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Lindgren, M., Palmkvist, E., Norström, F., Cerqueiro Bybrant, M., Myléus, A., Samuelsson, U., . . . Carlsson, A. (2024). Cumulative incidence of type 1 diabetes in two cohorts of children with different national gluten recommendations in infancy. Acta Diabetologica, 61(1), 35-41
Open this publication in new window or tab >>Cumulative incidence of type 1 diabetes in two cohorts of children with different national gluten recommendations in infancy
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2024 (English)In: Acta Diabetologica, ISSN 0940-5429, E-ISSN 1432-5233, Vol. 61, no 1, p. 35-41Article in journal (Refereed) Published
Abstract [en]

Aims: Between 1985 and 1996, Sweden experienced an "epidemic" of celiac disease with a fourfold increase in incidence in young children. Timing and amount of gluten introduced during infancy have been thought to explain this "epidemic". We aimed to study whether the cumulative incidence of type 1 diabetes differs between children born during the "epidemic" compared to children born after.

Methods: This is a national register study in Sweden comparing the cumulative incidence of type 1 diabetes in two birth cohorts of 240 844 children 0-17 years old born 1992-1993, during the "epidemic", and 179 530 children born 1997-1998, after the "epidemic". Children diagnosed with type 1 diabetes were identified using three national registers.

Results: The cumulative incidence of type 1 diabetes by the age of 17 was statistically significantly higher in those born after the "epidemic" 0.77% than in those born during the "epidemic" 0.68% (p < 0.001).

Conclusion: The incidence of type 1 diabetes is higher in those born after the epidemic compared to those born during the epidemic, which does not support the hypothesis that gluten introduction increases the incidence of T1D. Changes in gluten introduction did not halt the increased incidence of type 1 diabetes in Sweden.

Place, publisher, year, edition, pages
Springer, 2024
Keywords
Celiac disease, Early childhood risk factors, Gluten, Infant feeding, Paediatric type 1 diabetes.
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:umu:diva-213517 (URN)10.1007/s00592-023-02168-y (DOI)001049930400001 ()37589890 (PubMedID)2-s2.0-85168120077 (Scopus ID)
Funder
Lund UniversitySwedish Association of Local Authorities and Regions, ALF 2018/2022
Available from: 2023-08-24 Created: 2023-08-24 Last updated: 2024-04-19Bibliographically approved
Lindgren, M., Norström, F., Persson, M., Larsson, H. E., Forsander, G., Åkesson, K., . . . Carlsson, Á. (2024). Prevalence and predictive factors for celiac disease in children with type 1 diabetes - whom and when to screen?: A nationwide longitudinal cohort study of Swedish children. Diabetes Care, 47(4), 756-760
Open this publication in new window or tab >>Prevalence and predictive factors for celiac disease in children with type 1 diabetes - whom and when to screen?: A nationwide longitudinal cohort study of Swedish children
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2024 (English)In: Diabetes Care, ISSN 0149-5992, E-ISSN 1935-5548, Vol. 47, no 4, p. 756-760Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To examine the prevalence and predictive factors for celiac disease (CD) after a diagnosis of type 1 diabetes (T1D) in children and adolescents, to improve the current screening guidelines.

RESEARCH DESIGN AND METHODS: The association between sex, age at T1D diagnosis, HLA, and diabetes autoantibodies, and a diagnosis of CD was examined in 5,295 children with T1D from the Better Diabetes Diagnosis study in Sweden. RESULTS The prevalence of biopsy-proven CD was 9.8%, of which 58.2% already had a CD diagnosis before or at T1D onset. Almost all, 95.9%, were diagnosed with CD within 5 years after the T1D diagnosis. Younger age at the T1D diagnosis and being homozygote for DQ2 increased the risk of CD after T1D, but neither sex nor diabetes-related autoantibodies were associated with the risk.

CONCLUSIONS: Age at and time after diabetes diagnosis should be considered in screening guidelines for CD in children with T1D.

Place, publisher, year, edition, pages
American Diabetes Association, 2024
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:umu:diva-222973 (URN)10.2337/dc23-1671 (DOI)38363973 (PubMedID)2-s2.0-85188894512 (Scopus ID)
Funder
Swedish Child Diabetes Foundation
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2024-04-11Bibliographically approved
Shimanda, P. P., Shumba, T. W., Brunström, M., Iipinge, S. N., Söderberg, S., Lindholm, L. & Norström, F. (2024). Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review. Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 13(5), Article ID e032442.
Open this publication in new window or tab >>Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review
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2024 (English)In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, E-ISSN 2047-9980, Vol. 13, no 5, article id e032442Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Rheumatic heart disease (RHD) is a devastating yet preventable condition that disproportionately affects low-middle-income countries and indigenous populations in some high-income countries. Various preventive interventions have been implemented across the globe, but evidence for the effectiveness of these measures in reducing the incidence or prevalence of acute rheumatic fever and RHD is scattered. This systematic review aims to assess the effectiveness of preventive interventions and identify the strategies used to reduce the burden of RHD.

