Is dietitian use associated with celiac disease outcomes? Academic Article uri icon

Overview

abstract

  • A gluten-free diet (GFD) is the treatment for celiac disease (CD), but due to its complexity, dietitian referral is uniformly recommended. We surveyed patients with CD to determine if dietitian use is associated with quality of life, symptom severity, or GFD adherence. The survey utilized three validated CD-specific instruments: the CD quality of life (CD-QOL), CD symptom index (CSI) and CD adherence test (CDAT). Four hundred and thirteen patients with biopsy-proven CD were eligible for inclusion. The majority (77%) were female and mean BMI was 24.1. Over three-quarters of patients (326, 79%) had seen a dietitian, however, 161 (39%) had seen a dietitian only once. Age, sex, and education level were not associated with dietitian use; nor was BMI (24.6 vs. 24.0, p = 0.45). On multivariate analysis, adjusting for age gender, education, duration of disease, and body mass index, dietitian use was not associated with CD-QOL, CSI, or CDAT scores. Our survey did not show an association between dietitian use and symptom severity, adherence, or quality of life. Delay in diagnosis was associated with poorer outcomes. This is a preliminary study with several limitations, and further prospective analysis is needed to evaluate the benefits and cost-effectiveness of dietitian-referral in the care of celiac disease patients.

publication date

  • May 15, 2013

Research

keywords

  • Celiac Disease
  • Delivery of Health Care
  • Dietetics
  • Patient Compliance
  • Quality of Life
  • Referral and Consultation
  • Severity of Illness Index

Identity

PubMed Central ID

  • PMC3708338

Scopus Document Identifier

  • 80355145692

Digital Object Identifier (DOI)

  • 10.1186/1471-230X-11-118

PubMed ID

  • 23676548

Additional Document Info

volume

  • 5

issue

  • 5