Celiac disease and upper secondary school achievement in Sweden A retrospective cohort study

BMC Pediatrics

Research

Fredrik Norström¹  Anneli Ivarsson¹  Linda Richter Sundberg¹  Peter H. R. Green²  Katarina Johansson³  Anders Själander³  Anna Myleus⁴ 

[1]Department of Epidemiology and Global Health, Umeå University, 901 87, Umeå, Sweden

[2]Department of Medicine, Celiac Disease Center, Columbia University College of Physicians and Surgeons, Columbia University, New York, NY, USA

[3]Department of Public Health and Clinical Medicine, Umeå University, 901 87, Sundsvall, Sweden

[4]Department of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden

关键词: School performance;    Follow-up;    Celiac disease;    Grades;    Gluten-free diet;   

DOI  :  10.1186/s12887-022-03773-6

 received in 2022-08-31, accepted in 2022-11-24,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundBoth 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.MethodsWe 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.ResultsThe 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).ConclusionsWe 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.

【 授权许可】

CC BY   
© The Author(s) 2022

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