METHODS AND RESULTS: A comprehensive search was conducted to identify relevant studies on RHD prevention interventions including interventions for primordial, primary, and secondary prevention. Effectiveness measures for the interventions were gathered when available. The findings indicate that school-based primary prevention services targeting the early detection and treatment of Group A Streptococcus pharyngitis infection with penicillin have the potential to reduce the incidence of Group A Streptococcus pharyngitis and acute rheumatic fever. Community-based programs using various prevention strategies also reduced the burden of RHD. However, there is limited evidence from low-middle-income countries and a lack of rigorous evaluations reporting the true impact of the interventions. Narrative synthesis was performed, and the methodological quality appraisal was done using the Joanna Briggs Institute critical appraisal tools.

CONCLUSIONS: This systematic review underscores the importance of various preventive interventions in reducing the incidence and burden of Group A Streptococcus pharyngitis, acute rheumatic fever, and RHD. Rigorous evaluations and comprehensive analyses of interventions are necessary for guiding effective strategies and informing public health policies to prevent and reduce the burden of these diseases in diverse populations.

REGISTRATION: URL: https://www.crd.york.ac.uk/prospero/; Unique identifier: CRD42020170503.

Place, publisher, year, edition, pages
American Heart Association, 2024
Keywords
RHD prevention, acute rheumatic fever, rheumatic heart disease, systematic review
National Category
Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
cardiovascular disease; Public health; Epidemiology
Identifiers
urn:nbn:se:umu:diva-221473 (URN)10.1161/JAHA.123.032442 (DOI)38390809 (PubMedID)2-s2.0-85187199895 (Scopus ID)
Funder
Familjen Erling-Perssons Stiftelse
Available from: 2024-02-23 Created: 2024-02-23 Last updated: 2024-04-02Bibliographically approved
Meili, K. W., Mulhern, B., Ssegonja, R., Norström, F., Feldman, I., Månsdotter, A., . . . Lindholm, L. (2023). Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE). Quality of Life Research
Open this publication in new window or tab >>Eliciting a value set for the Swedish capability-adjusted life years instrument (CALY-SWE)
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2023 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: Our aim was to elicit a value set for Capability-Adjusted Life Years Sweden (CALY-SWE); a capability-grounded quality of life instrument intended for use in economic evaluations of social interventions with broad consequences beyond health.

Methods: Building on methods commonly used in the quality-adjusted life years EQ-5D context, we collected time-trade off (TTO) and discrete choice experiment (DCE) data through an online survey from a general population sample of 1697 Swedish participants. We assessed data quality using a score based on the severity of inconsistencies. For generating the value set, we compared different model features, including hybrid modeling of DCE and TTO versus TTO data only, censoring of TTO answers, varying intercept, and accommodating for heteroskedasticity. We also assessed the models’ DCE logit fidelity to measure agreement with potentially less-biased DCE data. To anchor the best capability state to 1 on the 0 to 1 scale, we included a multiplicative scaling factor.

Results: We excluded 20% of the TTO answers of participants with the largest inconsistencies to improve data quality. A hybrid model with an anchor scale and censoring was chosen to generate the value set; models with heteroskedasticity considerations or individually varying intercepts did not offer substantial improvement. The lowest capability weight was 0.114. Health, social relations, and finance and housing attributes contributed the largest capability gains, followed by occupation, security, and political and civil rights.

Conclusion: We elicited a value set for CALY-SWE for use in economic evaluations of interventions with broad social consequences.

Place, publisher, year, edition, pages
Springer Nature, 2023
Keywords
Quality-adjusted life year, Time trade-off, Discrete choice experiment, Capability approach, Hybrid modeling, Economic evaluation
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-214379 (URN)10.1007/s11136-023-03507-w (DOI)37695477 (PubMedID)2-s2.0-85170367443 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00143
Available from: 2023-09-13 Created: 2023-09-13 Last updated: 2024-01-27
Shimanda, P. P., Söderberg, S., Iipinge, S. N., Lindholm, L., Shidhika, F. F. & Norström, F. (2023). Health-related quality of life and healthcare consultations among adult patients before and after diagnosis with rheumatic heart disease in Namibia. BMC Cardiovascular Disorders, 23(1), Article ID 456.
Open this publication in new window or tab >>Health-related quality of life and healthcare consultations among adult patients before and after diagnosis with rheumatic heart disease in Namibia
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2023 (English)In: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 23, no 1, article id 456Article in journal (Refereed) Published
Abstract [en]

Background: Rheumatic Heart Disease (RHD) causes high morbidity and mortality rates among children and young adults, impacting negatively on their health-related quality of life (HRQoL). This study aimed to evaluate the HRQoL and healthcare consultations of adult patients with RHD in Namibia.

Methods: From June 2019 to March 2020, a questionnaire was administered to 83 RHD patients during routine follow-ups. The EQ-5D-5L instrument was used to assess the health-related quality of life before diagnosis and at the time of the survey. The Ethiopian value set for EQ-5D-5L was used to calculate Quality-Adjusted Life Years (QALY).

Results: Most respondents were women (77%), young adults below the age of 30 years (42%), and individuals who grew up in rural areas (87%). The mean QALY statistically significantly improved from 0.773 pre-diagnosis to 0.942 in the last 12 months (p < 0.001). Sixty-six patients who had surgery reported a better QALY. Healthcare visits statistically significantly increased from on average 1.6 pre-diagnosis to 2.7 days in the last 12 months (p < 0.001). The mean distance to the nearest facility was 55 km, mean cost of transport was N$65, and mean time spent at the clinic was 3.6 h. The median time from diagnosis to the survey was 7 years (quartiles 4 and 14 years).

Conclusion: Treatment and surgery can improve HRQoL substantially among RHD patients. Being diagnosed with RHD affects patients living in socioeconomically disadvantaged rural areas through cost and time for healthcare visits. It would be valuable with further research to understand differences between disease severities.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Health-related quality of life, RHD, QALY, EQ-5D-5L, Namibia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-214434 (URN)10.1186/s12872-023-03504-4 (DOI)2-s2.0-85171150062 (Scopus ID)
Funder
Familjen Erling-Perssons Stiftelse
Available from: 2023-09-14 Created: 2023-09-14 Last updated: 2024-04-02Bibliographically approved
Norström, F., Zingmark, M., Pettersson-Strömbäck, A., Sahlen, K.-G., Öhrling, M. & Bölenius, K. (2023). How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life?. International Archives of Occupational and Environmental Health, 96(8), 1167-1181
Open this publication in new window or tab >>How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life?
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2023 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 96, no 8, p. 1167-1181Article in journal (Refereed) Published
Abstract [en]

Background: The work for Swedish home care workers is challenging with a variety of support and healthcare tasks for home care recipients. The aim of our study is to investigate how these tasks relate to workload and health-related quality of life among home care workers in Sweden. We also explore staff preferences concerning work distribution.

Methods: A cross-sectional study was conducted in 16 municipalities in Northern Sweden. Questionnaires with validated instruments to measure workload (QPSNordic) and health-related quality of life (EQ-5D), were responded by 1154 (~ 58%) of approximately 2000 invited home care workers. EQ-5D responses were translated to a Quality-adjusted life-year (QALY) score. For 15 different work task areas, personnel provided their present and preferred allocation. Absolute risk differences were calculated with propensity score weighting.

Results: Statistically significantly more or fewer problems differences were observed for: higher workloads were higher among those whose daily work included responding to personal alarms (8.4%), running errands outside the home (14%), rehabilitation (13%) and help with bathing (11%). Apart from rehabilitation, there were statistically significantly more (8–10%) problems with anxiety/depression for these tasks. QALY scores were lower among those whose daily work included food distribution (0.034) and higher for daily meal preparation (0.031), both explained by pain/discomfort dimension. Personnel preferred to, amongst other, spend less time responding to personal alarms, and more time providing social support.

