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• W3094595929 abstract "INTRODUCTION: Probiotic use is common, despite relatively few indications for their use. There is no current evidence to support probiotic use in Celiac Disease (CD) and limited understanding of why probiotics are used in this group. Using a national registry, we aimed to characterize the prevalence and predictors of probiotic use among CD patients. METHODS: We analyzed data from iCureCeliacTM; a voluntary, patient-powered research network questionnaire distributed by the Celiac Disease Foundation. We included adults (≥18 years) with self-reported, biopsy-diagnosed CD who answered questions regarding basic demographics, diagnosis, symptoms, treatment, Short Form Survey 36 (SF36), and celiac disease quality of life score (CDQOL). We compared probiotic users versus probiotic non-users and performed multivariable logistic regression, assessing for independent predictors of probiotic use. RESULTS: 4909 patients met criteria for inclusion. Of these, 1160 (23.6%) responded to a question regarding probiotic use. The mean age was 38.8 years and 82% were female. 381 patients (33%) reported using probiotics. 47% of probiotic users were over the age of 60 and 47% were diagnosed with CD after the age of 50. More probiotic users sought nutritional counseling at time of diagnosis (36% vs. 30%, P = 0.05) and remained symptomatic despite a gluten-free diet (40% vs. 25%, P < 0.001). Probiotic users had significantly lower scores on the pain subscale of the SF36 (63.7 ± 21.6 vs. 69.5 ± 22.1, P = 0.006) suggesting more physical pain. On multivariate analysis, patients diagnosed after the age of 50 (OR 2.04, 95% CI 1.37–3.04), and those with persistent symptoms despite a gluten-free diet (OR 1.94, 95% CI 1.44–2.63) were more likely to use probiotics. Compared to those diagnosed in young adulthood (20–29 years), patients diagnosed between ages 11-19 were less likely to use probiotics (OR 0.50, 95% CI 0.29–0.85). CONCLUSION: In this large study of a national CD registry, we found that roughly one-third of CD patients reported using probiotics. Patients diagnosed later in life were more likely to use probiotics. Those who remained symptomatic despite a gluten free diet were twice as likely to take probiotics, compared with those reporting symptom control. Patients may be seeking additional means of treatment for persistent symptoms. Further study is needed to clarify if these symptoms are related to accidental gluten ingestion and to evaluate any benefit of using probiotics in symptoms or quality of life in the CD population.Table 1.: Independent Predictors of Probiotic Usage Among Celiac Disease Patients" @default.
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• W3094595929 date "2020-10-01" @default.
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• W3094595929 title "S1292 Probiotic Use in Celiac Disease: Results from a National Survey" @default.
• W3094595929 doi "https://doi.org/10.14309/01.ajg.0000707216.19474.e6" @default.
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