Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease

Sarkhy, Ahmed Al; Mouzan, Mohammad I. El; Saeed, Elshazaly; Alanazi, Aziz; Alghamdi, Sharifa; Anil, Shirin; Assiri, Asaad

doi:10.5223/pghn.2016.19.3.162

Cited by 16 publications

(27 citation statements)

References 12 publications

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“…The observation of girls only suggests the conclusion that there were differences between groups in every scale, except in the physical health scale, and the observation of boys showed no differences only in emotional functioning and physical health. The results of other researchers are contradictory, some indicated that there is no difference between boys and girls [21,22], but there are also studies presenting lower quality of life in girls with coeliac disease [23,24].…”

Section: Discussionmentioning

confidence: 93%

Assessment of quality of life and physical and mental health in children and adolescents with coeliac disease compared to their healthy peers

Stojanović¹,

Medovic

Djonovic

et al. 2019

Srp Arh Celok Lek

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Introduction/Objective Strict gluten-free diet for life is the only treatment for patients with coeliac disease. Limited selection of food options can affect their quality of life and cause problems in acceptance by their peers. The aim was to examine the subjective quality of life experience in children and adolescents with coeliac disease and to obtain a comprehensive representation of physical and mental impairments and social functioning compared to their healthy peers. Methods The study was conducted as a cross-sectional study. It included 116 respondents aged 5-18 years with coeliac disease and 116 healthy children of similar age and sex. A Serbian version of Pediatric Quality of Life Inventory (PedsQL) was used to measure the quality of life in children. Descriptive statistics were calculated to analyze all results, while t-test was used to compare them. Results The mean value of total PedsQL score was lower in the coeliac disease patients (75.89 ± 20.35) than in the controls (86.35 ± 11.13). Additionally, the experimental group reported lower all PedsQL Scale scores than the control group in the domains of psychosocial, school, social, and emotional functioning. However, there was no statistically significant difference on the physical health scale. These results were the same in all age groups among both males and females. Conclusions The disturbance of health-related quality of life in children and adolescents with coeliac disease is significant and the quality of life is lower if compared to their healthy peers.

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Section: Discussionmentioning

confidence: 93%

Assessment of quality of life and physical and mental health in children and adolescents with coeliac disease compared to their healthy peers

Stojanović¹,

Medovic

Djonovic

et al. 2019

Srp Arh Celok Lek

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“…As the naturally GF grains and flours (e.g., quinoa, millet, teff, sorghum, buckwheat) are not mainstream items, the cost of the GF products is often more expensive than their gluten containing counterpart. The economic burden of the GFD has been previously documented in the United States (U.S.) [ 2 ], in Europe, Canada, Saudi Arabia, Iran and Chile [ 3 , 4 , 5 , 6 , 7 , 8 ]. However, with the onset of mainstream food manufacturers entering the GF market, a more recent evaluation of the cost and availability differences between GF products and their wheat-based counterparts is warranted.…”

Section: Introductionmentioning

confidence: 99%

Persistent Economic Burden of the Gluten Free Diet

et al. 2019

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Gluten free (GF) products have been reported to be more expensive and less available than their gluten containing counterparts. We examined the current U.S. cost and availability of GF products and made comparisons to the marketplace over a decade ago. Cost, determined by price per ounce and availability of a “market basket” of regular and GF products across four venues and five geographic regions was compared using a student’s t test. GF products were more expensive (overall 183%), and in all regions and venues (p < 0.001). GF products from mass-market producers were 139% more expensive than the wheat-based version of the same product. Availability of GF products was greatest (66%) in the health food and upscale venues. In contrast to the results of the 2006 study, the cost of GF products has declined from 240% to 183% (adjusted for inflation). The introduction of mass-market production of GF products may have influenced the increase in availability and overall reduction of cost since 2006. The extent to which the cost of GF products impacts dietary adherence and quality of life for those on a GFD warrants exploration.

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“…Furthermore, the daily amount of tolerable gluten is in constant among people but consumption of less than 10 mg of gluten per day has been stated to be safe for patients with celiac disease. A cross-sectional study was conducted in which an online questionnaire to all families registered in the Saudi celiac patients support group, showing a significant negative socio-economic impact of GFD on children with CD & their families [10].…”

Section: Introductionmentioning

confidence: 99%

The Availability of Prebiotics, Probiotics and Other Gluten Free Natural Sources such as Millet in the Saudi Market to Enhance Celiac Patients’ Quality of Life – A Descriptive Study in Jeddah, Saudi Arabia, 2017

Eid¹,

Alharbi²,

Al-shaiban³

et al. 2018

JFNR

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The prevalence of celiac disease in Saudi Arabia has been increasing for 2.2% of the Saudi population.Yet celiac disease (CD) patients are still suffering from long life gluten free diet GFD. According to literature, patients' diet can be improved by adding functional foods such as, prebiotics, probiotics and/or natural sources such as Millet to enhance the gut ecology and colon health. In the current study we have carried a descriptive study to assess the availability, prices and categories of food products suitable for celiac patients (probioitcs, prebiotics, gluten free products and millet as a natural source) in 6 main supermarkets, in Jeddah, Saudi Arabia, using a survey. Results showed that a higher costs of gluten free products seen in 6 main markets, except in "panda hypermarket". With regards to availabilities, the highest proportion of products was found in "Carrefour" and "Danube", have shown the highest, followed by "Lulu hypermarket" and "Manuel hypermarket" (P < 0.05). The lowest amounts of gluten free products were seen in Farm superstores and Al Raya compared to others (P < 0.05). With regards to categories were also looked at which shows Danube has most variations from staple, snacks, drinks, and additives. Millet has been seen to be available and lower in cost which is mostly suitable for patients at any economic level state. Findings suggest that the limited availability and high costs can influence celiac patients' quality of life and severity of symptoms among the Saudi populations. The current study has been carried for the first time in KSA, which recommends more local food production suitable for celiac patients and introducing the use of local natural sources such as millet to be used as staple food to enhance gut ecology health and reduce severity of celiac patients symptoms.

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Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac Disease

Cited by 16 publications

References 12 publications

Assessment of quality of life and physical and mental health in children and adolescents with coeliac disease compared to their healthy peers

Assessment of quality of life and physical and mental health in children and adolescents with coeliac disease compared to their healthy peers

Persistent Economic Burden of the Gluten Free Diet

The Availability of Prebiotics, Probiotics and Other Gluten Free Natural Sources such as Millet in the Saudi Market to Enhance Celiac Patients’ Quality of Life – A Descriptive Study in Jeddah, Saudi Arabia, 2017

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