Coexistence of Excessive Weight Gain and Celiac Disease in Children: An Unusual Familial Condition

Calcaterra, Valeria; Regalbuto, Corrado; Madè, Alexandra; Magistrali, Mariasole; Leonard, Maureen M.; Cena, Hellas

doi:10.5223/pghn.2019.22.4.407

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…Although obesity consists of a multifactorial disease, it is known that a high GI profile of the diet is correlated to rising prevalence, and, in the context of a GRD, the high GI profile of the available products contributes to this increase [8,73,99]. Obesity and overweight among CD individuals are becoming more common due to the increased total energetic value, fat, and sugar content of gluten-free foods, and the nutritional imbalance and hypercaloric content of commercial gluten-free food items [112]. Studies about the influence of a GFD on celiac disease associated with overweight or obesity are necessary to help determine dietary and nutritional interventions.…”

Section: Glycemic Index Role In Grdmentioning

confidence: 99%

Glycemic Index of Gluten-Free Bread and Their Main Ingredients: A Systematic Review and Meta-Analysis

Romão

Falcomer

Palos

et al. 2021

Foods

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This study aimed to perform a systematic review and meta-analysis of the glycemic index (GI) of gluten-free bread (GFB) and its main ingredients. The systematic review followed PRISMA guidelines, using seven electronic databases (PubMed, EMBASE, Scopus, Science Direct, Web of Science, gray literature research with Google Scholar, and patents with Google Patent tool), from inception to November 2020. Eighteen studies met the inclusion criteria evaluating 132 GFB samples. Five articles tested GI in vivo, eleven in vitro; and two studies tested both methods. The analysis showed that 60.7% (95% CI: 40.2–78.1%) of the samples presented high glycemic indexes, evidencing a high glycemic profile for GFB. Only 18.2% (95% CI: 11.7–27.2%) of the bread samples presented in the studies were classified as a low GI. Meta-analysis presented moderate/low heterogenicity between studies (I2 = 61% and <1% for both high and low GIs) and reinforced the proportion of high GIs. Lower GIs were found in formulations based on Colocasia esculenta flour or enriched with fiber, yogurt and curd cheese, sourdough, psyllium, hydrocolloids, enzymes, fructans, and resistant starch, highlighting the efficacy of these ingredients to lower GFBs’ GI. GFB tends to present high GI, impacting the development of chronic diseases when consumed.

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Section: Glycemic Index Role In Grdmentioning

confidence: 99%

Glycemic Index of Gluten-Free Bread and Their Main Ingredients: A Systematic Review and Meta-Analysis

Romão

Falcomer

Palos

et al. 2021

Foods

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“…The specialized literature records that excess weight in newly diagnosed patients is more frequently associated with abdominal pain as an accompanying manifestation. The importance of screening among children with excess weight, with recurrent headaches of unspecified etiology, as well as close relatives of patients with CD who show excessive growth of body mass, is emphasized ( 88 , 89 ).…”

Section: Atypical Forms Of Celiac Diseasementioning

confidence: 99%

Celiac disease - a pluripathological model in pediatric practice

Lupu,

Sasaran,

Jechel

et al. 2024

Front. Immunol.

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Being defined as an autoimmune, chronic pathology, frequently encountered in any age group, but especially in pediatrics, celiac disease (also called gluten enteropathy), is gaining more and more ground in terms of diagnosis, but also interest in research. The data from the literature of the last decades attest the chameleonic way of its presentation, there may be both classic onset symptoms and atypical symptoms. Given the impact played by celiac disease, especially in the optimal growth and development of children, the current narrative review aims to highlight the atypical presentation methods, intended to guide the clinician towards the inclusion of the pathology in the differential diagnosis scheme. To these we add the summary presentation of the general data and therapeutic lines regarding the underlying condition and the existing comorbidities. In order to place the related information up to date, we performed a literature review of the recent articles published in international databases. We bring forward the current theories and approaches regarding both classic celiac disease and its atypical manifestations. Among these we note mainly constitutional, skin or mucous, bone, neuro-psychic, renal, reproductive injuries, but also disorders of biological constants and association with multiple autoimmunities. Knowing and correlating them with celiac disease is the key to optimal management of patients, thus reducing the subsequent burden of the disease.

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“…[22][23][24] In contrast, the latter studies found a high prevalence of obesity and overweight in patients with CD at the time of diagnosis, with 14.1%, 14.1%, and 19.0%, respectively, [22][23][24] while our study has estimated the rate of obesity and overweight at 8.7%. Indeed, Calcaterra et al 25 have highlighted the association of CD with a risk of overweight and obesity, reporting frequencies ranging from 13.8% to 20.8%. The relatively high prevalence of overweight and obesity observed in our series can be partly explained by the modern trend of dietary habits observed in Morocco.…”

Section: Nutritional Status Of Patients With CD At Diagnosismentioning

confidence: 99%

Nutritional Status of Moroccan Pediatric Patients With Celiac Disease

Guennouni,

Bourrahouat,

Admou

et al. 2023

Topics in Clinical Nutrition

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We aimed to assess the nutritional status at diagnosis and during the follow-up of gluten free diet (GFD) therapy among 127 children with celiac disease (CD) in comparison with 127 controls. The median body mass index of children with CD was significantly lower than that of controls. At the time of diagnosis, children with CD had a significantly higher rate of undernutrition, with underweight (37.8%), height insufficiency (54.3%), and thinness (22%). During GFD follow-up, we noticed a significant decrease in thinness (P = .047) and a moderate increase in obesity. This emphasizes the role of the dietitian in implementing a nutritionally balanced diet.

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Coexistence of Excessive Weight Gain and Celiac Disease in Children: An Unusual Familial Condition

Cited by 7 publications

References 22 publications

Glycemic Index of Gluten-Free Bread and Their Main Ingredients: A Systematic Review and Meta-Analysis

Glycemic Index of Gluten-Free Bread and Their Main Ingredients: A Systematic Review and Meta-Analysis

Celiac disease - a pluripathological model in pediatric practice

Nutritional Status of Moroccan Pediatric Patients With Celiac Disease

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