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Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up
Celiac disease (CD) may cause numerous nutrient deficiencies that a proper gluten-free diet (GFD) should compensate for. The study group consists of 40 children, aged 8.43 years (SD 3.5), on average, in whom CD was diagnosed on the basis of clinical symptoms, immunological and histopathological resu...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8703461/ https://www.ncbi.nlm.nih.gov/pubmed/34959858 http://dx.doi.org/10.3390/nu13124306 |
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author | Kozioł-Kozakowska, Agnieszka Salamon, Dominika Grzenda-Adamek, Zofia Krawczyk, Agnieszka Duplaga, Mariusz Gosiewski, Tomasz Kowalska-Duplaga, Kinga |
author_facet | Kozioł-Kozakowska, Agnieszka Salamon, Dominika Grzenda-Adamek, Zofia Krawczyk, Agnieszka Duplaga, Mariusz Gosiewski, Tomasz Kowalska-Duplaga, Kinga |
author_sort | Kozioł-Kozakowska, Agnieszka |
collection | PubMed |
description | Celiac disease (CD) may cause numerous nutrient deficiencies that a proper gluten-free diet (GFD) should compensate for. The study group consists of 40 children, aged 8.43 years (SD 3.5), on average, in whom CD was diagnosed on the basis of clinical symptoms, immunological and histopathological results. The patients’ height, weight, diet and biochemical tests were assessed three times: before diagnosis, after six months, and following one year of GFD. After one year, the patients’ weight and height increased but nutritional status (body mass index, BMI percentile) did not change significantly. The children’s diet before diagnosis was similar to that of the general Polish population: insufficient implementation of the dietary norm for energy, fiber, calcium, iodine, iron as well as folic acid, vitamins D, K, and E was observed. Over the year, the GFD of the children with CD did not change significantly for most of the above nutrients, or the changes were not significant for the overall assessment of the diet. Celiac patients following GFD may have a higher risk of iron, calcium and folate deficiencies. These results confirm the need for personalized nutritional education aimed at excluding gluten from the diet, as well as balancing the diet properly, in patients with CD. |
format | Online Article Text |
id | pubmed-8703461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87034612021-12-25 Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up Kozioł-Kozakowska, Agnieszka Salamon, Dominika Grzenda-Adamek, Zofia Krawczyk, Agnieszka Duplaga, Mariusz Gosiewski, Tomasz Kowalska-Duplaga, Kinga Nutrients Article Celiac disease (CD) may cause numerous nutrient deficiencies that a proper gluten-free diet (GFD) should compensate for. The study group consists of 40 children, aged 8.43 years (SD 3.5), on average, in whom CD was diagnosed on the basis of clinical symptoms, immunological and histopathological results. The patients’ height, weight, diet and biochemical tests were assessed three times: before diagnosis, after six months, and following one year of GFD. After one year, the patients’ weight and height increased but nutritional status (body mass index, BMI percentile) did not change significantly. The children’s diet before diagnosis was similar to that of the general Polish population: insufficient implementation of the dietary norm for energy, fiber, calcium, iodine, iron as well as folic acid, vitamins D, K, and E was observed. Over the year, the GFD of the children with CD did not change significantly for most of the above nutrients, or the changes were not significant for the overall assessment of the diet. Celiac patients following GFD may have a higher risk of iron, calcium and folate deficiencies. These results confirm the need for personalized nutritional education aimed at excluding gluten from the diet, as well as balancing the diet properly, in patients with CD. MDPI 2021-11-28 /pmc/articles/PMC8703461/ /pubmed/34959858 http://dx.doi.org/10.3390/nu13124306 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kozioł-Kozakowska, Agnieszka Salamon, Dominika Grzenda-Adamek, Zofia Krawczyk, Agnieszka Duplaga, Mariusz Gosiewski, Tomasz Kowalska-Duplaga, Kinga Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title | Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title_full | Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title_fullStr | Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title_full_unstemmed | Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title_short | Changes in Diet and Anthropometric Parameters in Children and Adolescents with Celiac Disease—One Year of Follow-Up |
title_sort | changes in diet and anthropometric parameters in children and adolescents with celiac disease—one year of follow-up |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8703461/ https://www.ncbi.nlm.nih.gov/pubmed/34959858 http://dx.doi.org/10.3390/nu13124306 |
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