Naslov
Epidemiology of coeliac disease in children in one Croatian county: Possible factors that could affect the incidence of coeliac disease and adherence to a gluten-free diet (Part II)
(Epidemiology of coeliac Disease in children in one Croatian county: Possible factors that could affect the incidence of coeliac disease and adherence to a gluten-free diet (Part II))

Autori
Matek, Zrinjka ; Jungvirth-Hegeduš, Marija ; Kolaček, Sanja

Izvornik
Collegium Antropologicum (0350-6134) 24 (2000), 2; 397-404

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
coeliac disease; epidemiology; children

Sažetak
Coeliac disease (CD) is a life-long disorder characterised by small-intestinal mucosal damage caused by gluten. The treatment, a gluten-free diet, leads to mucosal restoration and reduces the risk of malignant and non-malignant complications. According to our recent results, cumulative incidence in Croatian children is 1:519 life-births. CD presents early, mostly with typical symptoms. As reasons for that are unknown, we investigated possible influences of breast-feeding duration and time of gluten introduction. Study included coeliacs born in Međimurje between 1985 and 1994 (N=31). Patients’ adherence to treatment was also studied. Although short breast-feeding (mean 2.9 months) and early gluten introduction (mean 4.9 months) were shown, no correlation was found between those factors and time of CD presentation. Concerning adherence to gluten-free diet, only 50% of patients mantained it strictly, 23% irregularly, while 27% were on normal diet. In order to improve it, regular follow-ups and raising awareness of CD are recommended.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA