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Adherence to the Gluten-Free Diet during the Lockdown for COVID-19 Pandemic: A Web-Based Survey of Italian Subjects with Celiac Disease
| Content Provider | MDPI |
|---|---|
| Author | Monzani, Alice Lionetti, Elena Felici, Enrico Fransos, Lucia Azzolina, Danila Rabbone, Ivana Catassi, Carlo |
| Copyright Year | 2020 |
| Description | We aimed to assess the perceived impact of the lockdown, imposed to control the spreading of COVID-19, on the adherence of Italian celiac disease (CD) subjects to the gluten-free diet by a web-based survey. A total of 1983 responses were analyzed, 1614 (81.4%) by CD adults and 369 (18.6%) by parents/caregivers of CD children/adolescents. The compliance with the GFD was unchanged for 69% of the adults and 70% of the children, and improved for 29% of both. The factors increasing the probability to report stricter compliance were the presence of CD symptoms in the last year before the lockdown (odds ratio (OR) 1.98, 95% confidence interval (CI) 1.46–2.26), a partial usual adherence to gluten-free diet (GFD) (OR 1.91, 95% CI 1.2–3.06), and having tried recipes with naturally gluten-free ingredients more than usual (OR 1.58, 95% CI 1.28–1.96) for adults; the presence of CD symptoms in the last year (OR 2.05, 95% CI 1.21–3.47), still positive CD antibodies (OR 1.89, 95% CI 1.14–3.13), and other family members with CD (OR 2.24, 95% CI 1.3–3.85) for children/adolescents. Therefore, the lockdown led to a reported improved adherence to the GFD in one-third of the respondents, in particular in those with previous worse disease control, offering the opportunity to avoid sources of contamination/transgression and increase the use of naturally gluten-free products. |
| Starting Page | 3467 |
| e-ISSN | 20726643 |
| DOI | 10.3390/nu12113467 |
| Journal | Nutrients |
| Issue Number | 11 |
| Volume Number | 12 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2020-11-12 |
| Access Restriction | Open |
| Subject Keyword | Nutrients Biomedical Social Sciences Celiac Disease Gluten-free Diet Covid-19 Coronavirus Lockdown Diet Compliance Web Survey Telemedicine |
| Content Type | Text |
| Resource Type | Article |
