Diet patterns in an ethnically diverse pediatric population with celiac disease and chronic gastrointestinal complaints

Mager, Diana R.; Liu, Amanda; Marcon, Margaret; Harms, K; Brill, Herbert; Mileski, Heather; Dowhaniuk, Jenna; Nasser, Roseann; Carroll, Matthew; Persad, Rabin; Turner, Justine

doi:10.1016/j.clnesp.2019.02.004

Cited by 18 publications

(35 citation statements)

References 25 publications

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“…Three different phases informed the content of the GF food guide for Canadian children (4-18 years) with CD on the GF diet: 1) a comprehensive evaluation of food intake and diet patterns to identify nutrients of concerns (7) , 2) pre-guide stakeholder (e.g. health care professionals, adults with CD, parents of children with CD) consultations to inform food guide content, and 3) development of GF diet simulations taking into consideration cultural preferences and food traditions, diet patterns and diet quality (7) . This cross-sectional study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving research participants were approved by the University of Alberta Human Research Ethics Board -Health Panel (Pro00065489, Pro00033867).…”

Section: Methodsmentioning

confidence: 99%

“…legumes) and the lower folate content of GF foods (e.g. grains) purchased by families of children with CD (7,12) . Accepted manuscript…”

Section: ) Evaluation Of Food Intakementioning

confidence: 99%

“…Simulations were created from an in-depth analysis of diet patterns of children with CD in Canada (5,7,10) . This included a comprehensive evaluation of GF foods available in Canadian grocery stores (4,6,8,12) .…”

Section: ) Diet Simulations Of Nutritionally Adequate Gluten Free DImentioning

confidence: 99%

“…Simulations were altered to meet the macro-and micronutrient recommendations for diet patterns across age-sex using Food Processor Nutrition Analysis Software (SQL 11.0.124, ESHA Research, Salem, OR, USA) and the Canadian Nutrient File (19) Accepted manuscript (Figure 1). The average nutrient content of GF bread and GF breakfast cereal was calculated using food labels based on the top 12 brands for GF breads and the top 20 brands for GF cereals available to consumer in Canada as identified in phase one (7,12) ( Supplementary Table S2A).…”

Section: ) Diet Simulations Of Nutritionally Adequate Gluten Free DImentioning

confidence: 99%

“…The GF diet has become highly popularized for its perceived health benefits and incidence of food intolerance. However, many children following the GF diet may be relying on processed and packaged GF foods which can increase the risk of unhealthy dietary patterns (3)(4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Nutritional considerations of a paediatric gluten-free food guide for coeliac disease

et al. 2021

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The gluten free (GF) diet is the only treatment for celiac disease (CD). While the GF diet can be nutritious, increased reliance on processed and packaged GF foods can result in higher fat/sugar and lower micronutrient intake in children with CD. Currently, there are no evidence-based nutrition guidelines that address the GF diet. The objective of this cross-sectional study was to describe the methodological considerations in forming a GF food guide for Canadian children and youth (4-18 years) with CD. Food guide development occurred in three phases: 1) evaluation of nutrient intake and dietary patterns of children on the GF diet, 2) pre-guide stakeholder consultations with 151 health care professionals and 383 community end users, and 3) development of 1260 GF diet simulations that addressed cultural preferences and food traditions, diet patterns and diet quality. Stakeholder feedback identified nutrient intake and food literacy as important topics for guide content. Except for vitamin D, the diet simulations met 100% macro- and micronutrient requirements for age-sex. The pediatric GF plate model recommends intake of >50% fruits and vegetables, <25% grains and 25% protein foods with a stronger emphasis on plant-based sources. Vitamin D fortified fluid milk/unsweetened plant-based alternatives and other rich sources are important to optimize vitamin D intake. The GF food guide can help children consume a nutritiously adequate GF diet and inform policy makers regarding the need for nutrition guidelines in pediatric CD.

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Section: Methodsmentioning

confidence: 99%

“…legumes) and the lower folate content of GF foods (e.g. grains) purchased by families of children with CD (7,12) . Accepted manuscript…”

Section: ) Evaluation Of Food Intakementioning

confidence: 99%

Section: ) Diet Simulations Of Nutritionally Adequate Gluten Free DImentioning

confidence: 99%

Section: ) Diet Simulations Of Nutritionally Adequate Gluten Free DImentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutritional considerations of a paediatric gluten-free food guide for coeliac disease

et al. 2021

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2020

The Family Nurse Practitioner

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Gluten‐free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease

Luque,

Crespo‐Escobar,

Hård af Segerstad

et al. 2024

J. pediatr. gastroenterol. nutr.

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Background and ObjectiveCoeliac disease is a chronic, immune‐mediated disorder for which the only treatment consists of lifelong strict adherence to gluten‐free diet (GFD). However, there is a lack of evidence‐based guidelines on the GFD dietary management of coeliac disease. This position paper, led by the Special Interest Group in coeliac disease of the European Society of Pediatric, Gastroenterology Hepatology, and Nutrition, supported by the Nutrition Committee and the Allied Health Professionals Committee, aims to present evidence‐based recommendations on the GFD as well as how to support dietary adherence.MethodsA wide literature search was performed using the MeSH Terms: “diet, gluten free,” “gluten‐free diet,” “diets, gluten‐free,” “gluten free diet,” and “coeliac disease” in Pubmed until November 8th, 2022.ResultsThe manuscript provides an overview of the definition of the GFD, regulations as basis to define the term “gluten‐free,” which foods are naturally gluten‐free and gluten‐containing. Moreover, it provides recommendations and educational tips and infographics on suitable food substitutes, the importance of reading food labels, risk of gluten cross‐contact at home and in public settings, nutritional considerations as well as factors associated to dietary adherence based on available evidence, or otherwise clinical expertise.ConclusionsThis position paper provides guidance and recommendations to support children with coeliac disease to safely adhere to a GFD.

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Diet patterns in an ethnically diverse pediatric population with celiac disease and chronic gastrointestinal complaints

Cited by 18 publications

References 25 publications

Nutritional considerations of a paediatric gluten-free food guide for coeliac disease

Nutritional considerations of a paediatric gluten-free food guide for coeliac disease

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Gluten‐free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease

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