Inadequate Nutrient Intake in Patients with Celiac Disease: Results from a German Dietary Survey

Martín, J. M. Artigas; Geisel, Tabea; Maresch, Constanze C.; Krieger, Kathrin; Stein, Jürgen M.

doi:10.1159/000348850

Cited by 116 publications

(120 citation statements)

References 26 publications

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“…Some studies have suggested that GFD may have an anti-atherosclerotic effect in CD [22][23][24] , whereas others have shown that the diet is likely to be atherogenic [25][26][27] . Serum total cholesterol level was significantly lower in CD compared to healthy controls in our study as reported previously in the adults 22,26 .…”

Section: Discussionmentioning

confidence: 99%

Carotid intima-media thickness and arterial stiffness as early markers of atherosclerosis in pediatric celiac disease

et al. 2016

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The association between pediatric celiac disease (CD) and atherosclerosis is unknown. Our aim was to investigate whether pediatric CD patients have an increased risk of atherosclerosis. We evaluated the premature atherosclerosis by pulse wave velocity (PWV) and carotid intima-media thickness (cIMT). A total of 37 CD patients (20 girls, mean age 13±3.3 years) and 36 healthy age and sex matched controls were enrolled. Mean duration of CD was 47.1±32.3 months and 40.5% of patients had positive tissue transglutaminase antibody (tTg) IgA. Total cholesterol level was lower in CD (p=0.026) and cIMT was lower in tTg IgA antibody negative CD (p=0.030). cIMT was significantly correlated with tTg IgA antibody positivity (r=0.336; p=0.042). Adherence to strict gluten-free diet is associated with decreased cIMT, suggesting that gluten withdrawal seems to have a beneficial effect on premature atherosclerosis.

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Section: Discussionmentioning

confidence: 99%

Carotid intima-media thickness and arterial stiffness as early markers of atherosclerosis in pediatric celiac disease

et al. 2016

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“…This pattern is also present in several studies that refer the GFD to be associated with high protein and lipid intake [32,53,54,55,56]. However, this imbalance cannot be consider only for CD children, since exits a large difference between the nutritional recommendations and the actual consumption of protein reported for general population.…”

Section: Discussionmentioning

confidence: 78%

Celiac Disease and Gluten-free Diet in Portuguese Children – An Anthropometric Marker Contribution Assessment

Soares¹,

Lemos²,

Pires³

et al. 2017

IJCD

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Celiac disease is an autoimmune disease that is expressed by chronic food sensitivity to gluten, having as typical symptoms diarrhea and weight loss. The present study has evaluated anthropometric marker progressions in 61 Portuguese children with celiac disease, at diagnosis time and at the study time, comparing these variations with the intake of gluten free products. Data from 61 children (59.0 % girls) with celiac disease were evaluated, following a gluten free diet for 5.0 ± 4.6 years. Statistical t-test analysis of pBMI at diagnosis and at study time, revealed a positive increase with statistical significance for both girls and boys (p = 0.008). The differences between ingested and recommended values were quantified and confirming the increase in total energy consumption and carbohydrates. Following a gluten free diet allows the recovery of the nutritional status in most children; however, nutritional counseling seems mandatory to avoid nutrient imbalances and further health issues.

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“…Martin et al [35] analyzed the dietary intake of 88 German patients with CD on the GFD and found suboptimal intake of vitamins B 1 , B 2 , B 6 and folic acid. Similar findings have been published from studies in the US.…”

Section: Micronutrient Imbalances In the Gfdmentioning

confidence: 99%

Celiac Disease and the Gluten-Free Diet: Consequences and Recommendations for Improvement

Theethira

Dennis²

2015

Dig Dis

139

102

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Background: Celiac disease (CD) is a chronic small intestinal immune-mediated enteropathy precipitated by exposure to dietary gluten in genetically susceptible individuals. CD-related enteropathy leads to multiple nutritional deficiencies involving macro- and micronutrients. Currently, medical nutrition therapy consisting of the gluten-free diet (GFD) is the only accepted treatment for CD. Key Messages: The GFD is the cornerstone of treatment for CD. Prior published studies have concluded that maintenance of the GFD results in improvement of the majority of nutritional deficiencies. In the past, counseling for CD focused mainly on the elimination of gluten in the diet. However, the GFD is not without its inadequacies; compliance to the GFD may result in certain deficiencies such as fiber, B vitamins, iron, and trace minerals. Paucity of fortified gluten-free foods may be responsible for certain deficiencies which develop on the GFD. Weight gain and obesity have been added to the list of nutritional consequences while on the GFD and have been partially attributed to hypercaloric content of commercially available gluten-free foods. Follow-up of patients diagnosed with CD after starting the GFD has been reported to be irregular and, hence, less than ideal. Conclusions: Monitoring of the nutritional status using blood tests and use of appropriate gluten-free supplementation are integral components in the management of CD. The ideal GFD should be nutrient-dense with naturally gluten-free foods, balanced with macro- and micronutrients, reasonably priced, and easily accessible. Rotation of the pseudo-cereals provides a good source of complex carbohydrates, protein, fiber, fatty acids, vitamins and minerals. Fortification/enrichment of commonly consumed gluten-free commercial grain products should be encouraged. Dietitians specializing in CD play a critical role in the education and maintenance of the GFD for patients with CD.

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Inadequate Nutrient Intake in Patients with Celiac Disease: Results from a German Dietary Survey

Cited by 116 publications

References 26 publications

Carotid intima-media thickness and arterial stiffness as early markers of atherosclerosis in pediatric celiac disease

Carotid intima-media thickness and arterial stiffness as early markers of atherosclerosis in pediatric celiac disease

Celiac Disease and Gluten-free Diet in Portuguese Children – An Anthropometric Marker Contribution Assessment

Celiac Disease and the Gluten-Free Diet: Consequences and Recommendations for Improvement

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