{"id":235,"date":"2025-05-16T16:04:20","date_gmt":"2025-05-16T16:04:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/gut\/?p=235"},"modified":"2025-05-16T16:04:20","modified_gmt":"2025-05-16T16:04:20","slug":"gutblog-serological-screening-for-coeliac-disease-in-an-adult-general-population-the-hunt-study","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/gut\/2025\/05\/16\/gutblog-serological-screening-for-coeliac-disease-in-an-adult-general-population-the-hunt-study\/","title":{"rendered":"#GUTBlog: Serological screening for coeliac disease in an adult general population: the HUNT study"},"content":{"rendered":"<p>Professor El-Omar has selected Dr Ina Lerv\u00e5g Andersen M.D. from the HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway to do the next <a href=\"https:\/\/blogs.bmj.com\/gut\/\">#GUTBlog<\/a>.<\/p>\n<p>The\u00a0<a href=\"https:\/\/blogs.bmj.com\/gut\/\">#GUTBlog<\/a> focusses on the paper <a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">&#8220;Serological screening for coeliac disease in an adult general population: the HUNT study&#8221;\u00a0<\/a>which was published in\u00a0<a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">paper copy in GUT in June 2025<\/a>.\u00a0 Dr Andersen is the first author on this paper.<\/p>\n<figure id=\"attachment_236\" aria-describedby=\"caption-attachment-236\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-236\" src=\"http:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002-300x300.jpg 300w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002-150x150.jpg 150w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002-640x640.jpg 640w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002-250x250.jpg 250w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Ina-Lervag-Andersen_kvadrat_Fotograf-Hattrem-002-002.jpg 652w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-236\" class=\"wp-caption-text\">Dr Ina Lerv\u00e5g Andersen from the HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Dr Ina Lerv\u00e5g Andersen writes:<\/p>\n<p>&#8220;<strong>Can we diagnose coeliac disease with a simple blood test?<\/strong><\/p>\n<p>Coeliac disease is a common disease that affects about 1% of the world\u2019s population. Amongst individuals with coeliac disease, the ingestion of gluten causes an inflammation in the small intestine that can cause a wide range of troublesome symptoms, including diarrhea, obstipation, bloating, headaches, rashes, malnutrition, and failure of growth.<\/p>\n<p>Coeliac disease is underdiagnosed and commonly the diagnosis is delayed by several years. To diagnose coeliac disease, adults must go through a gastroscopy with tissue samples from the small intestine. This is a procedure where a thin, flexible tube with a camera is inserted through the mouth, gullet, stomach, and the upper part of the small intestine. A gastroscopy can be a strain for the patient, can cause complications, and is also expensive and resource demanding.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter  wp-image-237\" src=\"http:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-300x120.png\" alt=\"\" width=\"810\" height=\"324\" srcset=\"https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-300x120.png 300w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-1024x409.png 1024w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-768x307.png 768w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-1536x614.png 1536w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-2048x818.png 2048w, https:\/\/blogs.bmj.com\/gut\/files\/2025\/05\/Screenshot-2025-05-16-at-16.54.09-640x256.png 640w\" sizes=\"auto, (max-width: 810px) 100vw, 810px\" \/><\/p>\n<p>Could it be an easier way to find coeliac disease? We wanted to find out if a screening test for coeliac disease were accurate enough to be used in clinical practice.<\/p>\n<p><a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">To answer this question, we collected blood samples of 56,042 participants from the fourth Tr\u00f8ndelag Health Study (HUNT4), a population-based study performed 2017-2019 in Nord-Tr\u00f8ndelag County, Norway. The blood samples were analyzed for coeliac disease and participants with a positive test were invited to a gastroscopy with tissue samples to confirm the diagnosis.<\/a><\/p>\n<p><a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">We then compared the results of the blood test with the results of the tissue samples. The results showed that the blood test was very accurate in finding those with coeliac disease. Most of the participants with a positive blood test actually had coeliac disease when we compared to the results of tissue samples.<\/a><\/p>\n<p><a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">Our results show that the blood test has excellent abilities as a screening tool for coeliac disease in the adult general population.<\/a><\/p>\n<p><a href=\"https:\/\/gut.bmj.com\/content\/74\/6\/918\">These results can help us diagnose coeliac disease at an earlier stage to prevent patients going for years with symptoms. Furthermore, the results also show that some adult patients can be diagnosed with coeliac disease without going through a gastroscopy.<\/a>&#8221;<\/p>\n<p><strong>Social Media\u00a0<\/strong><\/p>\n<p><a href=\"https:\/\/x.com\/NTNU\">@NTNU Norwegian University of Science and Technology<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Professor El-Omar has selected Dr Ina Lerv\u00e5g Andersen M.D. from the HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway to do the next #GUTBlog. The\u00a0#GUTBlog focusses on the paper &#8220;Serological screening for coeliac disease in an adult general population: the HUNT study&#8221;\u00a0which was published in\u00a0paper [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/gut\/2025\/05\/16\/gutblog-serological-screening-for-coeliac-disease-in-an-adult-general-population-the-hunt-study\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":413,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"footnotes":""},"categories":[6,23,16],"tags":[],"class_list":["post-235","post","type-post","status-publish","format-image","hentry","category-gutblog","category-endoscopy","category-nutrition","post_format-post-format-image"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/posts\/235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/users\/413"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/comments?post=235"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/posts\/235\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/media?parent=235"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/categories?post=235"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/gut\/wp-json\/wp\/v2\/tags?post=235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}