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.
|
PDF
Klonizakis-DietaryManagementCeliac(AM).pdf - Accepted Version Creative Commons Attribution Non-commercial No Derivatives. Download (678kB) | Preview |
|
|
PDF
Klonizakis-DietaryManagementCeliac(Supplemental).pdf - Supplemental Material Creative Commons Attribution Non-commercial No Derivatives. Download (183kB) | Preview |
|
|
PDF
Klonizakis-DietaryManagementCeliac(Supplemental2).pdf - Supplemental Material Creative Commons Attribution Non-commercial No Derivatives. Download (101kB) | Preview |
|
|
PDF
Klonizakis-DietaryManagementCeliac(Supplemental3).pdf - Supplemental Material Creative Commons Attribution Non-commercial No Derivatives. Download (208kB) | Preview |
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: | 18 Mar 2021 02:00 |
URI: | https://shura.shu.ac.uk/id/eprint/24478 |
Actions (login required)
View Item |
Downloads
Downloads per month over past year