{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T02:11:34Z","timestamp":1758161494796,"version":"3.44.0"},"reference-count":17,"publisher":"Mathematical Modelling and Numerical Simulation with Applications","issue":"01","license":[{"start":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:00:00Z","timestamp":1610582400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Science Foundation Project","award":["PTDC\/SAUNEU\/108557\/2008"],"award-info":[{"award-number":["PTDC\/SAUNEU\/108557\/2008"]}]},{"DOI":"10.13039\/501100011929","name":"COMPETE","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011929","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100008530","name":"FEDER","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Child Science"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Celiac disease (CD) is a multisystemic autoimmune disorder triggered by gluten, and the only known remedy available for this malady is a gluten-free diet (GFD). Therefore, we performed a systematic review to correlate the influence of different factors in compliance to a GFD. We searched PubMed database, from inception to April 2019. As inclusion criteria we considered population under 18 years, confirmed diagnosis of CD without related comorbidities and the study objective being the factors affecting compliance to a GFD. The variables compared were age, parent's education level, parental knowledge about CD, family type, celiac association membership, quality of life, and perception of difficulties in maintaining a GFD. We identified 1,414 articles, 35 articles were eligible for full text assessment and 12 were included in the study since they studied similar variables. Our work has found some limitations namely a variety of methods to assess GFD compliance, a limiting definition of compliance, a parental bias in data, an absence of standardization in age categories, and a majority of studies being observational in their nature. Age as well as parental knowledge of CD and family type are key factors in pediatric GFD compliance. Nevertheless environmental, social, and family factors were also related with compliance. Further studies are needed to fully disclose the causality relation between these factors and compliance.<\/jats:p>","DOI":"10.1055\/s-0040-1722218","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T18:32:58Z","timestamp":1610649178000},"page":"e1-e13","source":"Crossref","is-referenced-by-count":4,"title":["Factors Affecting Compliance to a Gluten-Free Diet in Pediatric Populations with Celiac Disease"],"prefix":"10.53391","volume":"11","author":[{"given":"V\u00edtor","family":"Macedo-Campos","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Minho, Braga, Portugal"},{"name":"Gastroenterology, Hepatology and Nutrition Unit, Pediatric Department and Clinical Academic Center, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal"},{"name":"ICVS\/3B's\u2014PT Government Associate Laboratory, Braga-Guimar\u00e3es, Portugal"}]},{"given":"Rui","family":"Macedo-Campos","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Minho, Braga, Portugal"},{"name":"Gastroenterology, Hepatology and Nutrition Unit, Pediatric Department and Clinical Academic Center, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal"},{"name":"ICVS\/3B's\u2014PT Government Associate Laboratory, Braga-Guimar\u00e3es, Portugal"}]},{"given":"Filipa","family":"Pinto-Ribeiro","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Minho, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal"},{"name":"ICVS\/3B's\u2014PT Government Associate Laboratory, Braga-Guimar\u00e3es, Portugal"}]},{"given":"Henedina","family":"Antunes","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Minho, Braga, Portugal"},{"name":"Gastroenterology, Hepatology and Nutrition Unit, Pediatric Department and Clinical Academic Center, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal"},{"name":"ICVS\/3B's\u2014PT Government Associate Laboratory, Braga-Guimar\u00e3es, Portugal"}]}],"member":"31409","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3109\/07853890.2010.505931","article-title":"The prevalence of celiac disease in Europe: results of a centralized, international mass screening project","volume":"42","author":"K Mustalahti","year":"2010","journal-title":"Ann Med"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"708","DOI":"10.3109\/00365521.2015.1030766","article-title":"Coeliac disease\u2014from genetic and immunological studies to clinical applications","volume":"50","author":"K EA Lundin","year":"2015","journal-title":"Scand J Gastroenterol"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1038\/s41572-018-0054-z","article-title":"Coeliac disease","volume":"5","author":"K Lindfors","year":"2019","journal-title":"Nat Rev Dis Primers"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3389\/fped.2019.00056","article-title":"Extra-intestinal manifestations of coeliac disease in children: clinical features and mechanisms","volume":"7","author":"S Nardecchia","year":"2019","journal-title":"Front Pediatr"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"365","DOI":"10.2147\/JMDH.S110605","article-title":"Dietary compliance in Iranian children and adolescents with celiac disease","volume":"9","author":"M Taghdir","year":"2016","journal-title":"J Multidiscip 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