liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Health-related quality of life is not impaired in children with undetected as well as diagnosed celiac disease: a large population based cross-sectional study
Umeå University, Sweden .
Umeå University, Sweden Umeå University, Sweden .
Lund University, Sweden .
Norrtalje Hospital, Sweden .
Show others and affiliations
2014 (English)In: BMC Public Health, ISSN 1471-2458, Vol. 14, no 425Article in journal (Refereed) Published
Abstract [en]

Background: Knowledge regarding the health-related quality of life (HRQoL) of children with celiac disease remains limited and inconclusive. We investigated the HRQoL of three groups of 12-year-olds with: i) undetected celiac disease ii) clinically diagnosed celiac disease, and iii) without celiac disease. Methods: A school-based cross-sectional multicenter screening study invited 18 325 children, whereof 68% consented to participate. Participants provided a blood sample, which was later analyzed for anti-tissue-tranglutaminase antibodies, and alongside filled in a questionnaire. When anti-tissue-tranglutaminase antibodies were elevated, a small intestinal biopsy verified the screening-detected celiac disease diagnosis. Self-reported HRQoL was measured using Kidscreen, a generic 52 items instrument with proven reliability and validity. Scores were linearly transformed into a 0-100 scale with higher values indicating better HRQoL. Mean values with standard deviations (mean +/- SD) were compared, and uni- and multivariate logistic regression models tested the odds of a low HRQoL among children with undetected or diagnosed celiac disease, respectively. Results: Children with undetected celiac disease (n = 238) reported similar HRQoL as children without celiac disease (n = 12 037) (83.0 +/- 11.0 vs. 82.5 +/- 11.3, P = 0.51), and also similar HRQoL (82.2 +/- 12.2, P = 0.28) to that of children with diagnosed celiac disease (n = 90), of whom 92% were adherent to treatment. Having undetected celiac disease did not increase the odds of low overall HRQoL, independent of sex, area of residence, study year and occurrence of gastrointestinal symptoms (adjusted odds ratio 0.77, 95% CI 0.54-1.10). Comparable results were seen for diagnosed celiac disease cases (adjusted odds ratio 1.11, 95% CI 0.67-1.85). Conclusion: Children with undetected celiac disease reported comparable HRQoL as their peers with diagnosed celiac disease, and those without celiac disease, when reporting prior to receiving the diagnosis through screening. Thus, children with celiac disease, both untreated and diagnosed, perceive their HRQoL as unimpaired by their disease.

Place, publisher, year, edition, pages
BioMed Central , 2014. Vol. 14, no 425
Keyword [en]
Celiac disease; Children; Health related quality of life; Kidscreen; Screening
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-107114DOI: 10.1186/1471-2458-14-425ISI: 000335697500001OAI: diva2:722042
Available from: 2014-06-05 Created: 2014-06-05 Last updated: 2015-03-30

Open Access in DiVA

fulltext(664 kB)110 downloads
File information
File name FULLTEXT01.pdfFile size 664 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Högberg, Lotta
By organisation
Division of Clinical SciencesFaculty of Health SciencesDepartment of Paediatrics in Norrköping
In the same journal
BMC Public Health
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 110 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 38 hits
ReferencesLink to record
Permanent link

Direct link