nach oben

European Journal of Nutrition

Erschienen in:

09.04.2018 | Original Contribution

Gluten-free-rendered products contribute to imbalanced diets in children and adolescents with celiac disease

verfasst von: I. Larretxi, E. Simon, L. Benjumea, J. Miranda, M. A. Bustamante, A. Lasa, F. J. Eizaguirre, I. Churruca

Erschienen in: European Journal of Nutrition | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

As well as adhering to the safe limit for gluten intake, a suitable gluten-free (GF) diet must also be nutritionally balanced. However, malnutrition has been observed in the population with celiac disease (CD). This is even more important in the case of children and adolescents, whose GF diet must also ensure their proper growth. The aim of the present study was to assess the diet quality of children and adolescents with CD to attain optimal nutritional status, determining the most relevant factors that affect a balanced diet.

Methods

Eighty-three children and adolescents with CD (9.2 ± 3.8 years) took part in the study. Height, weight and body composition were measured. An analysis of energy consumption and of the macronutrient distribution of their diet was carried out. Adherence to Mediterranean diet by KIDMED index was analyzed, and energy and nutrients intake.

Results

The diet of participants was not balanced, containing more fat and less carbohydrate than recommended. Most children and adolescents revealed adequate body mass index and suitable body fat percentage. Two-thirds of them showed moderate or poor KIDMED index, the case of girls being remarkable. When the GF diet, containing GF-rendered foodstuffs, was compared to a similar type of diet but substituting GF products with their analogs containing gluten, important nutritional differences were revealed.

Conclusions

Even though celiac children and adolescents’ diet is unhealthy due to its inappropriate dietary pattern, following a diet based on GF products raises extra difficulty in complying with the nutritional recommendations.

Nur mit Berechtigung zugänglich

Bai JC, Ciacci C (2017) World gastroenterology organisation global guidelines: celiac disease February 2017. J Clin Gastroenterol 51(9):755–768. https://doi.org/10.1097/MCG.0000000000000919 CrossRefPubMed

Ludvigsson JF, Leffler DA, Bai JC, Biagi F, Fasano A, Green PH, Hadjivassiliou M, Kaukinen K, Kelly CP, Leonard JN, Lundin KE, Murray JA, Sanders DS, Walker MM, Zingone F, Ciacci C (2013) The Oslo definitions for coeliac disease and related terms. Gut 62(1):43–52. https://doi.org/10.1136/gutjnl-2011-301346 CrossRefPubMed

Catassi C, Gatti S, Fasano A (2014) The new epidemiology of celiac disease. J Pediatr Gastroenterol Nutr 59(Suppl 1):S7–S9. https://doi.org/10.1097/01.mpg.0000450393.23156.59 CrossRefPubMed

Mariné M, Farre C, Alsina M, Vilar P, Cortijo M, Salas A, Fernández-Bañares F, Rosinach M, Santaolalla R, Loras C, Marquès T, Cusí V, Hernández MI, Carrasco A, Ribes J, Viver JM, Esteve M (2011) The prevalence of coeliac disease is significantly higher in children compared with adults. Aliment Pharmacol Ther 33(4):477–486. https://doi.org/10.1111/j.1365-2036.2010.04543.x CrossRefPubMed

Capristo E, Malandrino N, Farnetti S, Mingrone G, Leggio L, Addolorato G, Gasbarrini G (2009) Increased serum high-density lipoprotein-cholesterol concentration in celiac disease after gluten-free diet treatment correlates with body fat stores. J Clin Gastroenterol 43(10):946–949. https://doi.org/10.1097/MCG.0b013e3181978e4d CrossRefPubMed

Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA (2013) Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients. Nutrients 5(10):3975–3992. https://doi.org/10.3390/nu5103975 CrossRefPubMedPubMedCentral

