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Eating Pathology in Adolescents With Celiac Disease

Received September 3, 2006; revised January 9, 2007; accepted January 19, 2007. From the Medical University of Vienna (Austria) Eating Disorders Unit at the Dept. of Child and Adolescent Psychiatry and Gastroenterology Unit at the Dept. of Pediatrics and Adolescent Medicine. Send correspondence and reprint requests to Prof. Andreas Karwautz, Dept of Child and Adolescent Psychiatry, Medical Univ. of Vienna, Waehringer Guertel 18-20, A-1090, Vienna, Austria. e-mail: andreas.karwautz{at}meduniwien.ac.at
© 2008 The Academy of Psychosomatic Medicine

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.

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