Factors Associated with Adherence to a Gluten-Free Diet in Adolescents with Celiac Disease

Celiac disease is one of the most prevalent diet-related diseases in adolescents. This study explored the relationship between adherence to gluten-free diet, physical, social, psychological, and management self-care practices and perceived family support in adolescents with celiac disease. A cross-sectional study was conducted in 118 adolescents with celiac disease using Celiac Dietary Adherence Test, Youth Self-Care Practice and Management Questionnaire and Perceived Family Support. Adolescents with celiac disease showed low adherence to gluten-free diet and physical self-care practices. A moderate level of psychological, social and self-care management self-care practices. The perceived family support was high. A positive association was found between adherence gluten-free diet, physical self-care practices, self-care management, family support perceived, celiac disease family history and father profession. The finding highlights the importance of school nursing for promoting health in the educational setting, preventing complications from lack of adherence to a gluten-free diet and encouraging self-care practices.