Dickey W, Kearney N (2006) Overweight in celiac disease: prevalence, clinical characteristics, and effect of a gluten-free diet. Am J Gastroenterol 101(10):2356–2359. https://doi.org/10.1111/j.1572-0241.2006.00750.x CrossRefPubMed

Snyder J, Butzner JD, DeFelice AR, Fasano A, Guandalini S, Liu E, Newton KP (2016) Evidence-informed expert recommendations for the management of celiac disease in children. Pediatrics. https://doi.org/10.1542/peds.2015-3147 CrossRefPubMed

Valitutti F, Trovato CM, Montuori M, Cucchiara S (2017) Pediatric celiac disease: follow-up in the spotlight. Adv Nutr 8(2):356–361. https://doi.org/10.3945/an.116.013292 CrossRefPubMedPubMedCentral

10.

Wild D, Robins GG, Burley VJ, Howdle PD (2010) Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet. Aliment Pharmacol Ther 32(4):573–581. https://doi.org/10.1111/j.1365-2036.2010.04386.x CrossRefPubMed

11.

Whitton C, Nicholson SK, Roberts C, Prynne CJ, Pot GK, Olson A, Fitt E, Cole D, Teucher B, Bates B, Henderson H, Pigott S, Deverill C, Swan G, Stephen AM (2011) National diet and nutrition survey: UK food consumption and nutrient intakes from the first year of the rolling programme and comparisons with previous surveys. Br J Nutr 106(12):1899–1914. https://doi.org/10.1017/S0007114511002340 CrossRefPubMedPubMedCentral

12.

Størsrud S, Hulthén LR, Lenner RA (2003) Beneficial effects of oats in the gluten-free diet of adults with special reference to nutrient status, symptoms and subjective experiences. Br J Nutr 90(1):101–107. https://doi.org/10.1079/BJN2003872 CrossRefPubMed

13.

Thompson T, Dennis M, Higgins LA, Lee AR, Sharrett MK (2005) Gluten-free diet survey: are Americans with coeliac disease consuming recommended amounts of fibre, iron, calcium and grain foods? J Hum Nutr Diet 18(3):163–169. https://doi.org/10.1111/j.1365-277X.2005.00607.x CrossRefPubMed

14.

Miranda J, Lasa A, Bustamante MA, Churruca I, Simon E (2014) Nutritional differences between a gluten-free diet and a diet containing equivalent products with gluten. Plant Foods Hum Nutr 69(2):182–187. https://doi.org/10.1007/s11130-014-0410-4 CrossRefPubMed

15.

Thompson T (1999) Thiamin, riboflavin, and niacin contents of the gluten-free diet: is there cause for concern? J Am Diet Assoc 99(7):858–862. https://doi.org/10.1016/S0002-8223(99)00205-9 CrossRefPubMed

16.

Saturni L, Ferretti G, Bacchetti T (2010) The gluten-free diet: safety and nutritional quality. Nutrients 2(1):16–34. https://doi.org/10.3390/nu20100016 CrossRefPubMedPubMedCentral

17.

Dell’Olio D, Palma L, Malorgio E, Ansaldi Balocco N (1995) What do celiac children eat? Dietary analysis of a group of children with celiac disease on a diet. Minerva Gastroenterol Dietol 41(4):269–273PubMed

18.

Ohlund K, Olsson C, Hernell O, Ohlund I (2010) Dietary shortcomings in children on a gluten-free diet. J Hum Nutr Diet 23(3):294–300. https://doi.org/10.1111/j.1365-277X.2010.01060.x CrossRefPubMed

19.

Mariani P, Viti MG, Montuori M, La Vecchia A, Cipolletta E, Calvani L, Bonamico M (1998) The gluten-free diet: a nutritional risk factor for adolescents with celiac disease? J Pediatr Gastroenterol Nutr 27(5):519–523. https://doi.org/10.1097/00005176-199811000-00004 CrossRefPubMed

20.

