Dietary and symptom assessment in adults with self-reported non-coeliac gluten sensitivity

Skodje, Gry Irene; Minelle, Ingunn Hillestad; Rolfsen, Kjersti Langballe; Iacovou, Marina; Lundin, Knut E.A.; Veierød, Marit Bragelien; Henriksen, Christine

doi:10.1016/j.clnesp.2019.02.012

Cited by 28 publications

(23 citation statements)

References 32 publications

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“…Nevertheless, there is still a lack of information about composition of food products in different regions and so it is difficult to establish an accurate FODMAP intake worldwide [29]. Moreover, some FODMAPs, such as fructans, are more difficult to find in food composition databases, and their intake is not always determined in diet-related studies [6,22,24,25,30].…”

Section: Discussionmentioning

confidence: 99%

“…FODMAPs have been blamed for their role as triggering agents of intestinal symptoms such as abdominal pain and bloating [ 2 , 3 , 4 , 5 ]. Their restriction in pathologies such as Intestinal Bowel Syndrome (IBS), Celiac Disease (CD) or Non-Celiac Wheat/Gluten Sensitivity (NCWS) have reported irregular results [ 6 , 7 , 8 ] and, though encouraging, this remains a subject of further investigation. It seems essential to determine the FODMAP intake of the population in order to evaluate its risk in terms of exposure, and to put in place effective strategies for diet-restriction when necessary, avoiding nutrient deficiencies, and depending on dietary habits and age [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

FODMAP Intake in Spanish Population: Open Approach for Risk Assessment

Miranda

Vázquez-Polo

Perez-Junkera

et al. 2020

IJERPH

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Fermentable oligo-, di- and monosaccharides and polyols’ (FODMAP) were related with intestinal complications. The present study aimed to determine the FODMAP consumption of Spanish children, adolescents and adults, analyzing the real FODMAP risk of foods, and to set an open methodology for the measurement of this intake in other regions as well as nutrient intake assurance. Total fructan analysis was performed analytically in eighty-seven food samples. Daily intake of FODMAPs, fiber and micronutrients was calculated by combining the food composition for selected fermentable carbohydrates with the national food consumption stratified by age in an open software. Spanish child and adolescent total FODMAP consumption was settled as 33.4 ± 92.4 and 27.3 ± 69.0 g/day, respectively. Both intakes were higher than that of the adult population (21.4 ± 56.7 g/day). The most important food sources of lactose, excess of fructose and total fructan, considering their content and dietary intake were different between age groups. The contribution of these foods to dietary calcium and fiber and the consequent risk of deficiency if they are withdrawn was highlighted. We demonstrated the relevance of stratifying the total FODMAP intake by age. An open approach for FODMAP intake quantification and nutrient control was provided.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

FODMAP Intake in Spanish Population: Open Approach for Risk Assessment

Miranda

Vázquez-Polo

Perez-Junkera

et al. 2020

IJERPH

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“…The implementation of a GFD should be performed by a dietitian, in order to ensure nutritional adequacy, and prevent potential risks of a GFD including micronutrient deficiencies, high fat, sugar and salt intake [126][127][128][129].…”

Section: Managementmentioning

confidence: 99%

Coeliac disease and noncoeliac wheat or gluten sensitivity

2020

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Coeliac disease (CD) and noncoeliac wheat or gluten sensitivity (NCWS/NCGS) are common gluten-related disorders. Both conditions can present with gastrointestinal and extraintestinal manifestations, which can be a challenge for physicians to discern between. Whilst coeliac serology and histological assessment are required for the diagnosis of CD, there are no clear biomarkers for the diagnosis of NCGS. The management of both conditions is with a gluten-free diet (GFD), although the duration, as well as strictness of adherence to a GFD in NCGS, is unclear. Adherence to a GFD in CD can also be challenging, with recent developments of noninvasive assessments, although histological assessment via duodenal biopsies remains the gold standard. The management of refractory coeliac disease remains particularly challenging, often requiring specialist input. Whilst wheat is noted to be a trigger for symptom generation in NCGS, it is unclear which components of wheat are responsible for symptom generation in this group, with further research required to elucidate the pathophysiology.

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“…Replacement of commonly consumed cereal staple foods in GFDs with gluten-free equivalents may be associated with an increased supply of fat, saturated fatty acids, salt, and sugar [ 10 ]. GFD may lead to possible nutrient deficiencies of fiber [ 11 , 12 ], folate [ 11 , 12 , 13 , 14 ], vitamin D [ 11 , 14 , 15 ], calcium [ 11 , 12 , 14 , 16 ], magnesium [ 11 , 12 , 16 ], iron [ 12 , 14 ], zinc [ 16 ], selenium [ 16 ], and iodine [ 14 ]. To increase the supply of nutrients, it is recommended to include legume and pseudo-cereal products (especially amaranth, quinoa, and soybeans) in GFD.…”

Section: Introductionmentioning

confidence: 99%

Gluten-Free Diet in Prisons in Poland: Nutrient Contents and Implementation of Dietary Reference Intake Standards

et al. 2020

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The gluten-free diet (GFD) requires special attention from nutritionists due to the potential risk of nutrient deficiencies in its users. This risk may be greater when this type of nutrition is implemented in prisons due to the limited possibilities of external control, a low catering budget for meals, and insufficiently defined recommendations regulating nutrition for prisoners. The aim of the present study was to assess the nutritional value of GFD and regular diet meals served in some Polish prisons and to compare the values to the dietary reference intake (DRI) standards. Using a specialized computer program, 7-day menus of both types of diet provided in 10 prisons were analyzed. The percentage coverage of the DRI was calculated based on the recommendations of the Polish National Food and Nutrition Institute. GFD was characterized by lower average contents of energy and 11 out of 14 essential nutrients, i.e., protein, carbohydrates, dietary fiber, starch, ash, sodium, calcium, iron, zinc, folate, and vitamin B12. The average content of phosphorus, niacin, and riboflavin in the gluten-free diet was higher than that in the regular diet. It was shown that the meals in GFD and the regular diet did not provide the recommended amounts of calcium (38 and 44% DRI, respectively), vitamin D (29 and 30% DRI), vitamin C (86 and 76% DRI), and folate (51 and 56% DRI). In turn, the supply of sodium, phosphorus, copper, and vitamins A and B6 substantially exceeded the recommended levels. The results indicate a need for greater quality control of GFD meals served in catering facilities. It is also necessary to develop legal provisions that will regulate more specifically the nutrition for prisoners in terms of an adequate supply of minerals and vitamins.

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Dietary and symptom assessment in adults with self-reported non-coeliac gluten sensitivity

Cited by 28 publications

References 32 publications

FODMAP Intake in Spanish Population: Open Approach for Risk Assessment

FODMAP Intake in Spanish Population: Open Approach for Risk Assessment

Coeliac disease and noncoeliac wheat or gluten sensitivity

Gluten-Free Diet in Prisons in Poland: Nutrient Contents and Implementation of Dietary Reference Intake Standards

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