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01-06-2008 | Original Research

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

Authors: Daniel A. Leffler, Jessica Edwards-George, Melinda Dennis, Detlef Schuppan, Francis Cook, Debra L. Franko, Jessica Blom-Hoffman, Ciaran P. Kelly

Published in: Digestive Diseases and Sciences | Issue 6/2008

Abstract

Objective The only treatment for celiac disease is lifelong adherence to a gluten-free diet, yet adherence is limited and factors influencing adherence are poorly understood. The purpose of this study was to determine factors influencing gluten-free diet adherence in adults with celiac disease. Methods A questionnaire was developed and administered to 154 adults with celiac disease who then underwent a standardized gluten-free diet evaluation by an experienced nutritionist. Multivariate analysis was conducted to determine factors associated with adherence level. Results Thirteen factors hypothesized to contribute to gluten-free diet adherence were found to be significantly associated with improved adherence including: understanding of the gluten-free diet, membership of a celiac disease advocacy group, and perceived ability to maintain adherence despite travel or changes in mood or stress (P < 0.001). Conclusions This study identified specific factors correlated with gluten-free diet adherence. These results provide a foundation for the design of educational interventions to improve adherence.

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Title: Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease
Authors: Daniel A. Leffler
Jessica Edwards-George
Melinda Dennis
Detlef Schuppan
Francis Cook
Debra L. Franko
Jessica Blom-Hoffman
Ciaran P. Kelly
Publication date: 01-06-2008
Publisher: Springer US
Published in: Digestive Diseases and Sciences / Issue 6/2008
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-007-0055-3

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