Hopman EG, le Cessie S, von Blomberg BM, Mearin ML (2006) Nutritional management of the gluten-free diet in young people with celiac disease in the Netherlands. J Pediatr Gastroenterol Nutr 43(1):102–108. https://doi.org/10.1097/01.mpg.0000228102.89454.eb CrossRefPubMed

21.

Ferrara P, Cicala M, Tiberi E, Spadaccio C, Marcella L, Gatto A, Calzolari P, Castellucci G (2009) High fat consumption in children with celiac disease. Acta Gastroenterol Belg 72(3):296–300PubMed

22.

Rujner J, Socha J, Syczewska M, Wojtasik A, Kunachowicz H, Stolarczyk A (2004) Magnesium status in children and adolescents with coeliac disease without malabsorption symptoms. Clin Nutr 23(5):1074–1079. https://doi.org/10.1016/j.clnu.2003.10.018 CrossRefPubMed

23.

Blazina S, Bratanic N, Campa AS, Blagus R, Orel R (2010) Bone mineral density and importance of strict gluten-free diet in children and adolescents with celiac disease. Bone 47(3):598–603. https://doi.org/10.1016/j.bone.2010.06.008 CrossRefPubMed

24.

Kautto E, Ivarsson A, Norström F, Högberg L, Carlsson A, Hörnell A (2014) Nutrient intake in adolescent girls and boys diagnosed with coeliac disease at an early age is mostly comparable to their non-coeliac contemporaries. J Hum Nutr Diet 27(1):41–53. https://doi.org/10.1111/jhn.12125 CrossRefPubMed

25.

Pietzak MM (2005) Follow-up of patients with celiac disease: achieving compliance with treatment. Gastroenterology 128(4 Suppl 1):S135–S141. https://doi.org/10.1053/j.gastro.2005.02.025 CrossRefPubMed

26.

Valdimarsson T, Toss G, Löfman O, Ström M (2000) Three years’ follow-up of bone density in adult coeliac disease: significance of secondary hyperparathyroidism. Scand J Gastroenterol 35(3):274–280. https://doi.org/10.1080/003655200750024146 CrossRefPubMed

27.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1243. https://doi.org/10.1136/bmj.320.7244.1240 CrossRefPubMedPubMedCentral

28.

Cole TJ, Lobstein T (2012) Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes 7(4):284–294. https://doi.org/10.1111/j.2047-6310.2012.00064.x CrossRefPubMed

29.

Cole TJ, Flegal KM, Nicholls D, Jackson AA (2007) Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 335(7612):194. https://doi.org/10.1136/bmj.39238.399444.55 CrossRefPubMedPubMedCentral

30.

Fernández C, Lorenzo H, Vrotsou K, Aresti U, Rica I, Sánchez E (2011) Curvas y tablas de crecimiento (Estudios Longitudinal y Transversal). Fundación Faustino Orbegozo Eizaguirre, Bilbao

31.

World Health Organization (2010) Global recommendations on physical activity for health. WHO, Geneva

32.

Bel-Serrat S, Mouratidou T, Pala V, Huybrechts I, Börnhorst C, Fernández-Alvira JM, Hadjigeorgiou C, Eiben G, Hebestreit A, Lissner L, Molnár D, Siani A, Veidebaum T, Krogh V, Moreno LA (2014) Relative validity of the children’s eating habits questionnaire-food frequency section among young European children: the IDEFICS study. Public Health Nutr 17(2):266–276. https://doi.org/10.1017/S1368980012005368 CrossRefPubMed

33.

Rodríguez VM, Elbusto-Cabello A, Alberdi-Albeniz M, De la Presa-Donado A, Gómez-Pérez de Mendiola F, Portillo-Baquedano MP, Churruca-Ortega I (2014) Validación de un nuevo registro alimentario precodificado. Revista Española de Nutrición Humana y Dietética. Revista Española de Nutrición Humana y Dietética. https://doi.org/10.14306/renhyd.18.3.84 CrossRef

34.

