Introduction
Celiac disease is a chronic disease of the small intestine. The only treatment is a lifelong gluten free diet. Dietary compliance, is complex but essential for the mucosal healing, the resolutions of symptoms and the reduction of the risk of long term complications. The aim of this study was to present compliance rate of children with celiac disease in the Juliana Children’s Hospital (JKZ).
Method
168 patients with celiac disease, without an IgA-deficiency, were included in the study. The degree of compliance has been assessed on IgA anti-tTG values (normal <10 U/ml). Data was also collected from patients for example about their HLA-typing, age, comorbidity, practitioners, growth and symptoms. The data has been collected by means of file research.
Results
75.6% of the patients is compliant within two years after the start of the gluten free diet. At the most recent visit at a practioner of celiac disease it even appears 84.5% of patients is compliant. Young children (<12 years) and patients that have been diagnosed at a young age (0-6 years) have a better compliance rate than older patients. Amongst celiac patients with diabetes mellitus type 1 the compliance rate is low. Patients treated by a dietist and pediatrician specialized in celiac disease have a relative high compliance rate.
Conclusion
Patients with celiac disease treated in the JKZ have a high degree of compliance. Age and comorbidity diabetes mellitus type 1 have an influence on this degree.

DIETARY COMPLIANCE OF CHILDREN WITH CELIAC DISEASE IN THE JULIANA CHILDREN'S HOSPITAL