Is compliance with gluten-free diet sufficient? Diet composition of celiac patients

Is compliance with gluten-free diet sufficient? Diet composition of celiac patients

This study was planned to investigate the amount and content of foods consumed by child patients with celiac disease on a long-term gluten-free diet. Children aged 3-18 years who were diagnosed with celiac disease according to ESPGHAN criteria and were compliant to the gluten-free diet for at least one year were included. Age and gender matched healthy children were included as the control group. Food consumption records including the amount and content of the foods consumed for a total of three days were obtained. Once the records had been completed on the food consumption form, quantity analysis was again performed by the same dietician. Energy and other nutritional elements taken in through foodstuffs consumed by the patient and control groups were calculated using the Nutrition Data System for Research Package; these results were shown as mean ± standard deviation (x ±SD) and the values compared. The study consisted of 28 patients with a mean age of 10.3 ± 4.6 and 25 healthy controls with a mean age of 9.5 ± 3.4. Average age at diagnosis in the patient group was 6.7 ± 4.3 and mean duration of gluten-free diet was 4.0 ± 3.3 years. Children with celiac disease on a gluten-free diet had significantly lower daily energy intake levels compared to the healthy controls (p

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  • 1. Maki M, Mustalahti K, Kokkonen J, et al. Prevalence of celiac disease among children in Finland. N Engl J Med 2003; 348: 2517-2524.
  • 2. Hoffenberg EJ, MacKenzie T, Barriga KJ, et al. A prospective study of the incidence of childhood celiac disease. J Pediatr 2003; 143: 308-314.
  • 3. Ertekin V, Selimoglu MA, Kardas F, Aktas E. Prevalence of celiac disease in Turkish children. J Clin Gastroenterol 2005; 39: 689-691.
  • 4. Dalgic B, Sari S, Basturk B, et al. Prevalence of celiac disease in healthy Turkish school children. Am J Gastroenterol 2011; 106: 1512-1517.
  • 5. Capristo E, Malandrino N, Farnetti S, et al. G. Increased serum high-density lipoprotein-cholesterol concentration in celiac disease after gluten-free diet treatment correlates with body fat stores. J Clin Gastroenterol 2009; 43: 946-949.
  • 6. Singh J, Whelan K. Limited availability and higher cost of gluten-free foods. J Hum Nutr Diet. 2011; 24: 479-486.
  • 7. Kinsey L, Burden ST, Bannerman E. A dietary survey to determine if patients with coeliac disease are meeting current healthy eating guidelines and how their diet compares to that of the British general population. Eur J Clin Nutr 2008; 11: 1333-1142.
  • 8. Ohlund K, Olsson C, Hernell O, Ohlund I. Dietary shortcomings in children on a gluten-free diet. J Hum Nutr Diet 2010; 23: 294-300.
  • 9. Wild D, Robins GG, Burley VJ, Howdle PD. Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet. Aliment Pharmacol Ther 2010; 32: 573–581.
  • 10. Robins G, Akobeng A, Merriken E, Kirk E. A systematic literature review on the nutritional adequacy of a typical gluten-free diet with particular reference to iron, calcium, folate and B vitamins. Food Standards Agency Report. 2009 http://www.foodbase.org.uk//admintools/ reportdocuments/301-1-523_Final_accepted_report_ T07053.pdf (accessed on 11 April 2014).
  • 11. Radlović N, Mladenović M, Leković Z, et al. Effect of gluten-free diet on the growth and nutritional status of children with coeliac disease. Srp Arh Celok Lek 2009; 137: 632-637.
  • 12. Kalra KK, Jain N, Mittal SK. Management of celiac disease. Indian J Pediatr 1999; 66: 32-36.
  • 13. Aydogdu S, Midyat L, Cakir M, et al. Long-term effect of gluten-free diet on growth velocity in Turkish children with celiac disease. Dig Dis Sci 2009; 54: 2183-2187.
  • 14. Saturni L, Ferretti G, Bacchetti T. The gluten-free diet: safety and nutritional quality. Nutrients 2010; 2: 16-34.
  • 15. Miranda J, Lasa A, Bustamante MA, Churruca I, Simon E. Nutritional Differences between a gluten-free diet and a diet containing equivalent products with gluten. plant Foods Hum Nutr, Published online 01 March 2014. doi:10.1007/s11130-014-0410-4.
  • 16. Ferrara P, Cicala M, Tiberi E, et al. High fat consumption in children with celiac disease. Acta Gastroenterol Belg 2009; 72: 296-300.
  • 17. Kupper C. Dietary guidelines and implementation for celiac disease. Gastroenterology 2005; 128: 121-127. 18. DeMarchi S, Chiarioni G, Prior M, Arosio E. Young adults with coeliac disease may be at increased risk of early atherosclerosis. Aliment Pharmacol Ther 2013; 38: 162-169.
  • 19. Pitocco D, Giubilato S, Martini F, et al. Combined atherogenic effects of celiac disease and type 1 diabetes mellitus. Atherosclerosis 2011; 217: 531-535.
  • 20. Lorenz K, Lee VA. The nutritional and physiological impact of cereal products in human nutrition. CRC Crit Rev Food Sci Nutr 1977; 8: 383-456.
  • 21. Malterre T. Digestive and nutritional considerations in celiac disease: could supplementation help? Altern Med Rev 2009; 14: 247-257.
  • 22. Hallert C, Grant C, Grehn S, et a l. Evidence of poor vitamin status in coeliac patients on a gluten-free diet for 10 years. Aliment Pharmacol Ther 2002; 16: 1333-1339.
  • 23. Hallert C, Svensson M, Tholstrup J, Hultberg B. Clinical trial: B vitamins improve health in patients with coeliac disease living on a gluten-free diet. Aliment Pharmacol Ther 2009; 29: 811-816.
  • 24. Presutti RJ, Cangemi JR, Cassidy HD, Hill DA. Celiac disease. Am Fam Physician 2007; 76: 1795-1802.
  • 25. Hozyasz K, Chelchowska M. Low vitamin E level as a possible cause of complications in celiac disease. Indian J Gastroenterol 2003; 22: 237-238.
  • 26. Lombardi F, Franzese A, Iafusco D, et al. Bone involvement in clusters of autoimmune diseases: just a complication? Bone 2010; 46: 551-555.
  • 27. Capriles VD, Martini LA, Arêas JA. Metabolic osteopathy in celiac disease: importance of a glutenfree diet. Nutr Rev 2009; 67: 599-606.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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