Psychosomatics · 2008
Eating pathology in adolescents with celiac disease.
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Karwautz Andreas, Wagner Gudrun, Berger Gabriele, Sinnreich Ursula, Grylli Vasileia, Huber Wolf-Dietrich
Аннотация
BACKGROUND: Celiac disease (CD), treated by a gluten-free diet, may represent a nonspecific trigger for the development of eating pathology, particularly in adolescence.
OBJECTIVE: The authors sought to perform a systematic study on eating pathology in CD.
METHOD: CD patients were assessed for eating disorders by questionnaire, and body mass index was recorded.
RESULTS: There was a higher rate of eating pathology in CD patients than would be expected, especially, a higher rate of bulimia nervosa. This subgroup reported more noncompliance with the gluten-free diet and had higher scores on most eating-related questionnaires. In most cases, diagnosis of CD preceded the onset of eating pathology.
CONCLUSION: The authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.
OBJECTIVE: The authors sought to perform a systematic study on eating pathology in CD.
METHOD: CD patients were assessed for eating disorders by questionnaire, and body mass index was recorded.
RESULTS: There was a higher rate of eating pathology in CD patients than would be expected, especially, a higher rate of bulimia nervosa. This subgroup reported more noncompliance with the gluten-free diet and had higher scores on most eating-related questionnaires. In most cases, diagnosis of CD preceded the onset of eating pathology.
CONCLUSION: The authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.