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Experts: Gluten-free Diet Good for Celiac Disease, Not for Losing Weight


New info on gluten-free diet and weight loss. Photo: CC-GenBug

Celiac.com 10/11/2010 - People who follow a gluten-free diet solely for the purposes of losing weight may be setting themselves up for failure.

For people with celiac disease and gluten intolerance, following a gluten-free diet is both necessary and beneficial from a medical standpoint. People with celiac disease or gluten sensitivity must not eat the gluten proteins found in wheat, rye, and barley.

For people with celiac disease, eating even minute traces of gluten can trigger an autoimmune reaction damages the lining the small intestine. An estimated three million Americans have celiac disease—and the vast majority remain undiagnosed because the symptoms can vary or mimic other diseases.

Symptoms commonly include bloating, gas, diarrhea and constipation, as well as early osteoporosis. People with celiac disease also suffer high rates of skin rashes, chronic fatigue, bone and joint pain, neurological problems, liver problems, diabetes, infertility in both men and women and cancers, including lymphoma.

Rates of celiac disease are up 400% in the last 50 years, and, according to the Archives of Internal Medicine Clinical Gastroenterology and Hepatology, celiac disease diagnoses have increased 20-fold since 1989. Some doctors think gluten sensitivity could affect up to 10% of the population.

Until now, doctors diagnosed gluten sensitivity mainly by ruling out celiac disease in people who show symptoms. But researchers are looking more and more at antibodies to gliadin, a gluten component, as a possible biomarker. About 7% of people have these anti-gliadin antibodies (AGA); interestingly, so do 18% of people with autism, and 20% of people with schizophrenia, according to studies by Dr. Alessio Fassano.

These numbers, coupled major advances in diagnosis, greater awareness among doctors and better information sharing among those affected, have made for rapid expansion of the gluten-free food markets, and great buzz on the part of manufacturers, advertisers, retailers, and consumers.

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That's made for an explosion of new gluten-free products on the food market in the last few years. All of this buzz may tempt many to wonder what it's all about, and if eliminating gluten can provide benefits, such as losing weight.

For some, gluten-free foods have become a new health craze, with promises of a slimmer, fitter, healthier body for those who go gluten-free. Sounds great, right? Just stop eating wheat and gluten and get slim and healthy and live happily-ever-after.

Not so fast.

A gluten-free diet is simply not for everyone. For some, depending on what kind of gluten-free foods they eat, going gluten-free may have the opposite effect. A gluten-free diet will not automatically help people lose weight or avoid carbohydrates.

"Many packaged gluten-free products are even higher in carbs, sugar, fat and calories than their regular counterparts, and they tend to be lower in fiber, vitamins and iron," says Shelley Case, a registered dietician on the medical advisory board of the Celiac Disease Foundation. Gluten-free does not automatically mean nutritious, she notes.

Gluten is not only a key ingredient in baked goods. It's also used as a thickening agent in ketchup and ice cream. But, just like their regular, gluten-containing counterparts, gluten-free products like cake, brownie and cookie mixes are often high in fat and calories. For example, a serving of regular pasta provides 41 grams of carbohydrates, compared to 46 grams for a similar gluten-free pasta.

So, most experts agree that a gluten-free diet is both necessary and beneficial for those with celiac disease and gluten-intolerance. In such cases, avoiding gluten with usually help people to stabilize and reverse either weight gain, or loss, depending on the case. Otherwise, there's no scientific evidence to suggest that adopting a gluten-free diet is a good way to lose weight.

These and other valuable insights into gluten-free diet can be found in Emily Beckman's full-length article for The Wall Street Journal.