Rodríguez IT, Ballart JF, Pastor GC, Jordà EB, Val VA (2008) Validation of a short questionnaire on frequency of dietary intake: reproducibility and validity. Nutr Hosp 23(3):242–252PubMed

35.

Russolillo G, Marques I (2008) Food portion sizes album. Imagen Comunicación Multimedia, Madrid

36.

FESNAD (2010) Dietary reference intakes (DRI) for spanish population, 2010. Act Diet 14 (4):196–197. https://doi.org/10.1016/S1138-0322(10)70039-0 CrossRef

37.

Gobierno Vasco (2005) Encuesta de nutrición 2005. Departamento de Sanidad del Gobierno Vasco, Vitoria-Gasteiz

38.

European Food Safety Authority (2017) Dietary reference values for nutrients summary report. EFSA Support Publ 14 (12):e15121E–n/a. https://doi.org/10.2903/sp.efsa.2017.e15121 CrossRef

39.

Aranceta J, Serra-Majem L (2001) Dietary guidelines for the Spanish population. Public Health Nutr 4(6A):1403–1408PubMed

40.

Missbach B, Schwingshackl L, Billmann A, Mystek A, Hickelsberger M, Bauer G, König J (2015) Gluten-free food database: the nutritional quality and cost of packaged gluten-free foods. PeerJ 3:e1337. https://doi.org/10.7717/peerj.1337 CrossRefPubMedPubMedCentral

41.

Zhong VW, Lamichhane AP, Crandell JL, Couch SC, Liese AD, The NS, Tzeel BA, Dabelea D, Lawrence JM, Marcovina SM, Kim G, Mayer-Davis EJ (2016) Association of adherence to a Mediterranean diet with glycemic control and cardiovascular risk factors in youth with type I diabetes: the SEARCH Nutrition Ancillary Study. Eur J Clin Nutr 70(7):802–807. https://doi.org/10.1038/ejcn.2016.8 CrossRefPubMedPubMedCentral

42.

Esteban-Cornejo I, Izquierdo-Gomez R, Gómez-Martínez S, Padilla-Moledo C, Castro-Piñero J, Marcos A, Veiga OL (2016) Adherence to the Mediterranean diet and academic performance in youth: the UP&DOWN study. Eur J Nutr 55 (3):1133–1140. https://doi.org/10.1007/s00394-015-0927-9 CrossRefPubMed

43.

Martin-Calvo N, Chavarro JE, Falbe J, Hu FB, Field AE (2016) Adherence to the Mediterranean dietary pattern and BMI change among US adolescents. Int J Obes (Lond) 40(7):1103–1108. https://doi.org/10.1038/ijo.2016.59 CrossRef

44.

Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, Aranceta J (2004) Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 7(7):931–935. https://doi.org/10.1079/PHN2004556 CrossRefPubMed

45.

Bardella MT, Fredella C, Prampolini L, Molteni N, Giunta AM, Bianchi PA (2000) Body composition and dietary intakes in adult celiac disease patients consuming a strict gluten-free diet. Am J Clin Nutr 72(4):937–939CrossRefPubMed

46.

Hallert C, Grant C, Grehn S, Grännö C, Hultén S, Midhagen G, Ström M, Svensson H, Valdimarsson T (2002) Evidence of poor vitamin status in coeliac patients on a gluten-free diet for 10 years. Aliment Pharmacol Ther 16(7):1333–1339. https://doi.org/10.1046/j.1365-2036.2002.01283.x CrossRefPubMed

47.

Martin J, Geisel T, Maresch C, Krieger K, Stein J (2013) Inadequate nutrient intake in patients with celiac disease: results from a german dietary survey. Digestion 87(4):240–246. https://doi.org/10.1159/000348850 CrossRefPubMed

48.

