Abstract
Objective: To discuss, based on the literature, the factors associated with children and adolescents with celiac disease adherence to nutritional therapy. Methods: This is a literature review, whose search for scientific articles was performed in the PubMed, Scielo and Lilacs databases. Were selected 08 original articles from 2013 to 2018, performed in children and adolescents, diagnosed with celiac disease, aged between 2 and 20 years, in which the authors addressed the different factors that influence adherence to gluten free diet. Results: Strict adherence is essential to prevent the appearance of clinical symptoms and to be successful in treatment, being a variable factor that involves several aspects, such as age, family support and the patient's own choice. Compliance with a gluten-free diet is more prevalent in children than in adolescents. Adherence transgressions involve the high cost of following the diet, especially in children, low acceptance of food, lack of choice and influence of friends. Final considerations: Given the above, it is understood that adherence to the gluten-free diet requires some dietary changes, thus faces numerous obstacles that must be overcome.