Background: Celiac disease (CD) is a chronic, immune-mediated condition requiring lifelong adherence to a gluten-free diet. In children, CD can negatively impact not only physical health but also psychological well-being and quality of life. The burden of dietary restrictions, social limitations, and emotional stress may lead to increased anxiety and depressive symptoms. This study aims to compare the quality of life, anxiety, and depression levels in children with celiac disease to those of healthy peers without chronic illness. Methods: The research involved a total of 129 individuals aged 8–18 years (64 with celiac disease and 65 healthy volunteers) and their parents. To assess children with celiac disease and healthy children, we used a sociodemographic form that we created, along with the State-Trait Anxiety Inventory (STAI), Trait Anxiety Inventory (TAI), Children’s Depression Inventory (CDI), Pediatric Quality of Life Inventory (PedsQL), and Parent Quality of Life Inventory tests. Results: Celiac patients’ diet adherence, parental education level, and family income were found to be significantly associated with quality of life, as well as levels of depression and anxiety. (p < 0.037, p < 0.04, p < 0.004, respectively). Celiac patients had significantly lower BMI SDS (mean −0.55 ± 1.13, p < 0.001) and height SDS scores (mean −0.49 ± 1.28, p < 0.017). Key factors negatively affecting the quality of life in individuals with celiac disease were difficulty adhering to the diet and low family income levels. Conclusions: Elevated anxiety with reduced quality of life highlights the importance of integrating psychosocial support into the routine care of children with celiac disease. A holistic treatment approach that considers the psychosocial well-being of children can significantly improve their quality of life.

Aim: Celiac disease is a chronic and multisystemic illness, and the lifelong treatment process neg-atively affects the quality of life of patients and their families. This study aims to compare the quality of life, depression, and anxiety levels of children and adolescents diagnosed with celiac disease to those of a healthy control group. Methods: The research involved a total of 129 individuals aged 8-18 years (64 with celiac disease and 65 healthy volunteers) and their parents. To assess children with celiac disease and healthy children, we used a sociodemographic form we created, along with the State-Trait Anxiety Inventory (STAI), Trait Anxiety Inventory (TAI), Children’s Depression Inventory (CDI), Pediatric Quality of Life Inventory (PedsQL), and Parent Quality of Life Inventory tests. Results: Diet adherence, parental education level, and family income level were found to be directly associated with quality of life and depression/anxiety levels (p<0.05). Significant differences in height, weight, and BMI measurements were observed between individuals with celiac disease and the healthy group (p<0.05). Key factors negatively affecting the quality of life in individuals with celiac disease were difficulty adhering to the diet and low family income levels. Conclusion: Celiac disease should not be approached solely as a physical condition. The psychosocial impacts of this disease, including depression and anxiety, can be addressed more effectively through early diagnosis and management. A holistic treatment approach that considers the psychosocial well-being of children can significantly improve their quality of life.

Metindeki gereksiz satır sonları temizlenerek okunaklı bir şekilde yeniden formatlanmıştır: Objective: Adolescents are increasingly engaged in prolonged smartphone use, raising concerns regarding potential musculoskeletal effects, particularly on structures involved in repetitive thumb and wrist movements. The aim of this study was to evaluate the impact of smartphone overuse on the cross-sectional area (CSA) of the median nerve (MN) and flexor pollicis longus (FPL) tendon using ultrasonography in adolescents. Methods: A total of 82 adolescents aged 10-18 years were divided into 2 groups based on the Smartphone Addiction Scale (SAS): high users (≥80) and low users (<80). Bilateral ultrasonographic measurements of the MN and FPL tendon CSAs were taken at predefined anatomical levels. Comparative and correlational analyses were performed using appropriate statistical methods. Results: Both groups exhibited significantly higher CSA values on the dominant side compared to the nondominant side (P < .05). In the high smartphone use group, the CSA of the MN at the carpal tunnel and FPL tendon was significantly greater than that of the low-use group (P < .05). Positive correlations were found between smartphone use scores and CSA measurements. Conclusion: Excessive smartphone use in adolescents is associated with increased CSA values of both the MN and FPL tendon, particularly on the dominant side. These findings may reflect early, subclinical structural adaptations that could precede overuse-related symptoms. Ultrasonographic evaluation may serve as a useful tool for early identification and preventive strategies in at-risk youth populations. Cite this article as: Esmerer E, Özçetin M, Ertürk S, Akkuş E, Us MC. Ultrasound-based evaluation of median nerve and flexor pollicislongus tendon in adolescents: impact of smartphone overuse. Cerrahpaşa Med J. 2026, 50, 0081, doi: 10.5152/cjm.2026.25081.