{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:16:32Z","timestamp":1792059392458,"version":"4.4.0"},"reference-count":73,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,23]],"date-time":"2016-05-23T00:00:00Z","timestamp":1463961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000848","name":"University of Edinburgh","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000848","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001275","name":"Coeliac UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001275","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Adherence and non\u2010adherence to a gluten\u2010free diet (\n                    <jats:styled-content style=\"fixed-case\">GFD<\/jats:styled-content>\n                    ) may impact negatively on health\u2010related quality of life (\n                    <jats:styled-content style=\"fixed-case\">HRQoL<\/jats:styled-content>\n                    ). Understanding the factors that influence compliance could help inform management and also guide support. With a particular focus on adolescence, this narrative review critiques current literature on the burdens associated with following a\n                    <jats:styled-content style=\"fixed-case\">GFD<\/jats:styled-content>\n                    and the factors associated with adherence. Studies highlight a variety of burdens faced by individuals with coeliac disease, including the cost, access and availability of gluten\u2010free (\n                    <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content>\n                    ) foods, as well as the dilemmas experienced when eating out, travelling and socialising with friends. A number of studies report that adolescents face stigmatisation and feel isolated in social situations and at school. Additional burdens that are highlighted are a lack of knowledge regarding\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    and\n                    <jats:styled-content style=\"fixed-case\">GFD<\/jats:styled-content>\n                    difficulties in interpreting food labels, as well as dissatisfaction with the organoleptic properties of\n                    <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content>\n                    foods. Factors associated with poor adherence in adolescence include older age, an absence of immediate symptoms, difficulties eating out and poor palatability of\n                    <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content>\n                    foods. Conversely, better emotional support and stronger organisation skills have been associated with superior adherence. Significant associations have been reported between\n                    <jats:styled-content style=\"fixed-case\">HRQoL<\/jats:styled-content>\n                    measures and adherence, although the findings are inconsistent. Limitations in research methodologies exist and data are restricted to just a few countries. Further research specific to adolescence is required to identify independent predictors of adherence.\n                  <\/jats:p>","DOI":"10.1111\/jhn.12375","type":"journal-article","created":{"date-parts":[[2016,5,24]],"date-time":"2016-05-24T10:14:39Z","timestamp":1464084879000},"page":"593-606","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":148,"title":["Coeliac disease and the gluten\u2010free diet: a review of the burdens; factors associated with adherence and impact on health\u2010related quality of life, with specific focus on adolescence"],"prefix":"10.1111","volume":"29","author":[{"given":"L. 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