Adherence to a gluten free diet in Caucasians and South Asians with coeliac disease, using the coeliac disease adherence test (CDAT) score

Yvonne Jeanes, Sue Reeves, Humayun Mohammad

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review


Introduction Dietary adherence in Coeliac Disease (CD) is multifactorial and ranges from 36% to 96%. The aim of this research is to identify difference between the adherence with gluten free diet (GFD) of patients with CD from Caucasian and South Asian populations. Methods A combined cross sectional survey using validated questionnaire and coeliac disease activity index score and review of clinical and laboratory data was utilised. From 1248 histologically confirmed patients with CD 972 (85% Caucasians, 86% Females) met the inclusion criteria and were approached through letters with available support in 7 ethnic languages. Results The completion rate for the Caucasian population was 40.6% (n=337) and 26.5%(n=38) for South Asian population, this was not significantly different. CDAT score ranged from 7 to 30 with mean value of 14.7; overall adherence to GFD was 61%. There were no significant differences between GFD adherence based on ethnicity, age, or gender. Membership of the Coeliac Society, affordability of GF food and understanding food labelling were significant factors in GFD adherence. Discussion In contrast to an earlier study there were no ethnic difference in adherence, membership of the Coeliac Society and affordability of GF products are still associated with compliance rates. References: Butterworth, J. R., Banfield, L. M., Iqbal, T. H., & Cooper, B. T. (2004). Factors relating to compliance with a gluten-free diet in patients with coeliac disease: Comparison of white Caucasian and South Asian patients. Clinical Nutrition 23(5), 1127-1134. doi:10.1016/j.clnu.2004.02.009 Hall, N.J., Rubin, G. and Chanock, A., 2009. Systematic review: adherence to a gluten-free diet in adult patients with coeliac disease. Alimentary Pharmacology & Therapeutics, 30(4), pp. 315-330.
Original languageEnglish
Title of host publicationCoeliac UK Delegates brochure
Publication statusPublished - 2017

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