Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families Methods: A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biop-sy-confirmed celiac disease (CD).Results: A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child’s interaction with other children (49.6%), the families’ ability to attend social gatherings (60.2%), the families’ ability to eat in restaurants (73.5%), and the families’ ability to travel (58.4%). Conclusion: There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.
Abstract
Purpose: To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families Methods: A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biop-sy-confirmed celiac disease (CD).Results: A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child’s interaction with other children (49.6%), the families’ ability to attend social gatherings (60.2%), the families’ ability to eat in restaurants (73.5%), and the families’ ability to travel (58.4%). Conclusion: There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.
참고문헌 (14)
- Wagner G, "Quality of life in adolescents with treated coeliac disease: influence of compliance and age at diagnosis", J Pediatr Gastroenterol Nutr, 47, pp.555~561 (2008)
- Kokkonen J, "Coping with a coeliac diet after adolescence", Helv Paediatr Acta, 43, pp.261~265 (1989)
- Rashid M, "Celiac disease: evaluation of the diagnosis and dietary compliance in Canadian children", Pediatrics, 116, pp.e754~e759 (2005)
- Kurppa K, "Celiac disease and health-related quality of life", Expert Rev Gastroenterol Hepatol, 5, pp.83~90 (2011)
- Altobelli E, "Health-related quality of life in children and adolescents with celiac disease: survey of a population from central Italy", Health Qual Life Outcomes, 11, pp.204~ (2013)
- Al Attas RA, "How common is celiac disease in Eastern Saudi Arabia", Ann Saudi Med, 22, pp.315~319 (2002)
- Khayyat YM, "Serologic markers of gluten sensitivity in a healthy population from the western region of Saudi Arabia", Saudi J Gastroenterol, 18, pp.23~25 (2012)
- Aljebreen AM, "Seroprevalence of celiac disease among healthy adolescents in Saudi Arabia", World J Gastroenterol, 19, pp.2374~2378 (2013)
- "2.1 World Development Indicators: Population dynamics"[URL]
- Ahmed Al Sarkhy, "Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children", Pediatric Gastroenterology, Hepatology & Nutrition, 18(1), pp.23~29 (2015), 대한소아소화기영양학회
- Chauhan JC, "Assessment of dietary compliance to gluten free diet and psychosocial problems in Indian children with celiac disease", Indian J Pediatr, 77, pp.649~654 (2010)
- Errichiello S, "Celiac disease: predictors of compliance with a gluten-free diet in adolescents and young adults", J Pediatr Gastroenterol Nutr, 50, pp.54~60 (2010)
- Stevens L, "Gluten-free and regular foods: a cost comparison", Can J Diet Pract Res, 69, pp.147~150 (2008)
- Singh J, "Limited availability and higher cost of gluten-free foods", J Hum Nutr Diet, 24, pp.479~486 (2011)
