scholarly journals Prevalence of Wheat/Gluten-Related Disorders and Gluten-Free Diet in Paraguay: An Online Survey-Based Study

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 396
Author(s):  
Noé Ontiveros ◽  
Raúl Emilio Real-Delor ◽  
José Antonio Mora-Melgem ◽  
Carlos Eduardo Beltrán-Cárdenas ◽  
Oscar Gerardo Figueroa-Salcido ◽  
...  

Gluten-related disorders (GRDs) are increasing around the world, but their magnitude and relevance remain unknown in most Latin American countries. Thus, an online survey was conducted to estimate the prevalence of GRDs as well as adherence to a gluten-free diet (GFD) in Paraguayan adult population. There were 1058 individuals surveyed using a validated questionnaire (response rate of 93.9%). The self-reported prevalence rates were as follows (95% CI): gluten sensitivity (GS), 10.30% (8.53–12.29); non-celiac GS (NCGS), 5.19% (3.94–6.71); physician-diagnosed celiac disease (PD-CD), 3.11% (2.15–4.35); wheat allergy (WA), 2.07% (1.30–3.13); and adherence to GFD, 15.69% (13.55–18.02). Excluding CD, more women than men met the criteria for GRDs, adverse food reactions, and GFD (p < 0.05). Eight respondents reported the coexistence of NCGS with PD-CD and/or WA. Most cases on a GFD indicated medical/dietitian advice for following the diet (68.07%). Non-self-reported GS individuals indicated weight control (46.4%) and the notion that the GFD is healthier (20.2%) as the main motivations for following the diet. GRDs are not uncommon in Paraguayan adult population. It seems that there is awareness about GRDs and the GFD, but training about the diagnosis of GRDs is desirable because of the informed overlapping diagnoses of CD or WA with NCGS. Future studies involving face-to-face interviews are necessary.

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 593 ◽  
Author(s):  
Jesús Arámburo-Gálvez ◽  
Itallo Carvalho Gomes ◽  
Tatiane André ◽  
Carlos Beltrán-Cárdenas ◽  
María Macêdo-Callou ◽  
...  

Background: A Spanish version of a questionnaire intended to estimate, at the population level, the prevalence rates of self-reported gluten-related disorders and adherence to gluten-free diets has been applied in four Latin American countries. However, idiom issues have hampered the questionnaire application in the Brazilian population. Thus, the aim of the present study was to carry out a translation, cultural adaptation, and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence of gluten-related disorders and adherence to gluten-free diets in a Brazilian population. Materials and Methods: Two bilingual Portuguese–Spanish health professionals carried out the translation of the original Spanish version of the questionnaire to Brazilian-Portuguese. Matching between the two translations was evaluated using the WCopyFind.4.1.5 software. Words in conflict were conciliated, and the conciliated version of the Brazilian Portuguese instrument was evaluated to determine its clarity, comprehension, and consistency. A pilot study was carried out using an online platform. Results: The two questionnaires translated into Brazilian Portuguese were highly matched (81.8%–84.1%). The questions of the conciliated questionnaire were clear and comprehensible with a high agreement among the evaluators (n = 64) (average Kendall’s W score was 0.875). The participants did not suggest re-wording of questions. The answers to the questions were consistent after two applications of the questionnaire (Cohen’s k = 0.869). The pilot online survey yielded low response rates (9.0%) highlighting the need for face-to-face interviews. Conclusions: The translation and evaluation of a Brazilian Portuguese questionnaire to estimate the self-reported prevalence rates of gluten-related disorders and adherence to gluten-free diets was carried out. The instrument is clear, comprehensible, and generates reproducible results in the target population. Further survey studies involving face-to-face interviews are warranted.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Francisco Cabrera-Chávez ◽  
Diana María Granda-Restrepo ◽  
Jesús Gilberto Arámburo-Gálvez ◽  
Alejandro Franco-Aguilar ◽  
Dalia Magaña-Ordorica ◽  
...  

Background. Celiac disease seems to be rare in Colombians, but there are currently no data about the prevalence rates of symptomatic adverse reactions to gluten or adherence to gluten-free diet (GFD) in this population.Aim. to evaluate the self-reported prevalence rates of adverse reactions to gluten, adherence to GFD, and gluten-related disorders at population level in Colombia.Methods. A self-administered questionnaire-based cross-sectional study was conducted in a population from Northwest Colombia.Results. The estimated prevalence rates were (95% CI) 7.9% (6.5–9.6) and 5.3% (4.1–6.7) for adverse and recurrent adverse reactions to wheat/gluten, respectively, adherence to GFD 5.9% (4.7–7.4), wheat allergy 0.74% (0.3–1.4), and nonceliac gluten sensitivity 4.5% (3.5–5.8). There were no self-reported cases of celiac disease. Prevalence of self-reported physician-diagnosis of gluten-related disorders was 0.41% (0.17–0.96). Most respondents reported adherence to GFD without a physician-diagnosis of gluten-related disorders (97.2%). The proportion of gluten avoiders was 17.2% (15.2–19.5). Most of them did not report recurrent adverse reactions to wheat/gluten (87.0%).Conclusions. Nonceliac gluten sensitivity is rarely formally diagnosed in Colombia, but this population has the highest prevalence rate of adherence to GFD reported to date. Consequently, most respondents were avoiding wheat- and/or gluten-based products for reasons other than health-related symptoms.


