Follow a strict gluten-free diet

Follow a strict gluten-free diet

Correspondencia : Nilton Yhuri Carreazo Pariasca. Correo electrónico: yhuroc gmail. Palabras clave: enfermedad celiaca ; calidad de vida. Keywords: celiac disease ; calidad de vida. Conclusiones de los autores del estudio : el cumplimiento Follow a strict gluten-free diet una dieta sin gluten es un factor esencial see more obtener una óptima calidad de vida. El apoyo psicosocial y educativo debería estar asegurado en pacientes que tienen dificultades en mantener una dieta sin gluten estricta. Authors' conclusions : Compliance with gluten-free diet is an Follow a strict gluten-free diet factor to obtain optimal quality of life. Psychosocial and educational support should be provided for patients having difficulties at strictly adhering to a gluten-free diet. Reviewers' comantary : In adolescents with coeliac disease, to follow a strict adherence to a gluten-free diet allows to obtain an improvement in some aspects of quality of Follow a strict gluten-free diet, like family and Follow a strict gluten-free diet relations; nevertheless it would be desirable to conduct studies on quality of life using more specific questionnaires in relation to the coeliac disease to asses the real impact in the quality of life of these patients. Objetivo : evaluar la influencia del cumplimiento de una dieta sin gluten DSG en la calidad de vida CdV de adolescentes con enfermedad celíaca EC y el impacto de la edad al diagnóstico. Emplazamiento : estudio comunitario multicéntrico en Austria y Alemania. Población de estudio : aplicación de dos cuestionarios de CdV a niños con EC y a un grupo de niños sanos. Se incluyeron pacientes con EC de edad comprendida entre 10 y 20 años captados a través Follow a strict gluten-free diet asociaciones de celíacos y servicios de gastroenterología; y 82 controles sin enfermedad crónica reclutados en institutos austriacos. El Follow a strict gluten-free diet valora nueve areas: escuela, familia, contacto social con compañeros, intereses y actividades de ocio, salud física, salud psicológica, evaluación integral de su calidad de vida e impacto de la enfermedad y su tratamiento. Siendo puntuado en una escala de 0 a 5. Asimismo, se utilizó el inventario Berner de bienestar subjetivo 2que mide componentes de satisfacción y tristeza.

Madrid: ICM; Systematic review: Adherence to a gluten-free diet in adult patients with coeliac disease. Etiologies and predictors of diagnosis in nonresponsive celiac disease. Clin Gastroenterol Hepatol ; Adaptación transcultural y validación del "Celiac Disease Quality of Life CD-QOL survey", un cuestionario específico de medida de la calidad de vida en pacientes con enfermedad celiaca.

Rev Esp Enfermedades Dig ; Factors that impact health-related quality of life in adults with celiac disease: Follow a strict gluten-free diet multicenter source. World J Gastroenterol ; Concurrent and predictive validity of a self-reported measure of medication Follow a strict gluten-free diet.

Medical Care ; A gluten-free diet score to evaluate dietary compliance in Follow a strict gluten-free diet with coeliac disease. Br J Nutr ; Sainsbury K, Mullan B. Measuring beliefs about gluten free diet adherence in adult coeliac disease using the theory of planned behaviour.

Appetite ; Ajzen I. Follow a strict gluten-free diet theory of planned behaviour: Reactions and reflections. Psychol Health ; A simple validated gluten-free diet adherence survey for adults with celiac disease. Kline RB. Principles and practice of structural equation modeling. New York etc. Nunnally JC. Psychometric Theory. Fueyo-Díaz R. Caracterización de la población celiaca en Aragón: aspectos psicosociales de la adherencia a la dieta sin gluten.

Tesis doctoral.

Keto diet and exercise for weight loss

Zaragoza: Universidad de Zaragoza, Facultad de Medicina; Baessler J, Schwarzer R. Evaluación de la autoeficacia: adaptación española de la Escala de Autoeficacia general. Ansiedad Follow a strict gluten-free diet ; User's manual for the Follow a strict gluten-free diet Health Survey. Lincoln, Ri: Qualimetric Incorporated; A prospective comparative study of five measures of gluten-free diet adherence in adults with coeliac disease: Measures of gluten-free diet adherence.

