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Persistent Symptoms in People With Celiac Disease Despite Gluten-Free Diet: A Concern?
Susanne Roos1, Gunilla M Liedberg, Ingrid Hellström
1Susanne Roos, PhD, RN, is Registered Nurse, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Gunilla M. Liedberg, PhD, OTR, is Associate Professor, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Ingrid Hellström, PhD, RN, is Associate Professor, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. Susan Wilhelmsson, PhD, RN, is Associate Professor, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Abstract:
Studies show that people with celiac disease have reduced well-being and have persistent symptoms, mainly related to the gastrointestinal tract. The aim of this study was to analyze how persons in a celiac disease member association report their symptoms, health, and life satisfaction. A questionnaire, with both open and closed questions, was distributed to all members (n = 726) of a celiac association in the southeast of Sweden. The response rate was 74.5%, of which 524 (72%) said they had received a celiac disease diagnosis and were thus included in the study. Almost half of the participants (40.7%-42.2%) stated that they had persistent celiac disease symptoms despite following a gluten-free diet. Diarrhea, abdominal pain, and congestion were persistent symptoms reported and could contribute to a lower health status compared with people without persistent symptoms. The life satisfaction scale (LiSat-9) showed differences in 5 of 9 variables between the groups. Living with celiac disease is far from easy when you have persistent symptoms. People with celiac disease require follow-up by healthcare services, and a new treatment needs to be developed because following the gluten-free diet alone does not seem to alleviate symptoms in everyone.
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