Moreno LA, Mesana MI, Fleta J, Ruiz JR, González-Gross M, Sarría A, Marcos A, Bueno M, Group AS (2005) Overweight, obesity and body fat composition in spanish adolescents. The AVENA Study. Ann Nutr Metab 49(2):71–76. https://doi.org/10.1159/000084738 CrossRefPubMed

49.

Pérez-Farinós N, López-Sobaler AM, Dal Re M, Villar C, Labrado E, Robledo T, Ortega RM (2013) The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011. Biomed Res Int 2013:163687. https://doi.org/10.1155/2013/163687 CrossRefPubMedPubMedCentral

50.

Zuccotti G, Fabiano V, Dilillo D, Picca M, Cravidi C, Brambilla P (2013) Intakes of nutrients in Italian children with celiac disease and the role of commercially available gluten-free products. J Hum Nutr Diet 26(5):436–444. https://doi.org/10.1111/jhn.12026 CrossRefPubMed

51.

Babio N, Alcázar M, Castillejo G, Recasens M, Martínez-Cerezo F, Gutiérrez-Pensado V, Masip G, Vaqué C, Vila-Martí A, Torres-Moreno M, Sánchez E, Salas-Salvadó J (2017) Patients with celiac disease reported higher consumption of added sugar and total fat than healthy individuals. J Pediatr Gastroenterol Nutr 64(1):63–69. https://doi.org/10.1097/MPG.0000000000001251 CrossRefPubMed

52.

Papadaki S, Mavrikaki E (2015) Greek adolescents and the Mediterranean diet: factors affecting quality and adherence. Nutrition 31(2):345–349. https://doi.org/10.1016/j.nut.2014.09.003 CrossRefPubMed

53.

Inchley J, Currie D, Young T, Samdal O, Torsheim T, Augustson L, Mathison F, Aleman-Diaz A, Molcho M, Weber M, Barnekow V (2016) Growing up unequal. HBSC 2016 study (2013/2014 survey). World Health Organization, Geneva

54.

Kulai T, Rashid M (2014) Assessment of nutritional adequacy of packaged gluten-free food products. Can J Diet Pract Res 75(4):186–190. https://doi.org/10.3148/cjdpr-2014-022 CrossRefPubMed

55.

Wu JH, Neal B, Trevena H, Crino M, Stuart-Smith W, Faulkner-Hogg K, Yu Louie JC, Dunford E (2015) Are gluten-free foods healthier than non-gluten-free foods? An evaluation of supermarket products in Australia. Br J Nutr 114(3):448–454. https://doi.org/10.1017/S0007114515002056 CrossRefPubMed

Titel: Gluten-free-rendered products contribute to imbalanced diets in children and adolescents with celiac disease
verfasst von: I. Larretxi
E. Simon
L. Benjumea
J. Miranda
M. A. Bustamante
A. Lasa
F. J. Eizaguirre
I. Churruca
Publikationsdatum: 09.04.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 2/2019
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-018-1685-2

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

25.04.2024 | Nierenkarzinom | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Gluten-free-rendered products contribute to imbalanced diets in children and adolescents with celiac disease

Abstract

Purpose

Methods

Results

Conclusions

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Metformin rückt in den Hintergrund

Myokarditis nach Infekt – richtig schwierig wird es bei Profisportlern

Update Innere Medizin

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2019

Higher serum carotenoids associated with improvement of non-alcoholic fatty liver disease in adults: a prospective study

The effect of Guarana (Paullinia cupana) on metabolic and inflammatory parameters in adult male mice programmed by maternal obesity

Xanthohumol exerts protective effects in liver alterations associated with aging

Prospective associations of dietary carbohydrate, fat, and protein intake with β-cell function in the CODAM study

Quercetin inhibits intestinal non-haem iron absorption by regulating iron metabolism genes in the tissues

Effects of vitamin D supplementation on FGF23: a randomized-controlled trial

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Metformin rückt in den Hintergrund

Myokarditis nach Infekt – richtig schwierig wird es bei Profisportlern

Update Innere Medizin