Gabriel Samasca1, Aaron Lerner2,3, Anamaria Girbovan1, Genel Sur4, Iulia Lupan5, Peter Makovicky6, Torsten Matthias3, Hugh J Freeman7. 1. Department of Immunology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. 2. B. Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. 3. AESKU.KIPP Institute, Wendelsheim, Germany. 4. Department of Pediatrics II, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. 5. Department of Molecular Biology and Biotechnology, Babes-Bolyai University, ClujNapoca, Romania. 6. Department of Transgenic Models of Disease, Institute of Molecular Genetics, Czech Centre for Phenogenomics, ASCR, v.v.i., BIOCEV, Vestec, Czech Republic. 7. Department of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.
Abstract
BACKGROUND: New treatments in coeliac disease are being vigorously pursued to either replace or facilitate the difficult-tofollow gluten-free diet. DESIGN: The present review intends to summarise the challenges in gluten-free diet adherence during the transitional period, as reflected in the last Prague consensus, published in 2016. RESULTS: The honourable panel members recommended that dietary adherence and the consequences of nonadherence represent key components for discussion in the transitional period setting. CONCLUSIONS: There are numerous difficulties in adhering to gluten withdrawal, but the transition period from adolescence to young adulthood is considered a fragile and high-risk period for intentional and unintentional gluten intake.
BACKGROUND: New treatments in coeliac disease are being vigorously pursued to either replace or facilitate the difficult-tofollow gluten-free diet. DESIGN: The present review intends to summarise the challenges in gluten-free diet adherence during the transitional period, as reflected in the last Prague consensus, published in 2016. RESULTS: The honourable panel members recommended that dietary adherence and the consequences of nonadherence represent key components for discussion in the transitional period setting. CONCLUSIONS: There are numerous difficulties in adhering to gluten withdrawal, but the transition period from adolescence to young adulthood is considered a fragile and high-risk period for intentional and unintentional gluten intake.
Authors: Peter Makovicky; Pavol Makovicky; Fabian Caja; Kvetoslava Rimarova; Gabriel Samasca; Luca Vannucci Journal: Gastroenterol Hepatol Bed Bench Date: 2020