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The gluten-free diet: how to provide effective education and resources.

Abstract

A strict gluten-free diet (GFD) for life is the only treatment for celiac disease (CD). This article reviews (1) the impact of the GFD on the quality of life of individuals with CD and their families; (2) the causes of poorly controlled CD; (3) the access to and source and quality of information provided by health professionals and other groups; (4) management strategies, including nutritional assessment and education guidelines; (5) a variety of resources available to individuals and health professionals; (6) innovative educational initiatives and partnerships; and (7) specific recommendations to address the increasing numbers of people with CD and the growing need for gluten-free (GF) foods and further education about CD and the GFD. Successful management of CD requires a team approach, including the person with CD and his or her family, physician, dietitian, and celiac support group; an individualized approach; understanding of quality of life issues; use of evidence-based, current information and resources; and regular follow-up to monitor compliance, nutritional status, and additional information and support. The physician must clearly communicate, with a positive attitude, an overview of CD and strongly emphasize the importance of a GFD for life. It is essential that the physician initiate an immediate referral to a dietitian with expertise in CD for nutritional assessment, diet education, meal planning, and assistance with the adaptation to the challenging new gluten-free lifestyle. Good dietary compliance will reduce the risk of further complications and associated health care costs and improve quality of life in patients with CD.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    Celiac Disease Foundation, Studio City, California, USA. info@glutenfreediet.ca

    Source

    Gastroenterology 128:4 Suppl 1 2005 Apr pg S128-34

    MeSH

    Celiac Disease
    Evidence-Based Medicine
    Family Health
    Glutens
    Humans
    Information Services
    Nutritional Status
    Patient Compliance
    Patient Education as Topic
    Practice Guidelines as Topic
    Quality of Life
    Risk Factors

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    15825120

    Citation

    Case, Shelley. "The Gluten-free Diet: How to Provide Effective Education and Resources." Gastroenterology, vol. 128, no. 4 Suppl 1, 2005, pp. S128-34.
    Case S. The gluten-free diet: how to provide effective education and resources. Gastroenterology. 2005;128(4 Suppl 1):S128-34.
    Case, S. (2005). The gluten-free diet: how to provide effective education and resources. Gastroenterology, 128(4 Suppl 1), pp. S128-34.
    Case S. The Gluten-free Diet: How to Provide Effective Education and Resources. Gastroenterology. 2005;128(4 Suppl 1):S128-34. PubMed PMID: 15825120.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The gluten-free diet: how to provide effective education and resources. A1 - Case,Shelley, PY - 2005/4/13/pubmed PY - 2005/5/6/medline PY - 2005/4/13/entrez SP - S128 EP - 34 JF - Gastroenterology JO - Gastroenterology VL - 128 IS - 4 Suppl 1 N2 - A strict gluten-free diet (GFD) for life is the only treatment for celiac disease (CD). This article reviews (1) the impact of the GFD on the quality of life of individuals with CD and their families; (2) the causes of poorly controlled CD; (3) the access to and source and quality of information provided by health professionals and other groups; (4) management strategies, including nutritional assessment and education guidelines; (5) a variety of resources available to individuals and health professionals; (6) innovative educational initiatives and partnerships; and (7) specific recommendations to address the increasing numbers of people with CD and the growing need for gluten-free (GF) foods and further education about CD and the GFD. Successful management of CD requires a team approach, including the person with CD and his or her family, physician, dietitian, and celiac support group; an individualized approach; understanding of quality of life issues; use of evidence-based, current information and resources; and regular follow-up to monitor compliance, nutritional status, and additional information and support. The physician must clearly communicate, with a positive attitude, an overview of CD and strongly emphasize the importance of a GFD for life. It is essential that the physician initiate an immediate referral to a dietitian with expertise in CD for nutritional assessment, diet education, meal planning, and assistance with the adaptation to the challenging new gluten-free lifestyle. Good dietary compliance will reduce the risk of further complications and associated health care costs and improve quality of life in patients with CD. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/15825120/The_gluten_free_diet:_how_to_provide_effective_education_and_resources_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016508505001897 DB - PRIME DP - Unbound Medicine ER -