Follow a strict gluten-free diet

Arranz E, Garrote JA. Enfermedad celiaca: introducción al conocimiento actual de la enfermedad celiaca. Majadahonda, Madrid: Ediciones Ergon; A milligram of gluten a day keeps the mucosal recovery away: A case report. Nutr Rev ; The safe threshold for gluten contamination in gluten-free products.

Los elementos principales de la dieta libre de gluten abarcan:. Maintaining a gluten-free diet is very Follow a strict gluten-free diet to help prevent complications caused by celiac learn more here. Mantener una dieta libre de gluten es muy importante para ayudar a prevenir complicaciones causadas por la enfermedad celíaca.

Only a gluten-free diet relieves the patient suffering from a variety of symptoms. Solamente una dieta sin gluten puede Follow a strict gluten-free diet el sufrimiento del paciente a causa de una serie de síntomas.

The challenge of a lifelong gluten-free diet. El reto de una dieta sin gluten de por vida. Follow a strict gluten-free diet gluten-free diet is recommended amongst other things in the treatment of coeliac disease and wheat allergy. Se recomienda una dieta libre de glutenentre otras cosas, para el tratamiento de la enfermedad celiaca y la alergia al trigo. J Hum Nutr Diet, 18pp. Margoni, G.

Traducción de "gluten-free diet" en español

Chouliaras, G. Duscas, I. Voskaki, N. Voutsas, Follow a strict gluten-free diet. Papadopoulou, et al. Bone health in children with celiac disease assessed by dual X-ray absorptiometry: effect of gluten-free diet and predictive value of serum biochemical indices. Kirby, E. Nutritional deficiencies in children on restricted diets.

Pediatr Clin North Am, 56pp. Barton, D. Kelly, J. Gastroenterol Clin North Am, read morepp. Nusier, H. Brodtkorb, S. Rein, A. Odeh, A. Radaideh, H.

Serological screening for Follow a strict gluten-free diet disease in school children in Follow a strict gluten-free diet is height and weight affected when seropositive?. Ital J Pediatr, 36pp. Brambilla, M. Picca, D. Cravidi, M. Tischer, et al. Changes of body mass index in celiac children on a gluten-free diet. Nutr Metab Cardiovasc Dis, 23pp. Ukkola, M. Mäki, K. Kurppa, P. Collin, H. Huhtala, L. Kekkonen, et al.

Changes in body Follow a strict gluten-free diet index on a gluten-free diet in coeliac disease: a nationwide study. Eur J Intern Med, 23pp. Evaluación y seguimiento de la estrategia NAOS: conjunto mínimo de indicadores. Agencia Española de Seguridad Alimentaria y Nutrición. Ministerio de Sanidad, Servicios Sociales e Igualdad. Asociación Española de Pediatría. Suscríbase a la newsletter. Factores asociados a la prevalencia de hipovitaminosis D en Déficit de vitamina D y morbimortalidad en pacientes Guía para autores Envío de manuscritos Ética editorial.

Español English. Opciones de artículo. Are you a health professional able to prescribe Follow a strict gluten-free diet dispense drugs? Política de cookies Cookies policy. Si continua navegando, consideramos que acepta su uso. To improve our services and products, we use "cookies" own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Calcium b. Phosphorus c. Sodium b. Zinc b. Iron b. Patients and Methods: Prospective descriptive study, through application of a 28 question survey to children y. Results: Median age: About 55 percent believe it affects family life due to the following: 55 percent food limitation, 50 Follow a strict gluten-free diet food preparation, 75 percent affect eating out, 35 percent affect traveling.

Se remarca la importancia del diagnóstico precoz en el manejo y pronóstico de Follow a strict gluten-free diet enfermedad. Sería interesante realizar la misma investigación y con grupos similares de diferentes grados de cumplimiento dietético utilizando el DUX de Enfermedad Celíaca 5.

Que hace el metabolismo lento

Conflicto de intereses de los autores del comentario : no existe. El cumplimiento de una Follow a strict gluten-free diet sin gluten estricta mejora algunos aspectos de la calidad de vida en adolescentes celíacos. Evid Ped. Mattejat F, RemschmidtH. Göttingen: Hogrefe; [en línea] [fecha de consulta: 4-II]. Lee A, Newman JM. Click at this page de Pediatría es el Órgano de Expresión Científica de la Asociación Follow a strict gluten-free diet constituye el vehículo a través del cual se comunican los asociados.

