Metadata

Name Coeliac disease (coeliac)
Category Digestive
Sex
Adult Yes
UUID 59726ac7-30b5-4da9-924e-adf2c515322c
Definition An autoimmune genetic disorder with an unknown pattern of inheritance that primarily affects the digestive tract.

Ontologies

Disease Ontology (DOID) DOID_10608
GWAS Catalogue EFO_0001060
MeSH D002446
SNOMED-CT 396331005
FinnGen K11_COELIAC

Key Summary Statistics

Cases from any source

Total 6078
Female (%) 4169 (69%)
Male (%) 1909 (31%)

Year first recorded

coeliac year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced coeliac cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of coeliac

Baseline prevalence stratified by sex

Female 128.96 (121.37,136.55)
Male 64.4 (58.53,70.26)

Incidence stratified by sex

Female 2.49 (2.08,2.91)
Male 2.2 (1.78,2.63)

Incidence stratified by age

Ages 40-44 1.01 (0.39,1.64)
Ages 45-49 2.1 (1.32,2.88)
Ages 50-54 2.24 (1.5,2.98)
Ages 55-59 2.21 (1.54,2.87)
Ages 60-64 2.56 (1.94,3.17)
Ages 65-69 3.19 (2.4,3.98)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB coeliac prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 62 (54,70) 71 (64,77) 73 (67,79)
CALIBER 37 (35,38) 43 (41,45) 53 (50,55)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 62(45,83) 74(60,90) 72(61,85)
Low 77(58,100) 69(56,85) 74(63,87)
Medium 50(36,69) 66(53,81) 71(60,84)
High 61(46,80) 79(65,96) 68(56,82)
Most deprived 60(46,77) 66(53,81) 79(66,94)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 63(55,72) 71(64,79) 71(65,77)
Scotland 56(37,82) 80(63,100) 79(64,98)
Wales 52(29,84) 49(33,71) 87(66,111)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153646, Events=402

Factor Level Hazard Ratio P value
BMI overweight 1.07 (0.82, 1.39) 0.637
BMI obese 2.13 (1.65, 2.77) 1.06e-08
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.48 (1.19, 1.85) 0.000498
smoking current 2.47 (1.87, 3.26) 1.43e-10
hypertension yes 2.21 (1.8, 2.72) 5.76e-14

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
21068 Diagnosed with coeliac disease or gluten sensitivity 1 yes
20002 Non-cancer illness code, self-reported 1456 malabsorption/coeliac disease
41202 Diagnoses - main ICD10 K90.0 Coeliac disease
41204 Diagnoses - secondary ICD10 K90.0 Coeliac disease
40001 Underlying (primary) cause of death: ICD10 K90.0 Coeliac disease
40002 Contributory (secondary) causes of death: ICD10 K90.0 Coeliac disease
42040 GP clinical event records 6648000.0 Coeliac disease annual review
42040 GP clinical event records 6648.00 Coeliac disease monitoring
42040 GP clinical event records 8IAp.00 Coeliac disease annual review declined
42040 GP clinical event records 9mB1.00 Coeliac disease monitoring invitation first letter
42040 GP clinical event records 9mB..00 Coeliac disease monitoring invitation
42040 GP clinical event records J690000 Congenital coeliac disease
42040 GP clinical event records J690100 Acquired coeliac disease
42040 GP clinical event records J690.00 Coeliac disease
42040 GP clinical event records J690.11 Coeliac rickets
42040 GP clinical event records J690.12 Gee - Herter disease
42040 GP clinical event records J690.13 Gluten enteropathy
42040 GP clinical event records J690.14 Sprue - nontropical
42040 GP clinical event records J690.15 Steatorrhea - idiopathic
42040 GP clinical event records J690z00 Coeliac disease NOS
42040 GP clinical event records ZC2C200 Dietary advice for coeliac disease
42040 GP clinical event records XaXGm Coeliac disease annual review
42040 GP clinical event records XE0bK Coeliac disease
42040 GP clinical event records XE0bK Coeliac disease
42040 GP clinical event records XaX0T Coeliac disease annual review declined
42040 GP clinical event records XaX1x Coeliac disease monitoring invitation first letter
42040 GP clinical event records XaX0R Coeliac disease monitoring invitation