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Avoidant/Restrictive Food Intake Disorder in Celiac Disease.

Ridhima Kaul1, Claire Jansson-Knodell2, Madison L Simons2

  • 1Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

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|October 29, 2025
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Summary
This summary is machine-generated.

Celiac disease patients may develop Avoidant/Restrictive Food Intake Disorder (ARFID) due to diet rigidity and symptoms. Early, multidisciplinary care is crucial for managing ARFID in celiac disease.

Keywords:
ARFIDceliac diseasedisordered eatinggluten free diet

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Area of Science:

  • Gastroenterology
  • Psychiatry
  • Nutrition Science

Background:

  • Celiac disease (CeD) requires a strict gluten-free diet (GFD), the sole treatment.
  • Some CeD patients experience persistent symptoms and psychological distress.
  • This can lead to disordered eating, including Avoidant/Restrictive Food Intake Disorder (ARFID).

Purpose of the Study:

  • To review the intersection of ARFID and CeD.
  • Examine prevalence, pathophysiology, clinical features, complications, and management.

Main Methods:

  • Scoping literature review.
  • Analysis of existing studies on ARFID in CeD patients.

Main Results:

  • 14-57% of CeD individuals may meet ARFID criteria.
  • Contributing factors include GI symptoms, gluten anxiety, and social challenges.
  • ARFID in CeD is linked to nutritional deficiencies, anxiety, depression, and social impairment.

Conclusions:

  • ARFID diagnosis in CeD is complex due to symptom overlap.
  • Multidisciplinary management (medical, nutritional, psychological) is essential.
  • Routine screening and integrated care can improve outcomes.