International Journal of Celiac Disease
ISSN (Print): 2334-3427 ISSN (Online): 2334-3486 Website: https://www.sciepub.com/journal/ijcd Editor-in-chief: Samasca Gabriel
Open Access
Journal Browser
Go
International Journal of Celiac Disease. 2023, 11(1), 4-8
DOI: 10.12691/ijcd-11-1-2
Open AccessArticle

Dietary Challenges in Adults with Celiac Disease in Saudi Arabia

Sehad N. Alarifi1, and Maha H. Alhussain2

1Department of Food and Nutrition Science, Al-Quwayiyah College of Sciences and Humanities, Shaqra University, Shaqraa 11971, Saudi Arabia

2Department of Food Sciences and Nutrition, College of Food and Agriculture, King Saud University,

Pub. Date: September 04, 2023

Cite this paper:
Sehad N. Alarifi and Maha H. Alhussain. Dietary Challenges in Adults with Celiac Disease in Saudi Arabia. International Journal of Celiac Disease. 2023; 11(1):4-8. doi: 10.12691/ijcd-11-1-2

Abstract

Gluten free diet is the only proven treatment for celiac disease. This study aims to investigate the dietary challenges of adults with celiac disease. A web-based survey was completed by adult patients diagnosed with CD across Saudi Arabia. The survey included questions exploring demographics, the challenges in their diet as well as questions about their behaviour of eating out. Most of the participants were females and more than half are living in Riyadh. Furthermore, 65.7% were diagnosed by bowel biopsy and 72.3% were diagnosed for more than 1 year, 95.8% are following a gluten-free diet but 51.8% are not under a nutritional program 57.1% are not following up with a dietitian. Furthermore, 96.4% of participants considered restaurants are problems in providing gluten-free food and 86.1% are avoiding restaurants. This study concluded that adults with celiac disease are following GFD without follow -up with health care providers (HCPs), this can lead to increase many complications of this disease. Moreover, increasing the awareness about CD and GFD is important among patients, HCPs and society including, families and friends and people dealing with food business.

Keywords:
celiac disease gluten-free diet Saudi Arabia dietary challenges

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Singh, P., Arora, A., Strand, T. A., Leffler, D. A., Catassi, C., Green, P. H., Kelly, C. P., Ahuja, V., and Makharia, G. K. (2018). Global Prevalence of Celiac Disease: Systematic Review and Meta-analysis. Clinical Gastroenterology and Hepatology: The OfficialClinicalPracticeJournaloftheAmerican Gastroenterological Association, 16(6), 823-836.e2.
 
[2]  Fasano A, Catassi C. Clinical practice. Celiac disease. N Engl J Med. 2012; 367(25): 2419-26.
 
[3]  Meyer, D., Stavropolous, S., Diamond, B., Shane, E., and Green, P. H. (2001). Osteoporosis in a north american adult population with celiac disease. The American Journal of Gastroenterology, 96(1), 112-119.
 
[4]  Nieto, G., de la Calle, I., Ros, G., & Peñalver Miras, R. (2020). Celiac disease: causes, pathology, and nutritional assessment of gluten-free diet. A review. Nutrición Hospitalaria.
 
[5]  Pinto-Sanchez MI, Bai JC. Toward new paradigms in the follow up of adult patients with celiac disease on a gluten-free diet. Front Nutr. 2019; 6: 153.
 
[6]  Salazar Quero, J., Espín Jaime, B., Rodríguez Martínez, A., Argüelles Martín, F., García Jiménez, R., Rubio Murillo, M., & Pizarro Martín, A. (2015). Nutritional assessment of gluten-free diet. Is gluten-free diet deficient in some nutrient? Anales de Pediatría(EnglishEdition),83(1), 33–39. https://doi.org/10.1016/j.anpede.2015.06.003.
 
[7]  Mustalahti, K., Catassi, C., Reunanen, A., Fabiani, E., Heier, M., McMillan, S., Mäki, M. (2010). The prevalence of celiac disease in Europe: Results of a centralized, international mass screening project. Annals of Medicine, 42(8), 587-595.
 
[8]  Turkey. The Ministry of Health. (2019). Celiac disease control programme. Retrieved from https://hsgm.saglik.gov.tr/tr/metabolizma-ve-colyak/çölyak-ve- görülme-sıklığı.html.
 
[9]  Rostami Nejad, M., Rostami, K., Emami, M., Zali, M., and Malekzadeh, R. (2011). Epidemiology of celiac disease in iran: A review. Middle East Journal of Digestive Diseases, 3(1), 5-12.
 
[10]  El-Metwally, A., Toivola, P., AlAhmary, K., Bahkali, S., AlKhathaami, A., AlSaqabi, M. K., Alosaimi, S. M. (2020). The Epidemiology of Celiac Disease in the General Population and High-Risk Groups in Arab Countries: A Systematic Review. BioMed Research International, 2020, 1-13.
 
[11]  Alvarez-Jubete, L., Arendt, E. K., & Gallagher, E. (2010). Nutritive value of pseudocereals and their increasing use as functional gluten-free ingredients. Trends in Food Scienc & Technology, 21(2), 106-113.
 
