.publication.issue | 7 | es |
dc.publication.initialPage | 2274 | es |