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Introducing Gluten to Your Infant

This article originally appeared in the Autumn 2012 edition of Celiac.com's Journal of Gluten-Sensitivity.

Celiac.com 11/25/2014 - As a celiac patient or relative of a celiac patient, many have come to understand the mental and physical symptoms of celiac disease directly or indirectly. Now the time has come for your infant to delve into the world of eating solid foods, most of which happen to contain gluten, especially the first baby cereals. If you’re like most mothers, it’s understandable that you would be nervous. In my gluten-free advocacy work and as a child of a celiac mother, I understand these concerns and am pleased to inform others of the fruits of celiac disease research regarding infants at risk for the disease, introducing gluten, and breastfeeding. These studies indicate that there may be a way to lower the risk of developing the disease and reveal signs to look out for in your infant to determine whether indeed she/he may be celiac.

Photo: CC--Lars PlougmannAn important question which has been addressed in research across the globe is when to introduce solids, usually gluten-containing baby cereal. First, after guidelines were issued regarding the benefits of exclusive breastfeeding for six months, many countries, including the United States, United Kingdom, and Australia, found that the rate of food allergies and intolerances increased. In Sweden it was revealed that celiac disease rates sharply increased after the guidelines were followed, and these rates declined again after compliance with the guideline was dropped.

The question then arose regarding the introduction of gluten before four months of age with a 2005 study published in the Journal of the American Medical Association. According to Nancy Lapid in her article titled Gluten-Free Baby? Facts About Breastfeeding, Gluten, and Celiac Disease, “the babies who ate gluten before four months of age had a five-times-higher risk of developing celiac disease in childhood compared with babies who started on gluten between four and six months. Babies who first ate gluten at age seven months or older also had a higher risk compared with babies introduced to gluten between four and six months, but the increase in risk was small.” In the end, it seems that research indicates that the optimum time to introduce gluten into your baby’s diet is between the ages of four and six months, yet carefully and in small amounts.

Now let’s look at one of my favorite subjects, breastfeeding. As far as breastfeeding is concerned, several studies have shown risk of celiac disease to be reduced when still breastfeeding in the recommended “window” of four to six months, with an even lower risk if breastfeeding is continued for a longer period.

Nancy Lapid shares, “If neither the baby nor the mother has confirmed celiac disease, the mother should continue to eat gluten, even if there is a history of celiac disease in the family, because there is a chance that exposure to gluten in breast milk will actually help the baby to develop a normal immune response to gluten.” If your child is diagnosed with celiac disease, you’ll need to eliminate gluten from your own diet due to the fact that gluten can be passed from your system via your breast milk to your baby.

If you have reason to suspect that your child has a genetic predisposition to celiac disease, you’ll want to be on guard for a variety of celiac disease symptoms during the process of introducing gluten. Some common symptoms, which are visible in adults as well as in infants and young children, are gastrointestinal or bowel issues such as severe chronic diarrhea with floating voluminous stools, extreme weight loss to the point of wasting, and growth issues. Should you observe abnormal physical or mental symptoms in your baby, you may try eliminating gluten from the diet and note changes, but do make sure to consult with a pediatrician or other qualified medical practitioner before you begin making major changes to his diet.

It’s important to note that it doesn’t necessarily indicate that introducing gluten during the optimum window will eliminate a child’s risk of developing celiac disease, but it could reduce risk or at least delay disease onset. As gluten-free awareness and research continues, however, we can assuredly look forward to more helpful information regarding reducing celiac disease in young children.

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4 Responses:

 
PKN
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said this on
01 Dec 2014 4:28:08 PM PST
This article should have been updated before being reprinted. It does not address the findings of the Italian study released this fall that showed that genetics is much more likely to decide whether a child develops CD than when gluten is introduced. It also shows little effect from breastfeeding one way or another.

For more info: see "How to do gluten introduction, HLA status impact" in celiac.com or
"Can breastfeeding help to prevent celiac disease" in about.com

 
Mary
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said this on
01 Dec 2014 10:54:20 PM PST
Outstanding topic!

 
Mariana
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said this on
08 Dec 2014 4:10:16 AM PST
Hi, I'm from Ukraine, I was pregnant a month later my birth, the father of my child has celiac disease. Ukraine does not have any information to give advice on how to create a child's diet, you need a diet for me breastfeeding baby.

 
Lucille Cholerton
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said this on
24 Apr 2015 2:39:00 PM PST
40 years ago, when I had my 3 children, I was an undiagnosed celiac. I was eating lots of gluten-containing foods while trying to breast feed. All 3 babies suffered from severe colic from my breast milk, with the result that I gave up after 2-3 months and put them on formula. I tried putting cereal in the bottle at night to try and get my youngest to sleep through the night. He suffered screaming fits of stomach pain. Both this baby and I were given tranquilizers as treatment by our family doctor!




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