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:

Gluten-free Diet and Body Mass in Normal-weight and Overweight Children with Celiac Disease

Celiac.com 12/19/2011 - Very little data has been collected about how body mass relates to celiac disease in children in the United States. Recently, a team of researchers sought to document the way celiac disease presents in children with normal and with elevated body mass index (BMI) for age, and to study BMI changes in those kids following a gluten-free diet.

Photo: CC--dboyThe research team included Norelle Rizkalla Reilly, Kathleen Aguilar, Benjamin G. Hassid, Jianfeng Cheng, Amy R. DeFelice, Philip Kazlow, Govind Bhagat, and Peter H. Green. They are variously affiliate with Columbia University School of Medicine.

The team reviewed data from patients treated at their specialty clinic from 2000 to 2008, for whom follow-up growth data available. In all, they evaluated 142 children from 13 months to 19 years in age, all with biopsy-proven celiac disease.

To compare the results, they assessed patient height, weight, and BMI by age (z score), and grouped results by BMI as underweight, normal, or overweight.

To be certain which of the patients were following a gluten-free diet, the team used results of serological assays, and data of noncompliant patients, which they assessed separately.

Ads by Google:

Their analysis included only data gathered during the observation period, which they then expressed as change in height, weight, and BMI z score per month of dietary treatment.

They found that almost 1 in 5 (19%) of patients showed an elevated BMI at diagnosis (12.6% were overweight, while 6% obese). Nearly 3 out of 4 patients (74.5%) showed normal BMI.

The team followed each patient for an average of 35.6 months. Three out of four patients (75%) with an elevated BMI at diagnosis showed a substantial decrease in BMI z scores after following a gluten-free diet. Nearly half (44%) of those patients showed a normalized BMI after following a gluten-free diet.

North American children with celiac disease frequently present as either normal weight or overweight. Patients with normal BMI at diagnosis showed sharply higher weight z scores after following a gluten-free diet, and 13% became overweight. This means that normal weight individuals will likely gain weight on a gluten-free diet, and that just over one in ten will become overweight.

However, for overweight and obese children with celiac disease, the results indicate that a gluten-free diet may be helpful in lowering BMI.

Source:

  • JPGN 2011;53: 528–531

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












Related Articles



2 Responses:

 
calculator
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
19 Dec 2011 5:10:46 AM PST
After reading the post with good tips, I thought it would be good to mention that a person should also gauge the amount of calories they eat by the amount of calories their body burns. There actually is available an online calculator that will tell you how many calories your body is burning and how many calories you should eat per day to gain or lose weight.

 
Gluten Free Me
Rating: ratingfullratingfullratingfullratingfullratingempty Unrated
said this on
03 Jan 2012 12:56:40 PM PST
It might be helpful to know if whether gluten free substitutes were regularly eaten by those whose BMI increased.




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




In Celiac.com's Forum Now:


Just wanted to revive this thread with an update. My daughter's appetite/calorie intake is slightly better these days, especially in the morning--though overall I'd say that she usually still has to eat deliberately rather than out of true hunger. The main problem is that she still feels terrible...

My daughter also loves to make ginger bread house every Christmas. I buy this gluten-free kit every December from a gluten free bakery called Sensitive Sweets. They ship the kit to our house. http://www.sensitivesweets.com/holiday-items/gluten-free-vegan-gingerbread-house-kit

We are going to try to make our own this year, but I've seen some great gingerbread houses made out of graham crackers. There are plenty of gluten-free graham crackers out there--Pamela's are nice and sturdy for building! If you make your own, the nice thing is that you don't have to worry whethe...

Symptoms from many illnesses often overlap, so you can not diagnose celiac disease based on them (not to mention that there are over 200 possible symptoms). Best to get a simple blood test. Learn more about testing: http://www.cureceliacdisease.org/screening/

I have eaten the Southwest chicken salad at McDonald's many times, with the grilled chicken and no chips. I have celiac disease, and have no problems with this salad. It's a stand by for me when traveling.