Conclusion: The redistribution of work tasks is likely to reduce workload and improve the health of personnel. Our study provides an understanding of how such redistribution could be undertaken.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
EQ-5D, Health care, Occupational health, QPSNordic, Sweden, Work environment
National Category
Occupational Health and Environmental Health Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-212245 (URN)10.1007/s00420-023-01997-2 (DOI)2-s2.0-85164466556 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00647
Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2023-12-22Bibliographically approved
Hu, X.-L., Liv, P., Lundström, E., Norström, F., Lindahl, O. A., Borg, K. & Sunnerhagen, K. S. (2023). Study protocol for a randomized, controlled, multicentre, pragmatic trial with Rehabkompassen®: a digital structured follow-up tool for facilitating patient-tailored rehabilitation in persons after stroke. Trials, 24(1), Article ID 650.
Open this publication in new window or tab >>Study protocol for a randomized, controlled, multicentre, pragmatic trial with Rehabkompassen®: a digital structured follow-up tool for facilitating patient-tailored rehabilitation in persons after stroke
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2023 (English)In: Trials, E-ISSN 1745-6215, Vol. 24, no 1, article id 650Article in journal (Refereed) Published
Abstract [en]

Background: Stroke is a leading cause of disability among adults worldwide. A timely structured follow-up tool to identify patients’ rehabilitation needs and develop patient-tailored rehabilitation regimens to decrease disability is largely lacking in current stroke care. The overall purpose of this study is to evaluate the effectiveness of a novel digital follow-up tool, Rehabkompassen®, among persons discharged from acute care settings after a stroke.

Methods: This multicentre, parallel, open-label, two-arm pragmatic randomized controlled trial with an allocation ratio of 1:1 will be conducted in Sweden. A total of 1106 adult stroke patients will have follow-up visits in usual care settings at 3 and 12 months after stroke onset. At the 3-month follow-up, participants will have a usual outpatient visit without (control group, n = 553) or with (intervention group, n = 553) the Rehabkompassen® tool. All participants will receive the intervention at the 12-month follow-up visit. Feedback from the end-users (patient and health care practitioners) will be collected after the visits. The primary outcomes will be the patients’ independence and social participation at the 12-month visits. Secondary outcomes will include end-users’ satisfaction, barriers and facilitators for adopting the instrument, other stroke impacts, health-related quality of life and the cost-effectiveness of the instrument, calculated by incremental cost per quality-adjusted life year (QALY).

Discussion: The outcomes of this trial will inform clinical practice and health care policy on the role of the Rehabkompassen® digital follow-up tool in the post-acute continuum of care after stroke.

Trial registration: ClinicalTrials.gov NCT04915027. Registered on 4 June 2021. ISRCTN registry ISRCTN63166587. Registered on 21 August 2023.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Cost-effectiveness, Daily activity, Digital tool, Effectiveness, ePROM, Health economy, Precision medicine, Social participation, Stroke rehabilitation, Structured follow-up
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-215396 (URN)10.1186/s13063-023-07673-7 (DOI)37803460 (PubMedID)2-s2.0-85173330866 (Scopus ID)
Funder
Swedish Research Council, 2022–00316Swedish Research Council, 2022– 00746Forte, Swedish Research Council for Health, Working Life and Welfare, 2020–00136Swedish Heart Lung Foundation, 2020676Västerbotten County Council, 2022–967513Vinnova, 2019–01389The Swedish Stroke Association
Available from: 2023-10-26 Created: 2023-10-26 Last updated: 2024-01-17Bibliographically approved
Kallerhult Hermansson, S., Hilli, Y., Norström, F., Solbakken, R., Rennemo Vaag, J. & Bölenius, K. (2023). The impact of a mentorship program with digital solutions: Mentors' experiences, self-reported self-efficacy, and clinical teaching behavior. In: : . Paper presented at 5th Nordic conference in nursing research, Reykjavik, Iceland, October 2-4, 2023.
Open this publication in new window or tab >>The impact of a mentorship program with digital solutions: Mentors' experiences, self-reported self-efficacy, and clinical teaching behavior
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2023 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background: In 2021, a two-fold mentorship program was developed in collaboration with new and experienced registered nurses and leaders in healthcare units and municipalities in two regions in northern Sweden and northern Norway. The mentorship program aimed to support newly qualified nurses into working life as well as support mentors and was tested in intervention units from October-21 to April-22. The aim of this sub-study was to evaluate the mentors´ experiences, self-reported self-efficacy, and clinical teaching behavior.

Methods: A mixed methods design was used where data was collected via focus-group interviews (n=5) directly after the intervention. A follow-up, self-reported questionnaire study was conducted at three different time points: pre-test, baseline, and post-test I, directly after the intervention, and post-test II, eight months after the intervention. Transcribed interview data will be analyzed using qualitative content analysis, and self-reported answers will be analyzed using suitable statistical methods.

Results and conclusion: Preliminary results will be presented at the conference. The evaluation will highlight the potential effects and meaning of the mentorship program from the mentors´ perspective as well as what it means to be a mentor.

