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    39% of Celiac Disease Patients are Overweight at Diagnosis—A Full 30% are Obese


    Scott Adams

    Celiac.com 11/29/2006 – Contrary to popular beliefs (not to metion outdated medical training), this study demonstrates that 39% of those who are diagnosed with celiac disease are actually overweight rather than underweight. A full 30% of celiac disease patients were in the obese range at the time of their diagnosis. Unfortunately many medical doctors still wont even consider testing overweight patients for celiac disease because they erronously believe that the disease can only occur in individuals who are underweight. This line of reasoning is outdated and incorrect, and is also very dangerous to those who happen to have celiac disease are are overweight—which is now known to be quite common.

    For those who want to read more about this topic be sure to have a look at the following articles:


    Below is the Abstract for the latest study, which was conducted by William Dickey, M.D., Ph.D., F.A.C.G.:

    Am J Gastroenterol. 2006;101(10):2356-2359.

    Overweight in Celiac Disease: Prevalence, Clinical Characteristics, and Effect of a Gluten-Free Diet

    Posted 11/14/2006

    William Dickey, M.D., Ph.D., F.A.C.G.; Natalie Kearney, B.Sc.

    Abstract:

    Background:
    It is well established that a minority of celiac patients present with classic symptoms due to malabsorption. However, few studies have focussed on the distribution of body mass index (BMI) in celiac populations and its relationship to clinical characteristics, or on its response to treatment.

    Methods:
    We reviewed BMI measurements and other clinical and pathological characteristics from a database of 371 celiac patients diagnosed over a 10-yr period and seen by a single gastroenterologist. To assess response to gluten exclusion, we compared BMI at diagnosis and after 2 yr treatment in patients with serological support for dietary compliance.

    Results:
    Mean BMI was 24.6 kg/m2 (range 16.3–43.5). Seventeen patients (5%) were underweight (BMI

    Conclusions:
    Few celiac patients are underweight at diagnosis and a large minority is overweight; these are less likely to present with classical features of diarrhea and reduced hemoglobin. Failed or delayed diagnosis of celiac disease may reflect lack of awareness of this large subgroup. The increase in weight of already overweight patients after dietary gluten exclusion is a potential cause of morbidity, and the gluten-free diet as conventionally prescribed needs to be modified accordingly.


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    The article is well-written and informative. (It also confirms my suspicions.)

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    I have struggled with my weight for decades. My doctors never checked for a gluten allergy - any they were wrong to do so. I have already lost 15 lbs in 2 weeks be eliminating gluten. Thank you!!!!!!

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    I have rheumatoid arthritis, Hashimoto's Thyroiditis, long term chronic anemia, depression, anxiety, ADD, and (possible) mild bi-polar disorder. An episode of Mystery Diagnosis led me to look into Celiac disease. However, I almost crossed it off the list of possibilities because of the symptoms (both categories) listing weight loss as (seemingly) a universal consequence of the disease. Only by looking more deeply into the site did I find this article - which of course indicates that weight gain is possibly more common. Although you say that doctor's don't suspect celiac disease in overweight patients because of 'popular beliefs (not to mention outdated medical training)' your website reinforces those beliefs on the symptoms page (which is the first, and sometimes only, page most people look at. Because of finding this article, I am more convinced of the possibility of celiac disease and more prepared to insist on testing. However, I wonder how many people wouldn't have researched this far because they are overweight. Perhaps you could correct the symptoms to reflect that weight gain is common also.

     

    Thanks!

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    Guest Paul

    Posted

    Message mainly for Tammy. I got onto this site as I have linked gastro intestinal problems with autism. I believe I have Asperger's Syndrome. It had been shown that people with Aspergers tend to have problems coping with yeast etc. From your symptoms - ADD, Depression etc I would suggest that you should look into Aspergers. It might help you with understanding some of the things you are going through.

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    Guest Brooke

    Posted

    When i was first diagnosed my doctor told me I would probably loose weight from eliminating gluten however I have slowly gained 25 lbs in the last 2 years. Admittedly I have not always been constant with my diet. My weight gain has really become a huge issue for me. The article states that, 'The increase in weight of already overweight patients after dietary gluten exclusion is a potential cause of morbidity, and the gluten-free diet as conventionally prescribed needs to be modified accordingly.' Well what does this mean? How should it be modified? Any suggestions?

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    Guest Anonymous

    Posted

    When i was first diagnosed my doctor told me I would probably loose weight from eliminating gluten however I have slowly gained 25 lbs in the last 2 years. Admittedly I have not always been constant with my diet. My weight gain has really become a huge issue for me. The article states that, 'The increase in weight of already overweight patients after dietary gluten exclusion is a potential cause of morbidity, and the gluten-free diet as conventionally prescribed needs to be modified accordingly.' Well what does this mean? How should it be modified? Any suggestions?

