Patients with eating disorders showed no signs of coeliac disease before and after nutritional intervention

Abstract

To the best of our knowledge, this was the first prospective study where patients underwent a screening serology for coeliac disease before and after nutritional intervention. No indication of the coexistence of eating disorders and coeliac disease was documented, and the patients in our study were unlikely to require regular screening for coeliac disease.

Screening for celiac disease in patients with eating disorders

“…This is similar to the reported prevalence of 1% in the general population and consistent with the study by Basso et al (7) that reported a prevalence of 0.6% in a cohort of 177 adolescents with eating disorders who had both antibody screening and confirmation of diagnosis via biopsy. It is higher than what Kaltsa et al (8) found in their cohort of 154 patients, as none of their patients screened positive via antibody testing. Welch et al (10) did report a prevalence of 2.4% in their cohort of 664 adolescents with eating disorders, but that was based on antibody testing alone.…”

“…Some investigation into the co-occurrence of these two disorders has been reported in the literature -initially with a few case reports in adult females (5,6) and more recently in a few prospective studies. Those studies, with a sample size of 150-180 patients, have found a prevalence of 0%-0.6% of celiac disease in patients with eating disorders, which is similar to the prevalence of 1% reported in the general population (7,8). Several studies have looked at eating behaviors among patients with celiac disease, and have found an increased rate of disordered eating among those patients compared to those in the general population (9).…”

Differential Diagnoses of Food-Related Gastrointestinal Symptoms in Patients with Anorexia Nervosa and Bulimia Nervosa: A Review of Literature

“…If the screening test was positive, the diagnosis was confirmed by biopsy. The authors reported a prevalence of 0% (n = 154), 0.8% (n = 494), and 0.6% (n = 177), respectively (Kaltsa et al 2015;Saldanha et al 2016;Basso et al 2013). Raevuori et al (2014) performed data analyses of the medical files of 2326 ED patients.…”

Sobrepeso y obesidad en la enfermedad celiaca activa: posibles mecanismos fisiopatológicos

“…Sin embargo, la presencia de obesidad no solo se ha observado en pacientes celiacos que están en tratamiento con DLG, sino también en aquellos que están con reciente diagnóstico 13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31 . La prevalencia de obesidad en distintas poblaciones celiacas al momento del diagnóstico y sin DLG varía de 0 a un 11,5% y cuando se evalúa malnutrición por exceso (sobrepeso y distintos grados de obesidad), este valor aumenta a un 44% (Tabla 1).…”

“…Kaltsa M. 2015 (16) 104 Niños Grecia 88,5 11,5 Nenna R, 2015 (17) 17 niños con Roma 47,06 52,94 Sobrepeso u obesidad Tortora R 2015 (18) 98 adultos Italia 10,2 69,3 12,2 8,1…”