CiteScore mide la media de citaciones recibidas por artículo publicado. SJR es una prestigiosa métrica basada en la Follow a strict gluten-free diet que todas las citaciones no son iguales. SJR usa un algoritmo similar al page rank de Google; es una medida cuantitativa y cualitativa al impacto de una publicación. The gluten-free diet has traditionally been accepted as a healthy diet, but there are articles advocating that it may have some nutritional deficiencies. The current study assesses whether there was any change in the contribution of calories, essential elements, proportion of fatty acids, vitamins, minerals and fibre in children who were diagnosed with celiac diseases, on comparing the diet with gluten prior to one year after diagnosis with the diet without gluten at the year of diagnosis.

The Follow a strict gluten-free diet of Follow a strict gluten-free diet or analytical impact that nutritional deficits could have was also assessed. A prospective, descriptive, observational study was conducted in which information was collected from a dietary survey; anthropometric and analytical data were collected at pre-diagnosis of celiac disease and following a gluten diet and one year after celiac disease diagnosis, under gluten-free diet.

Biomarkers to Monitor Gluten-Free Diet Compliance in Celiac Patients

A total Follow a strict gluten-free diet 37 patients meet the study criteria. A decrease in the intake of saturated fatty acids was found, with an increase of monounsaturated fatty acids and an increase in the intake of phosphorus in the diet without gluten. A deficient intake of vitamin D was found in both diets. Clinically, at year of gluten-free diet there was an improvement in weight and size. Analytically, there was an improvement in haemoglobin, ferritin, vitamin D, and Follow a strict gluten-free diet hormone in plasma.

The gluten-free diet has minimal deficiencies, similar to those present in the diet with gluten, with an improvement in the lipid profile by increasing the proportion of monounsaturated fatty acids to the detriment of saturated fatty acids. También se valoró el grado de repercusión clínico o analítico que podrían tener los déficits nutricionales. Estudio observacional, descriptivo y prospectivo en el cual se Follow a strict gluten-free diet los datos de encuesta dietéticas, antropometría y analítica previas al diagnóstico de celiaquía siguiendo dieta Follow a strict gluten-free diet gluten y al año del diagnóstico, Follow a strict gluten-free diet dieta sin gluten de los pacientes diagnosticados de enfermedad celíaca.

Clínicamente, al año de dieta sin gluten hay mejoría en el peso y la talla. Coeliac disease is a systemic immune Follow a strict gluten-free diet caused by gluten and related prolamines in genetically susceptible individuals, and characterised by the presence of a variable combination of clinical manifestations that depend on gluten intake, specific antibodies, the HLA-DQ2 or HLA-DQ8 haplotypes, and enteropathy.

The gluten-free diet has traditionally been declared healthy, but there are studies that suggest that it may be associated to some nutritional deficiencies due to the exclusion of gluten-containing cereals, which are rich in iron, fibre and B-group vitamins. This deficient intake is partly due Follow a strict gluten-free diet the lower fibre, iron, folate, thiamine, riboflavin and niacin content of gluten-free foods.

The aim of our study was to analyse whether there were any changes in the intake of energy, essential nutrients, proportion of FAs, vitamins, dietary elements iron, calcium, zinc, phosphorus and fibre Follow a strict gluten-free diet the diet of children diagnosed with coeliac disease. Our secondary goal was to assess whether the gluten-free diet can be deficient in any nutrients for coeliac children, and the extent to which such deficits may impact the patients. We conducted an observational, descriptive and prospective study in which we collected data for the patients diagnosed with coeliac disease in the paediatric digestive diseases unit Follow a strict gluten-free diet 2 years, from April 1, to March 31, Follow a strict gluten-free diet For each patient, we collected data Follow a strict gluten-free diet to one year.

A food questionnaire was completed on 3 alternating days one of them on a holiday or weekend before the start of the gluten-free diet, and again one year after diagnosis, when the patient was on a Follow a strict gluten-free diet gluten-free diet.

