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dc.contributor.authorAguiar, Ana Luísa Falcomer de-
dc.contributor.authorPratesi, Cláudia Balula-
dc.contributor.authorNakano, Eduardo Yoshio-
dc.contributor.authorChaves, Cláudia-
dc.contributor.authorNejad, Mohammad Rostami-
dc.contributor.authorGuennouni, Morad-
dc.contributor.authorAksan, Ayşegül-
dc.contributor.authorPouchot, Jacques-
dc.contributor.authorHäuser, Winfried-
dc.contributor.authorZandonadi, Renata Puppin-
dc.date.accessioned2026-11-11T16:15:01Z-
dc.date.available2026-11-11T16:15:01Z-
dc.date.issued2024-08-26-
dc.identifier.citationFALCOMER, Ana Luísa et al. From struggle to strength: a multicentric study on how public policies for celiac disease transform lives. Nutrients, [S. l.], v. 16, n. 17, 2855, 2024. DOI: https://doi.org/10.3390/nu16172855. Disponível em: https://www.mdpi.com/2072-6643/16/17/2855. Acesso em: 11 nov. 2026.pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/57400-
dc.language.isoengpt_BR
dc.publisherMDPIpt_BR
dc.rightsAcesso Abertopt_BR
dc.titleFrom struggle to strength : a multicentric study on how public policies for celiac disease transform livespt_BR
dc.typeArtigopt_BR
dc.subject.keywordDoença celíacapt_BR
dc.subject.keywordLegislaçãopt_BR
dc.subject.keywordDieta sem glútenpt_BR
dc.subject.keywordPolítica públicapt_BR
dc.rights.license© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).pt_BR
dc.identifier.doihttps://doi.org/10.3390/nu16172855pt_BR
dc.description.abstract1This multicenter study aims to assess the impact of public policies (PPs) on the health-related quality of life (HRQoL) of individuals with celiac disease (CD) using the Celiac Disease Questionnaire (CDQ) and PPs for Celiac Disease Score (PPCDS). This cross-sectional exploratory study was conducted in four stages: first, standardizing data from countries using the CDQ; second, analyzing PPs aimed at CD patients; third, statistically examining these data; and fourth, associating HRQoL indicators with corresponding PPs. This study analyzed 15 CDQ assessments from 12 countries from 2007 to 2023. It found that comprehensive PPs positively correlated with HRQoL outcomes (Spearman correlation of 0.358). However, policies specifically targeting gluten-free meals and certification did not significantly improve HRQoL individually, suggesting they may be more effective when implemented together. Additionally, specialized health services did not notably reduce gastrointestinal symptoms, underscoring the necessity for improved patient education to enhance the effectiveness of these services. This study concludes that implementing and rigorously monitoring regulations to support CD patients is crucial for enhancing their HRQoL.pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2752-4296pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9071-8512pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-8103-7221pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2495-1831pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3963-1366pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-2819-3484pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3742-729Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-0370-3089pt_BR
dc.contributor.affiliationUniversity of Brasilia, School of Health Sciences, Department of Nutritionpt_BR
dc.contributor.affiliationUniversity of New Mexico, College of Population Health, Albuquerque, USApt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Statisticspt_BR
dc.contributor.affiliationPolytechnic University of Viseu, ESSV, Centre for Studies in Education and Innovation (CI&DEI), Viseu, Portugalpt_BR
dc.contributor.affiliationShahid Beheshti University of Medical Sciences, Research Institute for Gastroenterology and Liver Diseases, Celiac Disease and Gluten Related Disorders Research Center, Tehran, Iranpt_BR
dc.contributor.affiliationChouaib Doukkali University of El Jadida, Higher School of Education and Training, Science and Technology Team, El Jadida, Moroccopt_BR
dc.contributor.affiliationHassan First University of Settat, Higher Institute of Health Sciences of Settat, Laboratory of Health Sciences and Technologies, Moroccopt_BR
dc.contributor.affiliationJustus-Liebig University, Institute of Nutritional Science, Giessen, Germanypt_BR
dc.contributor.affiliationUniversité Paris Cité, Service de Médecine Interne, Hôpital Européen Georges Pompidou, Assistance Publique–Hôpitaux de Paris, Paris, Francept_BR
dc.contributor.affiliationMedizinisches Versorgungszentrum für Schmerzmedizin und Seelische Gesundheit Saarbrücken—St. Johann Health Care Center Pain Medicine and Mental Health Saarbrücken, Saarbrücken, Germanypt_BR
dc.contributor.affiliationUniversity of Brasilia, School of Health Sciences, Department of Nutritionpt_BR
dc.description.unidadeFaculdade de Ciências da Saúde (FS)pt_BR
dc.description.unidadeDepartamento de Nutrição (FS NUT)pt_BR
dc.description.unidadeInstituto de Ciências Exatas (IE)pt_BR
dc.description.unidadeDepartamento de Estatística (IE EST)pt_BR
dc.description.ppgPrograma de Pós-graduação em Nutriçãopt_BR
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