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Evaluation of the health status in adult celiacs of the Valencian Community (Spain)

Author(s): Pelegrí Calvo, C.; Soriano del Castillo; J. M., Mañes Vinuesa, J

Journal: Nutrición Clínica y Dietética Hospitalaria
ISSN 0211-6057

Volume: 33;
Issue: 1;
Start page: 43;
Date: 2013;
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Keywords: Coeliac disease | health status | adults | related conditions | relatives | health survey | trigger | bone health | reproductive health | lactose.

Introduction: In adult patients, the diagnostic process for coeliac disease (CD) is usually very late (eleven years on average), which leads to health complications that could be avoided with earlier diagnosis.Therefore, we have studied some aspects about thehealth status of the celiac patients interviewed. Objectives: The objective of this study is to quantify the prevalence of health-related issues, such as reproductive problems, other associated diseases, possible triggers of CD, bone health, anemia and otherautoimmune diseases or tumors, and the presence ofCD in first grade relatives.Methods: Retrospective cross-sectional study in 98adult celiac through a validated questionnaire specificfor coeliac patients. Results: The 23% of women had reproductive problems, most of the coeliac patients showed associatedconditions and 51% of CD cases was triggered after aphysical or psychological event. Conclusions: High prevalence of celiac disease inindividuals concomitant diseases as iron deficiency anemia, depression, hypothyroidism, lactose intolerance,IgA deficiency and type 1 diabetes mellitus suggest theneed of diagnostic tests to determine or rule out CD. The presence of one or more symptoms or conditions such as iron deficiency anemia, lactose intolerance, osteoporosis, hypothyroidism, rheumatoid arthritis, type 1 diabetes or IgA deficiency in first-degree relatives of a celiac should raise suspicions abouta non-diagnosed EC.
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