{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:55:52Z","timestamp":1789052152862,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the adherence to gluten\u2010free diet between children with serology\u2010based and biopsy\u2010proven coeliac disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records were retrospectively reviewed in 257 Swedish children diagnosed with coeliac disease between 2012 and 2019 at a tertiary hospital. Adherence to a gluten\u2010free diet was systematically assessed by trained dietitians at follow\u2010up. Mixed models were used to analyse the dietary adherence by mode of diagnosis (serology\u2010based vs. biopsy\u2010proven).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After mean 6.3 (SD 2.4) years, there was neither a difference in the dietary adherence over time depending on the mode of diagnosis (OR 0.64 [95% confidence interval (CI) 0.26, 1.60], <jats:italic>p<\/jats:italic>\u2009=\u20090.342), nor if coeliac disease was detected in screening studies (OR 0.74 [95% CI 0.25, 2.17], <jats:italic>p<\/jats:italic>\u2009=\u20090.584) or in risk\u2010groups (OR 1.01 [95% CI 0.26, 3.91], <jats:italic>p<\/jats:italic>\u2009=\u20090.991) compared to clinically detected diagnosis. Non\u2010adherence to a gluten\u2010free diet increased with age (OR 1.19 [95% CI 1.06, 1.33], <jats:italic>p<\/jats:italic>\u2009=\u20090.003). There was no difference in the proportion of patients improving their dietary adherence from non\u2010adherent to adherent over time (<jats:italic>p<\/jats:italic>\u2009=\u20090.322).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mode of diagnosis did not influence the dietary adherence in Swedish children with coeliac disease, although adherence to a gluten\u2010free diet was inversely associated with increasing age.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17248","type":"journal-article","created":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T12:20:50Z","timestamp":1713961250000},"page":"2140-2146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Dietary adherence is not dependent on the mode of diagnosis in children with coeliac disease"],"prefix":"10.1111","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-1186","authenticated-orcid":false,"given":"Elin M.","family":"H\u00e5rd af Segerstad","sequence":"first","affiliation":[{"name":"Celiac Disease and Diabetes Unit, Department of Clinical Sciences, Faculty of Medicine Lund University  Lund Sweden"},{"name":"Department of Paediatric Skane University Hospital  Malmoe Sweden"},{"name":"Paediatric Research Institute, Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Avender","sequence":"additional","affiliation":[{"name":"Department of Paediatric Skane University Hospital  Malmoe Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludvig","family":"Kornhall","sequence":"additional","affiliation":[{"name":"Department of Paediatric Skane University Hospital  Malmoe Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Agardh","sequence":"additional","affiliation":[{"name":"Celiac Disease and Diabetes Unit, Department of Clinical Sciences, Faculty of Medicine Lund 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