No popular authors found.


Get Celiac.com's E-Newsletter

Categories

No categories found.







Ads by Google:


Questions? Join Our Forum:
~1 Million Posts
& Over 66,000 Members!



SHARE THIS PAGE:
Celiac.com Sponsors:

Gastrointestinal Symptoms Rating Scale in Coeliac Disease Patients on Wheat Starch-Based Gluten-Free Diets

Scand J Gastroenterol 2000 Sep;35(9):947-9
Lohiniemi S, Maki M, Kaukinen K, Laippala P, Collin P.
Dept. of Medicine, Tampere University Hospital, University of Tampere, Finland.

SPECIAL NOTE: European Codex Alimentarius quality wheat starch was used in this study.

(Celiac.com 06/25/2000)

BACKGROUND: A wheat starch-based gluten-free diet is widely adopted in the treatment of coeliac disease, even though the products contain trace amounts of gluten. The aim here was to establish whether such a diet sustains abdominal symptoms.

Ads by Google:

METHODS: The Gastrointestinal Symptom Rating Scale (GSRS) was applied to 58 coeliac disease patients on gluten-free diets and 110 non-coeliac controls. An estimate was made of daily dietary fiber and wheat starch-derived gluten. Psychological well-being was evaluated by a structured interview. Twenty-three coeliac patients consented to small bowel biopsy.

RESULTS: The mean GSRS score in coeliac disease patients did not differ from that in control subjects. Poorer psychological well-being was associated with abdominal symptoms in coeliac patients, whereas the daily amount of wheat starch had no effect on GSRS score. Overall dietary compliance was good, and villous atrophy was found in only 2 out of 23 patients. The average fiber consumption, 13 g per day, was lower than recommended.

CONCLUSIONS: Wheat starch-based gluten-free products are well-tolerated in coeliac disease patients, provided that their diets are otherwise strict.

Celiac.com welcomes your comments below (registration is NOT required).












Related Articles



2 Responses:

 
Ursa Major
Rating: ratingfullratingfullratingemptyratingemptyratingempty Unrated
said this on
15 Apr 2008 9:17:00 AM PST
I don't agree with the above article. The author states that 'only 2 out of 23 patients had villous atrophy'. That is nearly ten percent! In my opinion, if ten percent of people with celiac disease will get villous atrophy from eating wheat starch, that proves that it is NOT safe.

 
RiceGuy
Rating: ratingfullratingemptyratingemptyratingemptyratingempty Unrated
said this on
01 Aug 2008 10:31:10 AM PST
Since less than half the participants consented to a biopsy, then the percentage of villous atrophy would be even higher. Also, since the accuracy of the best tests is still very low, we don't know how many of the control group actually do have Celiac Disease. Additionally, there is no indication that ANY of the control group were biopsied. Since a considerable percentage of people with Celiac Disease display no symptoms, using that as the yardstick has a large margin for error. The non-Celiac group needed to undergo rigorous testing to be certain that they all are indeed not Celiac. And, since the Celiac patients did have psychological effects, which IS a symptom, then apparently they were better off without the wheat starch in their diet. Saying that the GSRS score didn't differ from that of the control group doesn't mean there wasn't any effect, but that both groups experienced similar effects.




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


I still vote on removing dairy completely for 60 days. This could help in many ways Probiotics are helpful normally later on, but initially if she has damaged or leaky gut it could make the issues much worse. It works for some makes stuff worse for others. I keep going back to the dairy as it is ...

Hi, sorry to suggest removing yet another thing from the poor girl, but have you tried going completely milk free. So not just limiting lactose, but trialling a period with absolutely no dairy whatsoever? Reason being, lactose intolerance is only one of the two possible milk issues, the oth...

Awol touched on what I thought it could be, night numbness and cramps is often a magnesium issue, Also with gluten ataxia nephropathy is common causing numbness, tingling, or control loss. As you mention a constant I am thinking perhaps more of a deficiency, Raven goes on another topic, I ha...

Did you stop your supplements before they tested your levels? Your doctor should have told you to do so for a couple weeks so they could get an accurate level. You might want to get an appointment with a dermatologist to get things checked out. Do bring your own shampoo and styling products to t...

Have you ever seen a chiropracter? I have had issues like this a few times and it turned out to be a pinched nerve. I have a good chiro and he was able to help. I should also note that I do have some nerve damage from celiac that has lead to a loss of feeling and motor signals in my right leg. T...