A review by Noejovich and colleagues examines the challenge of distinguishing adherence to a gluten-free diet from eating disorders and disordered eating.
The paper reports an increased risk of eating disorders, particularly anorexia nervosa, among people with celiac disease.
It also discusses excessive restriction, food-related anxiety, and social avoidance, which are associated with lower quality of life.
The authors emphasize the limitations of current assessment tools and the need for better detection, differential diagnosis, and multidisciplinary nutritional and mental health support.