Celiac.com Sponsor (A1):


Join eNewsletter


Celiac.com Sponsor (A1-m):



Join eNewsletter
  • Join Our Community!

    Ask us a question in our celiac / gluten-free forum.

  • Scott Adams

    Most Children with Celiac Disease Not Getting Proper Nutrition on a Gluten-Free Diet

    Scott Adams
    0
    Reviewed and edited by a celiac disease expert.

      Children with celiac disease may benefit from dietary counseling to help steer them toward a more nutritious gluten-free diet.


    Image: CC BY-SA 2.0--life's too short
    Caption: Image: CC BY-SA 2.0--life's too short

    Celiac.com 07/22/2020 - Currently, the only effective treatment for celiac disease is a permanent gluten-free diet. Many commercial gluten-free foods are low in fiber, and high in fat, salt, sugar. Many health professionals question the nutritional adequacy of a gluten-free diet. To date, there has been no large case-control study regarding the nutritional adequacy of the gluten-free diet on children with celiac disease. To try to better understand the nutritional value of a gluten-free diet, a team of researcher set out to assess nutritional status, dietary intake, and adherence to a gluten-free diet in children with celiac disease.

    The research team included Elena Lionetti, Niki Antonucci, Michele Marinelli, Beatrice Bartolomei, Elisa Franceschini, Simona Gatti, Giulia Naspi Catassi, Anil K. Verma, Chiara Monachesi, and Carlo Catassi. They are variously affiliated with the Department of Pediatrics at Marche Polytechnic University in Ancona, Italy; and the Division of Pediatric Gastroenterology and Nutrition and Center for Celiac Research at Mass General Hospital for Children in Boston, MA, USA.



    Celiac.com Sponsor (A12):






    Celiac.com Sponsor (A12-m):




    The study included children diagnosed with celiac disease following a gluten-free diet for two or more years. The team matched control subjects for age and gender against healthy, non-celiac children, and enrolled 120 children with celiac disease, and 100 healthy non-celiac children. For each subject, the team recorded physical measurements and energy usage. Dietary assessment was performed by a 3-day food diary. 

    The team used the KIDMED index to assess adherence to the Mediterranean diet. They found no differences between celiac children and control subjects in either physical measurements or energy expenditure. 

    Overall, kids with celiac disease ate much more fat and much less fiber than the control group. Children with celiac disease showed a median KIDMED index of 6.5, while healthy non-celiac control kids showed a median of 6.8. 

    The results of this study show that, compared with healthy control subjects, kids with celiac disease are eating a diet that is nutritionally less balanced, higher in fat, and lower in fiber. Because of this, children with celiac disease may benefit from dietary counseling to help steer them toward a more nutritious gluten-free diet.

    However, it's fair to say that both groups in this study were far from a Mediterranean diet, and both could stand to see some improvement. That said, kids with celiac disease have even further to go to achieve a more nutritious diet. Here are some tips on how to get more nutrition in your gluten-free diet.

    How to Get Better Nutrition on a Gluten-Free Diet

    Eat more natural, whole foods
    The list of natural, whole gluten-free foods is too long to delineate here, but it includes all fresh fruits and vegetables, along with numerous nutritious foods like peas, beans and oats.   

    Eat more high fiber foods
    There are plenty of high fiber foods that are naturally gluten free, including beans, peas, and more. Here's list a of thirty great gluten-free high fiber foods.

    Read product labels
    Many commercial gluten-free foods are low in fiber, and high in fat, sugar and salt.

     

    Read more at Nutrients. 2020 Jan; 12(1): 143

    Edited by Scott Adams

    0

    User Feedback

    Recommended Comments

    There are no comments to display.



    Join the conversation

    You are posting as a guest. If you have an account, sign in now to post with your account.
    Note: Your post will require moderator approval before it will be visible.

    Guest
    Add a comment...

    ×   Pasted as rich text.   Restore formatting

      Only 75 emoji are allowed.

    ×   Your link has been automatically embedded.   Display as a link instead

    ×   Your previous content has been restored.   Clear editor

    ×   You cannot paste images directly. Upload or insert images from URL.


  • About Me

    Scott Adams was diagnosed with celiac disease in 1994, and, due to the nearly total lack of information available at that time, was forced to become an expert on the disease in order to recover. In 1995 he launched the site that later became Celiac.com to help as many people as possible with celiac disease get diagnosed so they can begin to live happy, healthy gluten-free lives.  He is co-author of the book Cereal Killers, and founder and publisher of the (formerly paper) newsletter Journal of Gluten Sensitivity. In 1998 he founded The Gluten-Free Mall which he sold in 2014. Celiac.com does not sell any products, and is 100% advertiser supported.


  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-m):




  • Related Articles

    Jefferson Adams
    Celiac.com 05/11/2015 - Many people with celiac disease know that gluten exposure can cause gut damage and trouble absorbing some vitamins and minerals, which can lead to serious deficiencies. However, even celiac who follow gluten-free diets may experience similar issues, including impaired vitamin and mineral absorption.
    The most common vitamin and mineral deficiencies in celiac patients include the following vitamins and minerals:
    B vitamins, especially B12 Vitamin A Vitamin D Vitamin E Vitamin K Iron Calcium Carotene Copper Folic acid Magnesium Selenium ...

    Jefferson Adams
    Celiac.com 12/08/2016 - People with celiac disease are supposed to follow a strict lifelong gluten-free diet. Celiac patients should receive regular follow-up dietary interviews and blood tests to make sure that they are successfully following the diet.
    However, none of these methods offer an accurate measure of dietary compliance. The only way to know for sure, is to test. A team of researchers recently set out to evaluate the measurement of gluten immunogenic peptides (GIP) in stools as a marker of gluten-free diet adherence in celiac patients and compare it with traditional methods of gluten-free diet monitoring.
    The team conducted a prospective...

    Jefferson Adams
    Celiac.com 04/20/2017 - More people than ever are following a gluten-free diet, but does the diet carry health risks that could cause harm in the long run? That's a very possible scenario, according to a report published in the journal Epidemiology.
    The report presents strong data to suggest that numerous gluten-free food staples contain high levels of toxic metals, which means that many gluten-free eaters could face higher risks for cancer and other chronic illnesses.
    Moreover, the US studies both reveal that people who follow a gluten-free diet have twice as much arsenic in their urine as those who eat a non-gluten-free diet. They also have 7...

    Jefferson Adams
    Celiac.com 07/10/2019 - Fewer new celiac patients are being diagnosed with classical malabsorption problems. Has this fact had any impact on nutrient deficiency? A team of researchers recently set out to evaluate micronutrient deficiencies in a contemporary group of adult patients with newly diagnosed celiac disease.
    The research team included Adam C. Bledsoe MD; Katherine S. King MS; Joseph J. Larson BS; Melissa Snyder PhD; Imad Absah MD; Rok Seon Choung MD, PhD; and Joseph A.Murray MD. They are variously affiliated with the Division of Gastroenterology and Hepatology, the Division of Biomedical Statistics and Informatics, the Division of Clinical ...