2006 ◽  
Vol 20 (6) ◽  
pp. 433-435 ◽  
Author(s):  
Min Soo Song ◽  
David Farber ◽  
Alain Bitton ◽  
Jeremy Jass ◽  
Michael Singer ◽  
...  

The association between dermatomyositis and celiac disease in children has been well documented. In the adult population, however, the association has not been clearly established. A rare case of concomitant dermatomyositis and celiac disease in a 40-year-old woman is presented. After having been diagnosed with dermatomyositis and iron deficiency anemia, this patient was referred to the gastroenterology clinic to exclude a gastrointestinal malignancy. Blood tests revealed various vitamin deficiencies consistent with malabsorption. The results of gastroscopy with duodenal biopsy were consistent with celiac disease. After she was put on a strict gluten-free diet, both nutritional deficiencies and the dermatomyositis resolved. The patient’s human leukocyte antigen haplotype study was positive for DR3 and DQ2, which have been shown to be associated with both juvenile dermatomyositis and celiac disease. It is suggested that patients with newly diagnosed dermatomyositis be investigated for concomitant celiac disease even in the absence of gastrointestinal symptoms.


Nutrients ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 81 ◽  
Author(s):  
Francisco Cabrera-Chávez ◽  
Gimena Dezar ◽  
Anna Islas-Zamorano ◽  
Jesús Espinoza-Alderete ◽  
Marcela Vergara-Jiménez ◽  
...  

2017 ◽  
Vol 11 (3-4) ◽  
pp. 113-119
Author(s):  
Tünde Csapóné Riskó ◽  
Ádám Péntek ◽  
Troy Wiwczaroski

Gluten is a protein found in many grain products. Celiac disease is a genetic autoimmune disorder characterized by sensitivity to gluten. When a person with celiac disease consumes gluten, his/her immune system perceives the gluten to be a harmful substance and reacts negatively. The only treatment for individuals with celiac disease is lifelong adherence to a gluten-free diet. It is one of the most frequent and well defined of all lifelong diseases. In Hungary, 1-2 % of the population is said to be affected, but only every 10th has been diagnosed. Bread is a basic and frequently consumed food made principally from wheat. Gluten is the main structure-forming protein in flour, and is responsible for the elastic characteristics of dough, and contributes to the crumb structure and appearance of many baked products. Gluten removal results in major problems for bakers. Currently many gluten-free products available on the market are of low quality, exhibiting poor mouth feel and flavour. People wishing to eat bread in the gluten-free diet basically have two options: buying or baking the bread for themselves. There are several gluten-free bread brands are available on the Hungarian market. The price, ingredients, texture, colour, softness of the available breads are different. There is a rather good choice in gluten-free flour mixtures on the Hungarian market, as well. The composition of these mixtures are also different. The aim of our empirical research was to investigate the gluten-free bread consumption habits of people following gluten-free diet. The research was carried out using Google forms in January 2017. Size of the sample is 196. The online form was shared in four closed gluten free Facebook groups in Hungary since they are really active in sharing information concerning gluten-free lifestyle and diet. Summarizing, in this study we wish to examine how evolve the world pork meat production, trade and consumption, and to demonstrate the main consuming countries, highlighting the role of China, as it is the most populated country in the world with its 1.4 billion inhabitants. JEL Code: M31


2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Marta Golińska ◽  
Katarzyna Duda-Grychtoł ◽  
Sylwia Klasik-Ciszewska

Introduction. Celiac disease is a multiorgan disease with an autoimmune and genetic basis. Once recognized as a childhood disease, it is also diagnosed in adults today. Correlates with many diseases, affecting the overall health of the patient. Aim. The aim of the study was to assess the level of knowledge of patients with celiac disease on preventive measures and methods of treatment of this clinical entity. Material and methods. The study covered 280 people, and 260 of them were qualified for further analysis. The data was collected using the web form in the form of an original questionnaire. The survey was made available electronically on the social network and on the forum of the Polish Association of People with Celiac disease and on the Gluten Free Diet. Results. The research shows that in recent years the number of diagnoses of celiac disease among the adult population has been increasing. 25.4% of the respondents independently performed diagnostics for celiac disease, and as many as 28.1% think that it is best to do research without referring a doctor. It is very important to be able to comply with the diet, because it is currently the only recognized form of celiac disease treatment. 98.8% of respondents consider wheat flour as a source of gluten, while only 69.2% of respondents were able to name all three grains containing gluten on their own. 27.8% of respondents admit that deviations or breaks from the diet have occurred since the transition to a gluten-free diet. Conclusions. Gluten-free diet significantly affects the quality of life of the patient. It is important that a person diagnosed with celiac disease is a fully educated patient in the field of the disease and prophylaxis and methods of treatment. A unified pattern for the diagnosis, treatment and monitoring of the disease should be considered and established. It is important to make patients aware of how they should follow the diet.


2017 ◽  
Vol 49 (8) ◽  
pp. 878-882 ◽  
Author(s):  
Nicola Imperatore ◽  
Raffaella Tortora ◽  
Giovanni Domenico De Palma ◽  
Pietro Capone ◽  
Nicolò Gerbino ◽  
...  

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