title: Clinical Characteristics of Celiac Disease and Dietary Adherence to Gluten-Free Diet among Saudi Children.
abstract: OBJECTIVE
  To describe the clinical characteristics of celiac disease (CD) among Saudi children and to determine the adherence rate to gluten free diet (GFD) and its determinant factors among them.
  
  
  METHODS
  A cross-sectional study was conducted, in which all the families registered in the Saudi Celiac Patients Support Group were sent an online survey. Only families with children 18 years of age and younger with biopsy-confirmed CD were included.
  
  
  RESULTS
  The median age of the 113 included children was 9.9 years, the median age at symptom onset was 5.5 years and the median age at diagnosis was 7 years, the median time between the presentation and the final diagnosis was 1 year. Sixty two of the involved children were females. Ninety two percent of the patients were symptomatic at the diagnosis while eight percent were asymptomatic. The commonest presenting symptoms included: chronic abdominal pain (59.3%), poor weight gain (54%), abdominal distention, gases, bloating (46.1%) and chronic diarrhea (41.6%). Sixty percent of the involved children were reported to be strictly adherent to GFD. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate.
  
  
  CONCLUSIONS
  CD has similar clinical presentations among Saudi children compared to other parts of the ward; however, the adherence to GFD is relatively poor. Younger age at diagnosis and shorter duration since the diagnosis were associated with a better adherence rate.
authors: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Saudi Arabia. ; Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Saudi Arabia.
authors: Ahmed Al
authors: AA
authors: Sarkhy
authors: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Saudi Arabia. ; Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Saudi Arabia.
authors: Mohammad I
authors: MI
authors: El Mouzan
authors: Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Saudi Arabia.
authors: Elshazaly
authors: E
authors: Saeed
authors: Division of Gastroenterology, Department of Pediatrics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
authors: Aziz
authors: A
authors: Alanazi
authors: Division of Gastroenterology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
authors: Sharifa
authors: S
authors: Alghamdi
authors: College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors: Shirin
authors: S
authors: Anil
authors: Division of Gastroenterology, Department of Pediatrics, King Khalid University Hospital, King Saud University, Saudi Arabia. ; Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Saud University, Saudi Arabia.
authors: Asaad
authors: A
authors: Assiri
keywords: Celiac disease; Child; Gluten-free diet; Saudi Arabia