Coeliac disease (CD) is a chronic, autoimmune disease that prevents individuals from processing gluten, leading to adverse health effects. People with CD should adhere to a gluten‐free diet (GFD); however, adherence rates are well below optimal in adults with CD, ranging between 42% and 91%. To date, limited evidence is available on the nature and magnitude of factors that affect adherence to GFD. The present study aimed to develop a systematic review that critically appraises and synthesises evidence on facilitators and barriers that affect adherence to GFD among adults with CD.

中文翻译：

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乳糜泻成人坚持无麸质饮食的促进因素和障碍：系统评价。

乳糜泻 (CD) 是一种慢性自身免疫性疾病，可阻止个体加工麸质，从而对健康产生不利影响。CD 患者应坚持无麸质饮食 (GFD)；然而，成人 CD 的依从率远低于最佳值，范围在 42% 到 91% 之间。迄今为止，关于影响 GFD 依从性的因素的性质和程度的证据有限。本研究旨在进行系统评价，批判性地评估和综合影响 CD 成人 GFD 依从性的促进因素和障碍的证据。