[12]  Comino, I., Fernández-Bañares, F., Esteve, M., Ortigosa, L., Castillejo, G., Fambuena, B., Sousa, C. (2016). Fecal Gluten Peptides Reveal Limitations of Serological Tests and Food Questionnaires for Monitoring Gluten-Free Diet in Celiac Disease Patients. American Journal of Gastroenterology, 111(10), 1456-1465.
 
[13]  Moreno, M. D. L., Cebolla, N., Muñoz-Suano, A., Carrillo- Carrion, C., Comino, I., Pizarro, N., Sousa, C. (2015). Detection of gluten immunogenic peptides in the urine of patients with coeliac disease reveals transgressions in the gluten-free diet and incomplete mucosal healing. Gut, 66(2), 250-257.
 
[14]  Gastro; National Institutes of Health Consensus Development Conference Statement on Celiac Disease; June 28-30, 2004; 2005. p. S1-9.
 
[15]  Karajeh, M., Hurlstone, D., Patel, T., & Sanders, D. (2005). Chefs? knowledge of coeliac disease (compared to the public): a questionnaire survey from the United Kingdom. Clinical Nutrition, 24(2), 206-210.
 
[16]  Simpson, S., Lebwohl, B., Lewis, S., Tennyson, C., Sanders, D., & Green, P. (2011). Awareness of gluten-related disorders: A survey of the general public, chefs and patients. E-SPEN, the European e- Journal of Clinical Nutrition and Metabolism, 6(5), e227-e231.
 
[17]  Taşkin, B., & Savlak, N. (2021). Public awareness, knowledge and sensitivity towards celiac disease and gluten-free diet is insufficient: a survey from Turkey. Food Science and Technology, 41(1), 218-224.
 
[18]  Al-Qefari, S. N., Al-Twijri, A. W., Al-Adhadh, A. M., AhmadAl- Rashed, O., and Al-Jarallah, B. (2018). Health-Related Quality of Life among Patients with Celiac Disease in Saudi Arabia. Annals of Medical and Health Sciences Research. https://www.amhsr.org/abstract/healthrelated-quality-of-life- among-patients-with-celiac-disease-in-saudi-arabia-4219.html.
 
[19]  Hughey, J. J., Ray, B. K., Lee, A. R., Kelly, C. P., Schuppan, D., & Voorhees, K. N. (2017). Self-Reported Dietary Adherence, Disease-Specific Symptoms, and Quality of Life are Associated with Healthcare Provider Follow-Up in Celiac Disease. Gastroenterology, 152(5), S266.
 
[20]  Herman ML, Rubio-Tapia A, Lahr BD, et al. Patients with celiac disease are not followed up adequately. Clin Gastroenterol Hepatol. 2012; 10(8): 893-9.
 
[21]  Aspasia, S., Emmanuela-Kalliopi, K., Nikolaos, T., Eirini, S., Ioannis, S., & Anastasia, M. (2022). The gluten-free diet challenge in adults with coeliac disease: the Hellenic survey. PEC Innovation, 1, 100037.
 
[22]  Gładyś, K., Dardzińska, J., Guzek, M., Adrych, K., Kochan, Z., & Małgorzewicz, S. (2021). Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice. Nutrients, 13(6), 1859.
 
[23]  Enaud, R., Tetard, C., Dupuis, R., Laharie, D., Lamireau, T., Zerbib, F., Poullenot, F. (2022). Compliance with Gluten Free Diet Is Associated with Better Quality of Life in Celiac Disease. Nutrients, 14(6), 1210.
 
[24]  Imran, S., & Tanweer, A. (2018). Nutritional Assessment of Celiac Patients of Pakistan. Pakistan Journal of Zoology, 50(2).
 
[25]  Ciacci, C., & Zingone, F. (2015). The Perceived Social Burden in Celiac Disease. Diseases, 3(2), 102-110.
 
[26]  Silvester, J. A., Weiten, D., Graff, L. A., Walker, J. R., & Duerksen, D. R. (2015). Living gluten-free: adherence, knowledge, lifestyle adaptations and feelings towards a gluten-free diet. Journal of Human Nutrition and Dietetics, 29(3), 374-382.
 
[27]  Lerner BA, Phan Vo LT, Yates S, et al. Detection of gluten in gluten-free labeled restau- rant food: analysis of crowd-sourced data. Am J Gastroenterol. 2019; 114(5): 792-7.
 
[28]  Khafagy, A. A., Qari, W. K., Filimban, S. S., Bahalaq, A. M., & Bulkhi, A. A. (2022). A Cross-Sectional Study of Celiac Disease Awareness in the Food Industry in the Western Region of Saudi Arabia. Cureus.
 
[29]  Assiri, A. M., Saeed, A., Saeed, E., El-Mouzan, M. I., Alsarkhy, A. A., Al-Turaiki, M., Al-Mehaidib, A., Rashid, M., and Ullah, A. (2015). Assessment of knowledge of celiac disease among health care professionals. Saudi Medical Journal, 36(6), 751-753.
 
[30]  Alhussain, M. (2021). Awareness of Celiac Disease among the General Public in Saudi Arabia. International Journal of Celiac Disease, 9, 71-76.
 
[31]  Wieser, H., Ruiz-Carnicer, Á., Segura, V., Comino, I., & Sousa, C. (2021). Challenges of Monitoring the Gluten-Free Diet Adherence in the Management and Follow-Up of Patients with Celiac Disease. Nutrients, 13(7), 2274.