Practical insights into gluten-free diets

  title={Practical insights into gluten-free diets},
  author={Jacalyn A. See and Katri Kaukinen and Govind Kumar Makharia and Peter R. Gibson and Joseph A. Murray},
  journal={Nature Reviews Gastroenterology \&Hepatology},
Coeliac disease is a global disease, and the only currently available treatment is a gluten-free diet (GFD). Although conceptually simple, the diet changes are substantial and have a profound effect on a patient's life. Untreated coeliac disease is associated with complications, including excess mortality, most of which can be avoided with a strict GFD. However, there are many barriers, including availability, cost and safety of gluten-free foods, and gluten cross-contamination. The GFD can be… 
Eliminating Dietary Gluten: Don’t Be a “Glutton for Punishment”
“extremely vigilant” patients with celiac disease were more likely to feel depressed/overwhelmed by CD and feel limited by CD when eating out or traveling compared to less vigilant patients, this is the first study highlighting the negative impact of extreme vigilance on QOL of patients with CD.
Biomarkers to Monitor Gluten-Free Diet Compliance in Celiac Patients
The detection of gluten immunogenic peptides (GIP) in feces and urine have been proposed as new non-invasive biomarkers to detect gluten intake and verify GFD compliance in CD patients.
Evaluation of Efficacy and Adherence to Gluten-Free Diet in Patients with Celiac Disease
In children, normalization of duodenal mucosa was achieved in 95% of cases within 2 years, while it is more delayed in adults, whose mucosa take longer to heal completely.
All that a physician should know about gluten-free diet
This review article has compiled, for the physicians and gastroenterologists, the relevant information about GFD including counseling, adherence, nutritional adequacy, and many other related issues.
Coeliac disease in children: the need to improve awareness in resource-limited settings.
An overview of the subject was given followed by authors' view to emphasize the need for improved awareness in resource-limited settings of coeliac disease.
Coeliac disease.
The only effective treatment for coeliac disease is a lifelong strict gluten-free diet; however, the diet is restrictive and gluten is difficult to avoid.
Coeliac disease
The risk factors and immune mechanisms of coeliac disease are discussed, future treatment options beyond the gluten-free diet are highlighted and the diet is restrictive and gluten is difficult to avoid.
Determination of gluten consumption in celiac disease patients on a gluten-free diet.
These surrogate biomarkers of gluten ingestion indicate that many individuals following a GFD regularly consume sufficient gluten to trigger symptoms and perpetuate intestinal histologic damage.
[Celiac disease: causes, pathology, and nutritional assessment of gluten-free diet. A review].
Gluten-free diet, as followed by celiac patients, usually entails certain deficiencies such as group-B vitamins, vitamin D, calcium, iron, folic acid, and fiber, which is mainly due to the poor nutritional quality of gluten-free products as compared to their equivalents with gluten, and a scarce monitoring by health professionals.
Going Beyond Gluten-Free
* Abbreviations: CD — : celiac disease tTG-IgA — : tissue transglutaminase immunoglobulin A antibody Celiac disease (CD) is an autoimmune, small intestinal enteropathy caused by a permanent


Living with coeliac disease and a gluten-free diet: a Canadian perspective.
  • M. Zarkadas, S. Dubois, O. Pulido
  • Medicine
    Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
  • 2013
The present study quantifies the difficulties experienced, the strategies used and the emotional impact of following a gluten-free diet among Canadians with coeliac disease and highlights the need to improve the training and education of dietitians, other health providers and the food service industry workers.
A gluten-free diet effectively reduces symptoms and health care consumption in a Swedish celiac disease population
Investigating the effect of a gluten-free diet on celiac disease related symptoms, health care consumption, and the risk of developing associated immune-mediated diseases found all investigated symptoms except joint pain improved after diagnosis and initiated gluten- free diet.
Nutritional consequences of celiac disease and the gluten-free diet
The aim of this special report is to elucidate and explain the various nutritional deficiencies seen in newly diagnosed patients with celiac disease and while on the gluten-free diet.
Factors affecting adherence to a gluten-free diet in children with celiac disease.
BACKGROUND The treatment of celiac disease is a strict, life-long gluten-free (GF) diet. This diet is complex and can be challenging. Factors affecting adherence to the GF diet are important to
The gluten-free diet: how to provide effective education and resources.
  • S. Case
  • Medicine
  • 2005
It is essential that the physician initiate an immediate referral to a dietitian with expertise in CD for nutritional assessment, diet education, meal planning, and assistance with the adaptation to the challenging new gluten-free lifestyle.
Type 1 diabetes and celiac disease: The effects of gluten free diet on metabolic control.
Low glycemic index foods are often suggested in people with type 1 diabetes, since they might reduce postprandial glycemic excursion and enhance long-term glycemic control, and in contrast, GFD may be rich in high gly glucose index foods that can increase the risk of obesity, insulin resistance and cardiovascular disease, worsening the metabolic control of the child with diabetes.
Celiac Disease: Predictors of Compliance With a Gluten-free Diet in Adolescents and Young Adults
Optimal school integration significantly contributes to the likelihood of good compliance in teenagers with celiac disease and a better understanding within the school environment about CD-related issues could improve motivation to adhere to a gluten-free diet.
Nutritional Management of the Gluten-free Diet in Young People with Celiac Disease in The Netherlands
Better medical and dietary support is necessary to prevent long-term complications and to achieve an ongoing satisfying management in this group of young patients with a chronic disorder.
Dietary shortcomings in children on a gluten-free diet.
Children on GFD appear to follow the same trends as healthy children on a normal diet, with high intakes of saturated fat and sucrose and low intakes of dietary fibre, vitamin D and magnesium compared to recommendations.
Benefits of a gluten-free diet for asymptomatic patients with serologic markers of celiac disease.
GFDs benefit asymptomatic EmA-positive patients and support active screening of patients at risk for celiac disease, as well as those placed on gluten-containing diets.