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Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?

The current study assesses whether the use of a gluten-free diet (GFD) is sufficient for maintaining correct iron status in children with celiac disease (CD). The study included 101 children. The celiac group (n = 68) included children with CD, with long (> 6 months) (n = 47) or recent (< 6 mo...

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Autores principales: Nestares, Teresa, Martín-Masot, Rafael, Labella, Ana, Aparicio, Virginia A., Flor-Alemany, Marta, López-Frías, Magdalena, Maldonado, José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146183/
https://www.ncbi.nlm.nih.gov/pubmed/32245180
http://dx.doi.org/10.3390/nu12030844
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author Nestares, Teresa
Martín-Masot, Rafael
Labella, Ana
Aparicio, Virginia A.
Flor-Alemany, Marta
López-Frías, Magdalena
Maldonado, José
author_facet Nestares, Teresa
Martín-Masot, Rafael
Labella, Ana
Aparicio, Virginia A.
Flor-Alemany, Marta
López-Frías, Magdalena
Maldonado, José
author_sort Nestares, Teresa
collection PubMed
description The current study assesses whether the use of a gluten-free diet (GFD) is sufficient for maintaining correct iron status in children with celiac disease (CD). The study included 101 children. The celiac group (n = 68) included children with CD, with long (> 6 months) (n = 47) or recent (< 6 months) (n = 21) adherence to a GFD. The control group (n = 43) included healthy children. Dietary assessment was performed by a food frequency questionnaire and a 3-day food record. Celiac children had lower iron intake than controls, especially at the beginning of GFD (p < 0.01). The group CD-GFD >6 months showed a higher intake of cobalamin, meat derivatives and fish compared to that of CD-GFD <6 months (all, p < 0.05). The control group showed a higher consumption of folate, iron, magnesium, selenium and meat derivatives than that of children CD-GFD >6 months (all, p < 0.05). Control children also showed a higher consumption of folate and iron compared to that of children CD-GFD <6 months (both, p < 0.05). The diet of celiac children was nutritionally less balanced than that of the control. Participation of dietitians is necessary in the management of CD to guide the GFD as well as assess the inclusion of iron supplementation and other micronutrients that may be deficient.
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spelling pubmed-71461832020-04-15 Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease? Nestares, Teresa Martín-Masot, Rafael Labella, Ana Aparicio, Virginia A. Flor-Alemany, Marta López-Frías, Magdalena Maldonado, José Nutrients Article The current study assesses whether the use of a gluten-free diet (GFD) is sufficient for maintaining correct iron status in children with celiac disease (CD). The study included 101 children. The celiac group (n = 68) included children with CD, with long (> 6 months) (n = 47) or recent (< 6 months) (n = 21) adherence to a GFD. The control group (n = 43) included healthy children. Dietary assessment was performed by a food frequency questionnaire and a 3-day food record. Celiac children had lower iron intake than controls, especially at the beginning of GFD (p < 0.01). The group CD-GFD >6 months showed a higher intake of cobalamin, meat derivatives and fish compared to that of CD-GFD <6 months (all, p < 0.05). The control group showed a higher consumption of folate, iron, magnesium, selenium and meat derivatives than that of children CD-GFD >6 months (all, p < 0.05). Control children also showed a higher consumption of folate and iron compared to that of children CD-GFD <6 months (both, p < 0.05). The diet of celiac children was nutritionally less balanced than that of the control. Participation of dietitians is necessary in the management of CD to guide the GFD as well as assess the inclusion of iron supplementation and other micronutrients that may be deficient. MDPI 2020-03-21 /pmc/articles/PMC7146183/ /pubmed/32245180 http://dx.doi.org/10.3390/nu12030844 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nestares, Teresa
Martín-Masot, Rafael
Labella, Ana
Aparicio, Virginia A.
Flor-Alemany, Marta
López-Frías, Magdalena
Maldonado, José
Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title_full Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title_fullStr Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title_full_unstemmed Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title_short Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
title_sort is a gluten-free diet enough to maintain correct micronutrients status in young patients with celiac disease?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146183/
https://www.ncbi.nlm.nih.gov/pubmed/32245180
http://dx.doi.org/10.3390/nu12030844
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