Dietary management of celiac disease: revisiting the guidelines

THEODORIDIS, Xenophon, GRAMMATIKOPOULOU, Maria G, PETALIDOU, Arianna, PATELIDA, Maria, GKIOURAS, Konstantinos, KLONIZAKIS, Markos, PITTAS, Stefanos and BOGDANOS, Dimitrios P (2019). Dietary management of celiac disease: revisiting the guidelines. Nutrition.

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Official URL: https://www.sciencedirect.com/science/article/pii/...
Link to published version:: https://doi.org/10.1016/j.nut.2019.04.008

Abstract

Objective: Medical nutrition therapy (MNT), by lifelong compliance to a gluten free diet, is the only treatment of celiac disease (CD). Clinical practice guidelines (CPGs) regarding the management of CD emphasize on the role of MNT besides other treatment options. The aim of the present study was to review and critically appraise CD-specific MNT CPGs, and identify the areas in need of improvement for better adherence a¬¬nd outcomes. Research Methods & Procedures: A comprehensive search was performed at Pubmed, Guidelines International Network (GIN), Google Scholar and related websites for CPGs on the dietary management of CD, published in the English language. Results: A total of 12 CPGs were retrieved and critically appraised by three independent reviewers utilizing the AGREE II instrument. All CPGs were of low quality based on AGREE II tool. Among the 12 CPGs, the NICE ones achieved the highest score and was unanimously recommended without modifications by the three reviews, while AGA, AHS, BSPGHAN, CREST and FISPGHAN CPGs received the lowest score. Conclusions: The present study unveils the low quality of guidelines regarding the MNT of CD patients, indicating the need of updated and improved guidelines taking into consideration the proposed items of the AGREE II. Keywords: medical nutrition therapy; clinical practice; critical appraisal; gluten-free diet; autoimmune disease; nutrition intervention; evidence-based nutrition; gluten; CASP.

Item Type: Article
Uncontrolled Keywords: 11 Medical and Health Sciences; Nutrition & Dietetics
Identification Number: https://doi.org/10.1016/j.nut.2019.04.008
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 17 Apr 2019 11:07
Last Modified: 15 May 2019 09:00
URI: http://shura.shu.ac.uk/id/eprint/24478

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