Eating pathology in adolescents with celiac disease.
BACKGROUND
Celiac disease (CD), treated by a gluten-free diet, may represent a nonspecific trigger for the development of eating pathology, particularly in adolescence.


OBJECTIVE
The authors sought to perform a systematic study on eating pathology in CD.


METHODS
CD patients were assessed for eating disorders by questionnaire, and body mass index was recorded.


RESULTS
There was a higher rate of eating pathology in CD patients than would be expected, especially, a higher rate of bulimia nervosa. This subgroup reported more noncompliance with the gluten-free diet and had higher scores on most eating-related questionnaires. In most cases, diagnosis of CD preceded the onset of eating pathology.


CONCLUSIONS
The authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.
Karwautz
Andreas
A
Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria. andreas.karwautz@meduniwien.ac.at
Wagner
Gudrun
G
Berger
Gabriele
G
Sinnreich
Ursula
U
Grylli
Vasileia
V
Huber
Wolf-Dietrich
WD
D000293:Adolescent; D015992:Body Mass Index; D002446:Celiac Disease / Q000453:epidemiology*; D055050:Diet, Gluten-Free; D004954:Esthetics; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood; D015995:Prevalence; D012928:Social Desirability; D011795:Surveys and Questionnaires
D007070:Immunoglobulin A