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Psychosomatics. 2008 Sep-Oct;49(5):399-406. doi: 10.1176/appi.psy.49.5.399.

Eating pathology in adolescents with celiac disease.

Author information

1
Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria. andreas.karwautz@meduniwien.ac.at

Abstract

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.

METHOD:

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.

CONCLUSION:

The authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.

PMID:
18794508
DOI:
10.1176/appi.psy.49.5.399
[Indexed for MEDLINE]

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