National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-215260 (URN)
Conference
5th Nordic conference in nursing research, Reykjavik, Iceland, October 2-4, 2023
Available from: 2023-10-13 Created: 2023-10-13 Last updated: 2023-10-13Bibliographically approved
Bybrant, M. C., Palmkvist, E., Söderström, H., Lindgren, M., Hildebrand, H., Norström, F. & Carlsson, A. (2023). The prevalence of having coeliac disease in children with type 1 diabetes was not significantly higher during the Swedish coeliac epidemic. Acta Paediatrica, 112(10), 2175-2181
Open this publication in new window or tab >>The prevalence of having coeliac disease in children with type 1 diabetes was not significantly higher during the Swedish coeliac epidemic
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2023 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 112, no 10, p. 2175-2181Article in journal (Refereed) Published
Abstract [en]

Aim: From 1986 to 1996, there was a four-fold increase in coeliac disease among young Swedish children, known as the Swedish coeliac epidemic. Children with type 1 diabetes have an increased risk of developing coeliac disease. We studied whether the prevalence of coeliac disease differed in children with type 1 diabetes born during and after this epidemic.

Methods: We compared national birth cohorts of 240 844 children born in 1992–1993 during the coeliac disease epidemic and 179 530 children born in 1997–1998 after the epidemic. Children diagnosed with both type 1 diabetes and coeliac disease were identified by merging information from five national registers.

Results: There was no statistically significant difference in the prevalence of coeliac disease among children with type 1 diabetes between the two cohorts: 176/1642 (10.7%, 95% confidence interval 9.2%–12.2%) in the cohort born during the coeliac disease epidemic versus 161/1380 (11.7%, 95% confidence interval 10.0%–13.5%) in the post-epidemic cohort.

Conclusion: The prevalence of having both coeliac disease and type 1 diabetes was not significantly higher in children born during, than after, the Swedish coeliac epidemic. This may support a stronger genetic disposition in children who develop both conditions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
children and adolescents, coeliac disease12, epidemiology, register study, type 1 diabetes
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-212263 (URN)10.1111/apa.16876 (DOI)001025859700001 ()37312596 (PubMedID)2-s2.0-85164605811 (Scopus ID)
Funder
Region Skåne
Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2024-01-08Bibliographically approved
Johansson, K., Norström, F., Green, P. H., Ivarsson, A., Richter Sundberg, L., Själander, A. & Myléus, A. (2022). Celiac disease and upper secondary school achievement in Sweden: A retrospective cohort study. BMC Pediatrics, 22(1), Article ID 709.
Open this publication in new window or tab >>Celiac disease and upper secondary school achievement in Sweden: A retrospective cohort study
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2022 (English)In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 22, no 1, article id 709Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Both undiagnosed celiac disease and some chronic childhood diseases are associated with lower academic achievement. However, there is little knowledge of achievements in those diagnosed with celiac disease. Our aim was to investigate school achievements in upper secondary school among Swedish adolescents with celiac disease.

METHODS: We performed a retrospective cohort study using register data. We analyzed choice of upper secondary school program, completion of upper secondary school including achievements of basic eligibility for college/university, and final grade in individuals with celiac disease diagnosed before 15 years of age, born 1991-97. We compared with the Swedish population of the same birth years. Analyses were adjusted for sex, year of birth, living region at 17 years of age, and parental education as well as income.

RESULTS: The cohort included 734 074 individuals, whereof 3 257 (62% females) with celiac disease. There was no significant difference in choice of upper secondary school program. No significant difference was found in completion or achieving basic eligibility for college/university in adjusted analyses. The mean final grade in the celiac disease group was 13.34 (standard deviation 4.85) compared to 12.78 (standard deviation 5.01) in the reference population (p < 0.001), out of a maximum of 20. The effect of celiac disease on final grade remained in adjusted analyses (p = 0.012).

CONCLUSIONS: We found that diagnosed celiac disease does not negatively affect school achievements in upper secondary school. This finding suggests the diagnosis, treatment and follow-up programs of celiac disease could reverse potential deleterious academic processes.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Celiac disease, Follow-up, Gluten-free diet, Grades, School performance
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Identifiers
urn:nbn:se:umu:diva-201645 (URN)10.1186/s12887-022-03773-6 (DOI)000897782900004 ()36503420 (PubMedID)2-s2.0-85143758235 (Scopus ID)
Funder
Region VästernorrlandRegion VästerbottenSwedish Research CouncilRiksbankens Jubileumsfond
Available from: 2022-12-13 Created: 2022-12-13 Last updated: 2023-09-05Bibliographically approved
Projects
Is better public health worth the price? - A health economic evaluation of increased staffing in home care [2015-00647_Forte]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0457-2175

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