{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T22:34:08Z","timestamp":1776810848633,"version":"3.51.2"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to evaluate the contributions of the Adapted Celiac Dietary Adherence Test (CDAT) and the Rapid Urinary Gluten Detection Test (u\u2010GIP) in assessing gluten\u2010free diet adherence in children and adolescents with celiac disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty\u2010four celiac patients from two pediatric gastroenterology outpatient clinics affiliated with university hospitals were evaluated. The original CDAT was adapted for children through a transcultural process, and the original cutoff point was adopted to define adherence. A single examiner carried out the u\u2010GIP test in fresh urine samples. Sociodemographic and clinical factors and family food security status were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 88.9% of participants (confidence interval [CI]: 77.4\u201395.8; <jats:italic>p<\/jats:italic>&lt;0.001) adhered to the gluten\u2010free diet, as determined by the adapted CDAT score, while 87.0% (CI: 75.1\u201394.6; <jats:italic>p<\/jats:italic>&lt;0.001) had negative u\u2010GIP results. Among the 48 children adhering to the CDAT, six exhibited positive u\u2010GIP results in a urine sample. Of the six nonadherent participants, only one had a positive u\u2010GIP result. Notably, none of the children and adolescents with celiac disease who tested positive for u\u2010GIP reported symptoms on the day of testing, and their growth rates remained stable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Even celiac children and adolescents adhering to the CDAT questionnaire may show a positive u\u2010GIP in a single measurement without accompanying symptoms or growth impairment. The u\u2010GIP could be helpful in complementary tests in specific situations, such as for patients who exhibit compliant behavior but still experience symptoms or maintain persistent positive serology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12180","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T10:49:40Z","timestamp":1710326980000},"page":"1310-1316","source":"Crossref","is-referenced-by-count":6,"title":["Gluten\u2010free diet adherence in pediatric celiac patients: Evaluating CDAT questionnaire and test for gluten detection in urine"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1161-9509","authenticated-orcid":false,"given":"Carolina R. Lins e","family":"Mello","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, Children and Adolescent Health Graduate Program Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gis\u00e9lia A. P.","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Children and Adolescent Health Graduate Program Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela T. C.","family":"Lins","sequence":"additional","affiliation":[{"name":"Ambulatory of Pediatric Gastroenterology Instituto de Medicina Integral Professor Fernando Figueira Recife Pernambuco Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida M. de C.","family":"Antunes","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Children and Adolescent Health Graduate Program Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2001.22123"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003540"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002075"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1722218"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.05.046"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2008.12.032"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12123802"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2015-310148"},{"key":"e_1_2_7_10_1","unstructured":"World Health Organization.Adherence to Longterm Therapies: Evidence for Action. 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