Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure

The prevalence of celiac disease (CD) is increasing in the world. In Morocco, its incidence is also increasing considerably. The gluten-free diet (GFD) remains the only effective treatment so far. Its effectiveness depends essentially on good adherence to this diet. However, several factors hinder a...

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Autores principales:	Guennouni Morad, Bourrhouate Aicha, El Khoudri Noureddine, Admou Brahim, El Qadiry Rabiy, Hakmaoui Abdelmalek, Hilali Abderraouaf
Formato:	article
Lenguaje:	EN FR
Publicado:	EDP Sciences 2021
Materias:	Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/ab572f83d0ad4b029a1f5fc1772917ea
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spelling	oai:doaj.org-article:ab572f83d0ad4b029a1f5fc1772917ea2021-11-12T11:44:08ZEvaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure2267-124210.1051/e3sconf/202131901019https://doaj.org/article/ab572f83d0ad4b029a1f5fc1772917ea2021-01-01T00:00:00Zhttps://www.e3s-conferences.org/articles/e3sconf/pdf/2021/95/e3sconf_vigisan_01019.pdfhttps://doaj.org/toc/2267-1242The prevalence of celiac disease (CD) is increasing in the world. In Morocco, its incidence is also increasing considerably. The gluten-free diet (GFD) remains the only effective treatment so far. Its effectiveness depends essentially on good adherence to this diet. However, several factors hinder adherence by contributing to diet failure. Within this framework, this study aims to evaluate adherence to this diet in celiac children and adolescents continuing in a tertiary health center. The article also looks to identify the different factors influencing adherence to GFD in Morocco. The results show from serological and/or biopsy tests on 238 celiac patients that half had good adherence and 13% had poor adherence. The questionnaire aimed at 127 parents or proxies of celiac children and adolescents shows that several factors are responsible for the failure to adhere to the diet such as the role of the mass media, cultural and psychological factors. The exorbitant price, nutritional quality, and low availability of gluten-free products play a major role in GFD failure. Low socio-economic factors have a negative influence on the adherence to the GFD.Guennouni MoradBourrhouate AichaEl Khoudri NoureddineAdmou BrahimEl Qadiry RabiyHakmaoui AbdelmalekHilali AbderraouafEDP SciencesarticleEnvironmental sciencesGE1-350ENFRE3S Web of Conferences, Vol 319, p 01019 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	Environmental sciences GE1-350
spellingShingle	Environmental sciences GE1-350 Guennouni Morad Bourrhouate Aicha El Khoudri Noureddine Admou Brahim El Qadiry Rabiy Hakmaoui Abdelmalek Hilali Abderraouaf Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
description	The prevalence of celiac disease (CD) is increasing in the world. In Morocco, its incidence is also increasing considerably. The gluten-free diet (GFD) remains the only effective treatment so far. Its effectiveness depends essentially on good adherence to this diet. However, several factors hinder adherence by contributing to diet failure. Within this framework, this study aims to evaluate adherence to this diet in celiac children and adolescents continuing in a tertiary health center. The article also looks to identify the different factors influencing adherence to GFD in Morocco. The results show from serological and/or biopsy tests on 238 celiac patients that half had good adherence and 13% had poor adherence. The questionnaire aimed at 127 parents or proxies of celiac children and adolescents shows that several factors are responsible for the failure to adhere to the diet such as the role of the mass media, cultural and psychological factors. The exorbitant price, nutritional quality, and low availability of gluten-free products play a major role in GFD failure. Low socio-economic factors have a negative influence on the adherence to the GFD.
format	article
author	Guennouni Morad Bourrhouate Aicha El Khoudri Noureddine Admou Brahim El Qadiry Rabiy Hakmaoui Abdelmalek Hilali Abderraouaf
author_facet	Guennouni Morad Bourrhouate Aicha El Khoudri Noureddine Admou Brahim El Qadiry Rabiy Hakmaoui Abdelmalek Hilali Abderraouaf
author_sort	Guennouni Morad
title	Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
title_short	Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
title_full	Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
title_fullStr	Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
title_full_unstemmed	Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure
title_sort	evaluation of adherence to gluten-free diets in moroccan celiac patients and factors of adherence failure
publisher	EDP Sciences
publishDate	2021
url	https://doaj.org/article/ab572f83d0ad4b029a1f5fc1772917ea
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Evaluation of adherence to gluten-free diets in Moroccan celiac patients and factors of adherence failure

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