We directed the parents or guardians of the children to document with the utmost possible accuracy the amounts of food ingested, how the foods were prepared, and the brands of the products consumed. We evaluated the following: energy intake and percentage of calories consumed relative to the patient's energy requirements calculated by means of the Schofield equation for weight, height and level of activity the level of activity was estimated based on the information gathered from the parents in the clinical interview at the time of diagnosis ; the percentage of carbohydrates, proteins, lipids and Link composition of the total consumed; the percentage of vitamins and dietary elements consumed in relation to the dietary reference intakes DRIs of the National Academy of Sciences of the United States 8—13 ; and the daily amount of fibre consumed.

In addition to the dietary assessment, we collected anthropometric data weight, height, body mass index [BMI], Waterlow weight-for-height Follow a strict gluten-free diet at the beginning of the study and a year later.

The data for these variables were collected Follow a strict gluten-free diet a nurse before the visit, using the same scale accurate to 0. We assessed the following parameters: haemoglobin, haematocrit, serum iron, transferring saturation index TSIIgA, IgA anti-tissue transglutaminase and antigliadin IgG anti-tissue transglutaminase and antigliadin in patients with IgA deficiencyIgA or IgG antiendomisyum if required, HLA only at diagnosisfolic acid, vitamin B6, vitamin B12, homocysteine, calcium, phosphorus, parathyroid hormone and vitamin D.

We also tested for parasites in 3 samples taken on alternating days to rule out parasitic disease at diagnosis. The study was approved by click at this page committee on ethics and clinical research of our hospital. We established the following inclusion criteria: — Age: 0—13 years.

Diagnosed with coeliac disease, based on the criteria of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition, 1 during the period under study. Followed up at the paediatric digestive diseases unit. The exclusion criteria were the following: — Children 14 years of age or older. Diagnosed with coeliac disease at a time outside the period under study.

Children with coeliac disease already undergoing treatment for this condition. Presence of a chronic underlying condition other than coeliac disease. Undergoing chronic treatment more than 1 month of duration with some type of drug, hormone, or calcium, iron or vitamin D supplement.

Persistence of positive coeliac disease markers a year after initiation of the gluten-free diet. Following some type of exclusion link in addition to the Follow a strict gluten-free diet diet for more than one month. We recruited a total of 69 patients with coeliac disease; 49 of them submitted the food questionnaire at the time of diagnosis, of which 37 Follow a strict gluten-free diet another food questionnaire a year after.

The remaining 12 patients are currently in follow-up, as it has not yet been a year since they started the gluten-free diet. Their ages ranged between 1 and 13 years, with a mean of 5. We also found no differences in the intake of the different essential nutrients: carbohydrates BMI, body mass index; Follow a strict gluten-free diet, standard deviation.

Mean intake values for different diets. Percentage distribution of essential nutrients. The analysis of the intake of different types of FAs did reveal significant differences, with an increase in the intake of Follow a strict gluten-free diet FAs in the gluten-free diet When it came to vitamins, we found a deficient vitamin D intake both in the gluten-containing and the gluten-free diets, and no significant differences in its intake depending Follow a strict gluten-free diet the type of diet As for dietary Follow a strict gluten-free diet, we found a deficient zinc intake in both diets.

In terms of Follow a strict gluten-free diet values, we observed a statistically significant increase in weight and height, while patients remained within normal ranges for BMI and Dolor de ingle classification Table At the beginning of the study, laboratory tests revealed low haemoglobin and ferritin values, which subsequently showed significant improvement. Vitamin B12, folic acid, homocysteine, calcium and phosphorus levels were within normal ranges, and showed no changes in the control performed at year 1.

Vitamin D and parathyroid hormone levels were within the normal range at the beginning and at one year, although they did change in a statistically significant way, with the levels of vitamin D increasing and those of parathyroid hormone decreasing Table Our study aimed to assess the quality of the gluten-free diet in the paediatric age group and its impact on anthropometric and laboratory variables.

We found that the elimination of gluten from the diet did not lead to changes in energy and essential nutrient intakes. Traditionally, it was argued that the introduction of a gluten-free diet entailed an increase Follow a strict gluten-free diet lipid consumption as a result of a reduction in the intake of carbohydrates from the elimination of gluten-containing cereals from the diet.

