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Resources: This research included 7,798 persons aged 6 years or older who participated in the National nutrition and health Examination Survey 2009 Serum samples from all participants were tested for immunoglobulin A(IgA) Cellular material transglutaminase antibodies and, If answers were abnormal, Conjointly for IgA endomysial antibodies. Details about prior diagnosis of CD and use of a gluten free diet(GFD) Was obtained by direct meeting with them, CD was looked as having either double positive serology(Serologically clinically defined CD) Or a reported diagnosis of CD by a doctor or other health care special and being on a GFD(Reported clinical proper diagnosing CD)..