{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:15:40Z","timestamp":1792059340181,"version":"4.4.0"},"reference-count":130,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001807","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":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Coeliac disease (CeD), a common autoimmune condition, requires strict adherence to a gluten\u2010free diet (GFD). Adherence to the GFD has been associated with quality of life (QOL). However, there may be other diet\u2010related concerns, such as overall diet patterns, including diet quality or ultra\u2010processed food (UPF) consumption, possibly associated with QOL among people with CeD following a GFD that have not been examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Diet quality was determined based on 24\u2010h diet recalls of a cross\u2010sectional prospectively recruited sample of 80 participants (50 adults and 30 teens) with biopsy\u2010confirmed CeD (\u2018Study Sample\u2019) using the Healthy Eating Index and Alternate Mediterranean Diet score. The amount of UPF consumed was assessed using Nova, a food processing classification system. QOL was measured using Celiac Disease\u2010Specific Quality of Life (CDQOL) and Celiac Disease Pediatric\u2010Specific Quality of Life (CDPQOL). The Study Sample's diet patterns were compared with National Health and Nutrition Examination Survey (NHANES) groups (25 adults reporting prior CeD and GFD; 51 adults with new CeD and no GFD; 15,777 adults and 2296 teens without CeD). The relationship of the Study Sample's diet patterns with CDQOL\/CDPQOL was assessed using analysis of covariance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Study Sample's diet patterns were suboptimal but generally favourable compared with all NHANES groups. Compared to Study Adults with the highest tertile of UPF, those with the lowest tertile had significantly higher CDQOL (mean: 67.6 vs. 78.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Compared to Study Teens with the lowest tertile of AMED, those with the highest tertile had significantly higher CDPQOL (mean: 67.0 vs. 79.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Maintaining high diet quality and minimising UPF may be important for CeD\u2010specific QOL among individuals with CeD maintaining a GFD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13137","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T21:24:52Z","timestamp":1674077092000},"page":"1144-1158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Diet quality, ultra\u2010processed food consumption, and quality of life in a cross\u2010sectional cohort of adults and teens with celiac disease"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5922-3597","authenticated-orcid":false,"given":"Jennifer W.","family":"Cadenhead","sequence":"first","affiliation":[{"name":"Department of Health &amp; Behavior Studies, Program in Nutrition Teachers College Columbia University New York NY USA"},{"name":"Kaiser Permanente Division of Research Kaiser Permanente Northern California Oakland CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euridice","family":"Mart\u00ednez\u2010Steele","sequence":"additional","affiliation":[{"name":"Department of Nutrition, School of Public Health University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Center for Epidemiological Studies in Health and Nutrition University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isobel","family":"Contento","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Behavior Studies, Program in Nutrition Teachers College Columbia University New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence H.","family":"Kushi","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Division of Research Kaiser Permanente Northern California Oakland CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3867-0910","authenticated-orcid":false,"given":"Anne R.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, Celiac Disease Center Columbia University Irving Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanh Thanh T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Behavior Studies, Program in Nutrition Teachers College Columbia University New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Lebwohl","sequence":"additional","affiliation":[{"name":"Department of Medicine, Celiac Disease Center Columbia University Irving Medical Center New York NY USA"},{"name":"Department of Epidemiology, Mailman School of Public Health Columbia University Irving Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter H. R.","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Medicine, Celiac Disease Center Columbia University Irving Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8155-3082","authenticated-orcid":false,"given":"Randi L.","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Health &amp; Behavior Studies, Program in Nutrition Teachers College Columbia University New York NY 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