One possible explanation is that more gluten-free products are now available for coeliac patients, including bread and cereals, which taste better and are more affordable, so that patients do not change their habits and continue consuming cereals as they used to. Another factor that may be at play is the commitment of the parents of these patients to complying correctly with the diet, which motivates many of them to prepare meals at home using foods with adequate macronutrient, micronutrient, vitamin and fibre contents, thus precluding the consumption of processed foods rich in lipids.

The same reasons may account for the fact that the fibre intake, while below the recommended intake for age, did not change significantly. The intake of dietary elements and vitamins in both types of diet was normal except for vitamin D and zinc, in contrast with other studies that show deficiencies in Follow a strict gluten-free diet intake of vitamin Follow a strict gluten-free diet, iron or calcium.

A possible explanation for the absence of low serum vitamin D is that the population under study is from a geographical Follow a strict gluten-free diet Seville with high amounts of sunlight, which is an important source of this vitamin. On the other hand, the improvement in vitamin D levels and the decrease in the levels of parathyroid hormone reflect a better homeostasis of vitamin D in coeliac patients, which may be due to mucosal recovery and increased absorption of vitamin D at the intestine.

This finding deserves further analysis due to its potential repercussion on the bone mineral density of patients with coeliac disease, who have higher rates of osteopaenia than the general population 22 and often receive vitamin D supplements since Follow a strict gluten-free diet levels are deemed deficient. Zinc intake is inadequate in both Follow a strict gluten-free diet of diet. There are studies that demonstrate the association between Follow a strict gluten-free diet deficiency, the gluten-free diet 3,5,19 and a greater severity of villous atrophy, although the actual repercussions of an Follow a strict gluten-free diet zinc intake are still not known.

We did find a Follow a strict gluten-free diet in the intake of the different types of FAs, with a decrease in the intake of saturated FAs and an increase in the intake of monounsaturated FAs.

Hopman et al. The high intake of saturated FAs was accompanied by an insufficient intake of polyunsaturated FAs 5. The improvement on anthropometric parameters is similar to that found in other studies of paediatric patients. The fact that there is no increase in the distribution and contribution to the total energy intake of the different macronutrients leads Follow a strict gluten-free diet to believe that the weight and height recovery is mostly due to recovery from the enteropathy suffered by these patients rather than to increases in energy intake.

When it came to laboratory findings, we observed no deficiencies in vitamin A, vitamin B6, vitamin E, vitamin C and vitamin B12 or folic acid. The most common laboratory abnormality was the presence of Follow a strict gluten-free diet anaemia, found in This anaemia resolved within the year, which illustrates the considerable problems in iron absorption experienced by coeliac patients.

Follow a strict gluten-free diet

One of Follow a strict gluten-free diet limitations of the study was the Follow a strict gluten-free diet of the 3-day questionnaire completed by patients or more commonly by their parents.

Another potential source Follow a strict gluten-free diet error Follow a strict gluten-free diet the lack of complete information for some food products for coeliac individuals, which poses challenges to the assessment of total nutrient intakes.

The data obtained in Follow a strict gluten-free diet study show, on one hand, that the intake of energy and different essential nutrients remains similar despite the switch to a gluten-free diet. The deficiencies and flaws observed in the gluten-free diet were similar to those found in gluten-containing diets insufficient intakes of vitamin D intake and zinc, diet rich in fats and poor in fibreand there was an improvement in lipid profiles, with a decrease in saturated FAs and an increase in monounsaturated FAs.

The few changes detected in terms of nutrition suggest that the key to catch-up growth and recovery from complications such as iron-deficiency anaemia in coeliac patients is adequate compliance with the exclusion of gluten from the diet, rather than potential changes in the nutrients consumed.

We believe that the gluten-free diet is a healthy diet that, overall, has the same flaws and benefits as the usual diet of children in Spain. Monitoring the diet allows for the correction of any potential lacks, so that any deficiencies found in the child at diagnosis can be remedied, and an optimal health and nutrition status can be maintained throughout life.

The authors have no conflicts of interest to declare. Valoración nutricional de la dieta sin gluten. An This web page Barc. Anales de Pediatría. ISSN: Artículo anterior Artículo siguiente.

Lee este artículo en Article source. Nutritional assessment of gluten-free diet. Is gluten-free diet deficient in some nutrient?. Descargar PDF. Salazar Quero a. Autor para correspondencia. Este artículo ha recibido. Información del artículo. Table 1. Patient characteristics.