PMID- 19702902 OWN - NLM STAT- MEDLINE DCOM- 20091102 LR - 20220408 IS - 1440-1746 (Electronic) IS - 0815-9319 (Linking) VI - 24 IP - 8 DP - 2009 Aug TI - Prevalence of celiac disease in the Asia-Pacific region. PG - 1347-51 LID - 10.1111/j.1440-1746.2009.05932.x [doi] AB - The development of sensitive and specific serological assays for celiac disease has led to a revision of the prevalence of this disease in many countries. In the Asia-Pacific region, prevalence has been determined in only a minority of countries but those with prevalence rates of 1:50-1:500 adults include Australia, Iran, Israel, New Zealand, Syria and Turkey. In contrast, celiac disease appears to be extremely rare in Japan and may be rare in China. In India, prevalence rates are high in the northern states but much lower in the southern states. In individual countries, important determinants of prevalence include the per capita consumption of wheat and the frequency of a specific human leukocyte antigen (HLA) type genetically defined as HLA-DQB1*02 (*0201 or *0202) and serologically defined as HLA-DQ2. These determinants predict low prevalence rates for celiac disease in the Pacific Islands, South-East Asia and eastern China but higher rates in countries west of India and China. There is also the potential for a rising incidence of celiac disease if traditional rice-based diets are replaced by Western-style diets with a higher content of wheat products. FAU - Cummins, Adrian G AU - Cummins AG AD - Department of Gastroenterology and Hepatology, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia. adrian.cummins@health.sa.gov.au FAU - Roberts-Thomson, Ian C AU - Roberts-Thomson IC LA - eng PT - Journal Article PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQ2 antigen) RN - 0 (HLA-DQB1 antigen) RN - 8002-80-0 (Glutens) SB - IM MH - Adult MH - Asia/epidemiology MH - Australia/epidemiology MH - Celiac Disease/*ethnology/*etiology MH - Child MH - Child, Preschool MH - Diet/adverse effects MH - Genetic Predisposition to Disease MH - Glutens/adverse effects MH - HLA-DQ Antigens/genetics MH - HLA-DQ beta-Chains MH - Humans MH - Infant MH - New Zealand/epidemiology MH - Prevalence MH - Risk Factors MH - Triticum/adverse effects EDAT- 2009/08/26 09:00 MHDA- 2009/11/03 06:00 CRDT- 2009/08/26 09:00 PHST- 2009/08/26 09:00 [entrez] PHST- 2009/08/26 09:00 [pubmed] PHST- 2009/11/03 06:00 [medline] AID - JGH5932 [pii] AID - 10.1111/j.1440-1746.2009.05932.x [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2009 Aug;24(8):1347-51. doi: 10.1111/j.1440-1746.2009.05932.x.