    Brooke -

    If I eat rice or corn I still do not lose, but usually do not gain. If I eat mostly fruits, vegetables and lean meat, that is when I lose. I have been overweight my entire life, am just now (at age 33) getting tested for celiac and gluten intolerance. I have always lost and felt healthier on a low carb diet, I am just now making the connection.

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    Hi! I wanted to point out that the abstract from the medical article actually states that "13% of all patients were in the obese range (BMI=30)." I think you might have crossed numbers when you posted that a full 30% of patients were in the obese range (30 is the BMI minimum, not the percentage of patients). Please consider editing for accuracy - and thank you very much for providing this data!

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    Guest myrna klein

    Posted

    I think the article is great because it did answer my question about...losing weight after gaining 30 lbs. at the time of diagnosis. I was very thin all my life UNTIL. If you have a quick fix to lose weight , I would be grateful. I am very unhappy. I do not have to eat gluten free foods because I eat regular food but NO Gluten and I am okay with that. Your article did not help in that area. Thanks

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    I have thought this an issue for along time. 25 years ago my Dr. read the biopsy lab report and told me that even though it said villous atrophy etc, I could not be celiac because I was overweight. I went through 15 more years of doctors and related autoimmune problems till I was diagnosed 10 years ago. Most of my autoimmune issues and even some weight disappeared once I went gluten free. In fact I threw away my handicapped sticker!

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    Guest anonymous

    Posted

    Great article. I am overweight and was told by my Gastroenterologist 3 years ago that it is impossible that I have celiac because of my weight. I have not been tested. No matter what diet I try, I can't lose the weight. I have continued to look for answers and search about celiac among my other issues. Well...I've been 100% gluten free for 3 days now and lost 8 pounds so far. It's hard to watch every little thing I eat - but I can do it! I am starting to feel better and I know it will be worth it in the long term. Thanks again for the reassurance that this isn't in my imagination...like my Dr. thought it was. I won't go back to him either!

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  • About Me

    In 1994 I was diagnosed with celiac disease, which led me to create Celiac.com in 1995. I created this site for a single purpose: To help as many people as possible with celiac disease get diagnosed so they can begin to live happy, healthy gluten-free lives. Celiac.com was the first site on the Internet dedicated solely to celiac disease. In 1998 I founded The Gluten-Free Mall, Your Special Diet Superstore!, and I am the co-author of the book Cereal Killers, and founder and publisher of Journal of Gluten Sensitivity.

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    Jefferson Adams
    Celiac.com 05/09/2012 - Weight loss is traditionally regarded as one of the classic symptoms of celiac disease. Recent studies suggest that people with celiac disease are far more likely to be obese than underweight at the time of presentation.
    A research team recently set out to assess the frequency of obesity in newly diagnosed celiac disease.
    The research team included Elizabeth Tucker, Kamran Rostami, Sudhakaran Prabhakaran, and Daivid Al Dulaimi. They are affiliated variously with the Institute of Health and Society of Worcester University, School of Clinical and Experimental Medicine in Worcester, the University of Birmingham, and the department of Gastroenterology at Alexandra Hospital in Redditch, in the United Kingdom.
    The research team wanted to assess the frequency of obesity in newly diagnosed celiac disease.
    To do so, they reviewed dietetic records and patient demographic of people with celiac disease, along with initial assessment date, and Body Mass Index (BMI) recorded and statistically analyzed.
    In all, they reviewed data for 187 celiac disease patients diagnosed between 1999 and 2009. Of those, 127 patients were female (68%) and 60 male (32%), a ratio of 2 to 1.
    Patients ranged in age from 18 to 87 years of age, with an average age of 54 years.
    BMI inter-quartile range (IQR) ran from 21.5 to 28.1, with an average BMI of 23.6. IQR was 21.8 to 27.3 for men, with an average BMI of 23.9.
    For females, the BMI IQR ran from 21.4 to 28.6, with an average of 23.2. Overall, 83 patients (44%) registered a BMI of 25 or above.
    The team found no significant difference gender, age or year of referral among patients with a BMI of 25 or above.
    Twenty-five patients (13 %) had a BMI of 30 or above. Of those, twenty were female, and ranged in age from 18 to 71 years old, with an average age of 56 years.
    In all, 11% of females registered a BMI of 30 or more, compared with only 3% males, a 5 to 1 ratio. Only 5 patients (3%) had a BMI below 18.5.
    They found that nearly half of those diagnosed with celiac disease registered with a BMI of 25 or over. Compared to males, females showed a wider range of BMI and were more likely to be obese, registering a BMI of 30 or more.
    Source:
    J Gastrointestin Liver Dis. March 2012 Vol. 21 No 1, 11-15

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