Health-related quality of life among celiacs in Portugal : a comparison between general and specific questionnaires

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Bibliografiske detaljer
Hovedforfatter: Chaves, Cláudia
Publication Date: 2024
Andre forfattere: Zandonadi, Renata Puppin, Raposo, António, Nakano, Eduardo Yoshio, Ramos, Fernando, Farage, Priscila, Lemos, Edite Teixeira
Format: Article
Sprog: eng
Source: Repositório Institucional da UnB
Download full: http://repositorio.unb.br/handle/10482/54292
Summary: Objective: This study aimed to compare the 36-Item Short Form Survey Instrument version 2 (SF-36-v2) (generic) and Celiac Disease Questionnaire (CDQ) (specific) questionnaires used to evaluate the quality of life (QoL) in celiac Portuguese adult individuals. Methods: This cross-sectional study used non-probabilistic sampling based on Portuguese celiac patients who accessed the online survey in 2022. The online data collection used a self-reported instrument composed of three parts: (i) socioeconomic, health, and gluten-free diet (GFD) adherence questions; (ii) SF 36 v2– Portuguese version (generic questionnaire) and (iii) Celiac Disease Questionnaire (CDQ) (specific questionnaire). Results: A total of 234 individuals who accessed the survey completed the questionnaire. Seven of the eight SF-36 domains positively correlated to the specific questionnaire CDQ. The “General Health” domain (domain 4) showed a negative correlation with the CDQ. Differences in content between the two instruments might be able to explain this finding since the CDQ explores issues regarding the specificities of celiac disease (CD) and the lifelong GFD burden. About half of the sample from this study displayed poor diet adherence, it is possible that the SF-36 could not reflect the impact of CD treatment- the complete elimination of gluten from the diet- on patients’ health. Therefore, this issue should be carefully evaluated in future research. Conclusion: Specific validated questionnaires for CD individuals, such as the CDQ, contemplate social, economic, and clinical variables that permeate the patient’s life context. Therefore, these instruments may be more suitable for