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





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2 Responses:

 
Linda L
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said this on
19 Oct 2010 5:52:21 AM PDT
I am a member of celiac family: daughter (official) son and husband test negative but have many symptoms (NHL, Teeth enamel, stomach, issues, joint issues,etc.) and all are gluten free.
So I went gluten free for the heck of it. After a year gluten free, I had lost 5 pounds, though we eat VERY well (live in Ithaca where sources of gluten free are easy, and we cook a lot) and I had stopped exercising.
For 10 years I had tried desperately to lose weight because I was heading to type 2 diabetic, BP,etc. (age 60). Nothing worked.
3 years into gluten free I am down from size 16 to size 8 with NO DIET.

While it would obviously not work for everyone, my educated guess is that gluten is a player in obesity for 20% of people who are otherwise eating sensibly.

 
S D
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said this on
19 Oct 2010 11:27:29 AM PDT
I have found your articles to be very helpful to me in dealing with celiac disease.




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JaneWhoLovesRain, what is odder to me than that there is an older disease that Doctor's have forgotten that explains many of the same symptom's and doctor's do not even think about it today since the "War on Pellagra" was declared over a 100 years and why doctor's don't (at least in the West) think about it any more. Dr. Heaney wrote a nice online article about this topic. http://blogs.creighton.edu/heaney/2013/11/18/pellagra-and-the-four-ds/ Here is fairly recent article about how Pellagra can present in patients and the title says' it all from the International Journal of Dermatology. https://www.researchgate.net/publication/227807440_Pellagra_Dermatitis_dementia_and_diarrhea Dermatitis, dementia and Diarrhea are the 3 D's (4th D is death) of Pellagra. Typically it is only diagnosed today if you are in a subset of the population like an alcoholic for example or you have a gastric bypass. See this article from the New England Journal of Medicine http://www.nejm.org/doi/full/10.1056/NEJMicm050641 and despite all the signs of Pellagra (skin issues etc.) . . .. Pellagra in it native tongue (Italian) where it was first diagnosed was called "rough/sour skin" who knows that today??????? Very few I would venture to guess. The NEJM can only say they have "Pellagra-like dermatitis" it has been so long since any doctor's seen it they can't (with confidence) diagnose it clinically. But taking Niacinamide 3/day for 6 months can help alleviate your symptom's if indeed the DH of Celiac is the dermatitis of Pellagra being medically misdiagnosed. Here is a an article featured on celiac.com about why/how Pellagra can be confused for Celiac disease. https://www.celiac.com/articles/24658/1/A-Differential-Diagnosis-How-Pellagra-Can-be-Confused-with-Celiac-Disease/Page1.html Because they haven't seen Pellagra in 75+ years no one recognizes it anymore. ****this is not medical advice. I hope this is helpful. Knitty Kitty and I are the Niacin warriors on this board. See this thread where Knitty Kitty says Niacin helped the itching of DH. If that is so then it might help your DH (if you have it) and your GI problems too if they are caused by co-morbid Pellagra. see my blog post about where I say "I had Celiac Disease and Developed Pellagra" that talks about this in more detail. Again good luck and your continued journey and I hope this is helpful. 2 Timothy 2: 7 ?Consider what I say; and the Lord give thee understanding in all things? this included. posterboy by the grace of God,

I should say I am confused about how to interpret--- Does this mean celiac or no celiac? Thank you all---I greatly appreciate it.

KathleenH, I swear by MatteosPizza and they make National Delivery. I have been known to buy them by the dozen. https://www.matteospizza.com/ BellaMonica's is not a bad corn based crust. By not bad I mean "suprisingly good" that can be bought at most grocery stores. Here is there ZIP locator page to see if they are carried in your local area. http://glutenfreepizza.typepad.com/gluten-free-pizza/where-to-find-bella-monica.html I hope this is helpful. posterboy,

Hey all--have Hashimoto's and am being worked up for epigastric discomfort and IBS like symptoms--- My blood work had an IgA within the lower end of normal range, negative TTG, but weakly positive DGP. My endoscopy showed a "nodular" duodenum with the biopsy stating there was "reactive lymphoid hyperplasia"... I have a follow-up with the GI in 3 weeks. Wondering about any help?

DH wasn't linked to celiacs until 1967 from my research...