Nutrition Assessment and Management in Celiac Disease.
Gastroenterology
; 167(1): 116-131.e1, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38593924
ABSTRACT
Celiac disease (CeD) is the most common immune condition affecting the gastrointestinal tract; it is triggered by gluten and the only available treatment is a strict gluten-free diet (GFD). Therefore, for patients with CeD, adopting a GFD is not a lifestyle choice. The major problem is that a GFD is restrictive and, like all restrictive diets, it has the potential for adverse nutritional outcomes, especially if adopted for a long term. It is well known that GFD can be nutritionally inadequate and is frequently associated with vitamin and mineral deficiencies; it is also associated with excessive sugar and fat intake, particularly when gluten-free substitutes are consumed. Consequently, people with CeD are affected by higher rates of overweight and obesity and metabolic complications, such as fatty liver and cardiovascular disease. Therefore, assessment of nutritional status and diet quality at diagnosis and while on a long-term GFD is key in the management of CeD. This narrative review addresses nutritional considerations in CeD and management of common challenges associated with a GFD.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação Nutricional
/
Doença Celíaca
/
Estado Nutricional
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Dieta Livre de Glúten
Limite:
Humans
Idioma:
En
Revista:
Gastroenterology
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá