{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:01:05Z","timestamp":1789682465502,"version":"4.0.1"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Celiac disease (CeD), an autoimmune disorder triggered by gluten ingestion, induces intestinal inflammation and varied symptoms. Treatment entails a strict gluten\u2010free diet (GFD), posing challenges for students, especially in schools with limited food choices. Nonadherence worsens symptoms, yet research on CeD's impact on students is scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The CeliacKIDS study, conducted across 11 United States academic medical centers, evaluated gluten exposure risk in pediatric CeD patients via a cross\u2010sectional survey from August 2020 to August 2021. Participants recruited from treating institutions were approved by respective Institutional Review Boards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and sixty children aged 5\u201318 (65% female, 34% male, 1% other) participated. Only 12% had GF food options at school, 31% brought their own for celebrations, and 41% lacked gluten free (GF) snacks after school. Thirty\u2010six percent lacked a 504 plan, with 5% misinformed. Hand hygiene concerns included 24% using sanitizer and 10% rarely washing hands before eating. Sixty\u2010two percent disclosed CeD, 35% when prompted, and 3% refused, mainly 13\u2010year\u2010old males. Two percent hesitated to request GF options, and 2% consumed potentially gluten\u2010containing food from friends.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Many US schools provide GF accommodations under the Americans with Disabilities Act (ADA) but lack national standards. Diverse GF options and education on GF\u2010safe practices are crucial for GFD adherence. Discrepancies in parent\u2013child perceptions emphasize the need for better communication. Adolescents, particularly females aged 12\u201313 with 2+ years on a GF diet, face higher risks. Transparent family\u2013school communication is vital for optimizing the school experience and ensuring GFD adherence. Comprehensive nationwide school training is essential for celiac patients' well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpr3.70013","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T16:22:39Z","timestamp":1741710159000},"page":"99-106","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gluten\u2010free schooling: Navigating challenges and triumphs for children with celiac disease"],"prefix":"10.1002","volume":"6","author":[{"given":"Vanessa","family":"Weisbrod","sequence":"first","affiliation":[{"name":"Celiac Disease Foundation Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasim","family":"Khavari","sequence":"additional","affiliation":[{"name":"Stanford University Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imad","family":"Absah","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale","family":"Lee","sequence":"additional","affiliation":[{"name":"Seattle Children's Hospital Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Mallon","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Raber","sequence":"additional","affiliation":[{"name":"Children's National Hospital Washington District of Columbia USA"},{"name":"Children's Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vahe","family":"Badalyan","sequence":"additional","affiliation":[{"name":"Children's National Hospital Washington District of 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier A.","family":"Lopez\u2010Rivera","sequence":"additional","affiliation":[{"name":"Stanford University Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9248-1911","authenticated-orcid":false,"given":"Hilary","family":"Jericho","sequence":"additional","affiliation":[{"name":"Stanford University Palo Alto California 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