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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...

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Autores principales: Kozioł-Kozakowska, Agnieszka, Salamon, Dominika, Grzenda-Adamek, Zofia, Krawczyk, Agnieszka, Duplaga, Mariusz, Gosiewski, Tomasz, Kowalska-Duplaga, Kinga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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