Mediterranean Gluten-Free Diet: Is It a Fair Bet for the Treatment of Gluten-Related Disorders?

Bascuñán, Karla A.; Elli, Luca; Vecchi, Maurizio; Scricciolo, Alice; Mascaretti, Federica; Parisi, Maria Rita; Doneda, Luisa; Lombardo, Vincenza; Araya, Magdalena; Roncoroni, Leda

doi:10.3389/fnut.2020.583981

Cited by 15 publications

(23 citation statements)

References 76 publications

(95 reference statements)

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“…Diagnosis is based on blood tests, eventually integrated into endoscopic findings and genetic analysis [ 78 ]. The only effective and available treatment is adherence to a gluten-free diet, limiting the daily gluten intake to 10–50 mg/day [ 80 ]. Although the GFD is highly effective and it is, so far, the only therapeutic option for coeliac patients, the literature underlines how nutritionally unbalanced it is, especially compared with the MD.…”

Section: The Mediterranean Diet and Coeliac Diseasementioning

confidence: 99%

The Mediterranean Diet in Paediatric Gastrointestinal Disorders

et al. 2022

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The Mediterranean diet is considered one of the healthiest dietary patterns worldwide, thanks to a combination of foods rich mainly in antioxidants and anti-inflammatory nutrients. Many studies have demonstrated a strong relationship between the Mediterranean diet and some chronic gastrointestinal diseases. The aim of this narrative review was to analyse the role of the Mediterranean diet in several gastrointestinal diseases, so as to give a useful overview on its effectiveness in the prevention and management of these disorders.

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Section: The Mediterranean Diet and Coeliac Diseasementioning

confidence: 99%

The Mediterranean Diet in Paediatric Gastrointestinal Disorders

et al. 2022

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“…Newly diagnosed celiac patients and those who do not adhere to the GFD may be more affected; however, those who follow the GFD but consume manufactured gluten-free products in excess may also have negative consequences, and this may favor the development of conditions such as obesity or cardiovascular diseases [17,18]. We recently proposed the use of a food pyramid based on the Mediterranean diet, which emphasizes the addition of gluten-free components to the pyramid, and the resulting diet is not only gluten-free but also nutritionally satisfactory [19].…”

Section: Mediterranean Gluten-free Diet and Nutritional Supportmentioning

confidence: 99%

“…A balanced gluten-free Mediterranean diet can provide the necessary amounts of micronutrients. Gluten-free cereals and pseudo-cereals, such as rice, whole wheat rice, quinoa, buckwheat, corn, teff, and fonio, are all good sources of micronutrients (including selenium and zinc) and important antioxidant molecules, and all of them are main components of the Mediterranean diet [19]. The Mediterranean diet pattern is a sustainable diet, which incorporates food security, and social-cultural, environmental, and economic welfare for future generations.…”

Section: Mediterranean Gluten-free Diet and Nutritional Supportmentioning

confidence: 99%

“…The substitution of industrial foods with naturally gluten-free foods is the most important factor, and nutritionists always advise avoiding industrially made gluten-free products while on a GFD. The consumption of gluten-free cereals and pseudo-cereals, such as buckwheat, quinoa, amaranth, rice, maize, teff, and fonio, should be preferred, as well as gluten-free whole grains and/or flours to cook home-made bread, cakes, biscuits, or pizza [19].…”

Section: Importance Of a Healthy Lifestyle And A Natural Med-gfdmentioning

confidence: 99%

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Maintaining, Managing, and Tele-Monitoring a Nutritionally Adequate Mediterranean Gluten-Free Diet and Proper Lifestyle in Adult Patients

et al. 2022

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The gluten-free diet (GFD) is a restrictive diet. In many cases, it must be permanent and strict, and it may be associated with both nutritional deficiencies and excesses, which can be prevented by following a healthy, natural Mediterranean GFD (Med-GFD). In this paper, we describe the importance of the Mediterranean diet, the correct intake of vitamins and minerals, and how they may play an important protective role against chronic or degenerative conditions. Herewith, we analyze different aspects that influence the ability to maintain a correct and balanced Med-GFD, which may contribute to the health status of patients, including a conscious use of gluten-free products to maintain a healthy lifestyle. Monitoring the Med-GFD remains a pivotal issue: to evaluate the presence of gluten peptides in urine, it could be important to introduce point-of-care testing, an efficient method for GFD self-monitoring (immunochromatographic technique), together with online nutritional questionnaires. Indeed, medical care via telemedicine can provide practical indications aimed at supporting patients and doctors. A natural Med-GFD can ensure the correct intake of nutrients and could be important for patients affected by gluten-related disorders, helping them to maintain a correct and healthy lifestyle.

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“…Thus, to ensure the safety and efficacy of the GFD, the indication should be evaluated by a specialized gastroenterologist and a dietary planning guidance from a nutritionist or dietitian should be provided to assess the fulfillment of all nutritional needs and prevent deficiency of key nutrients and malnutrition ( 68 , 92 ). To avoid the risk of malnutrition in patients with gluten-related disorders, a combination of the Mediterranean diet and the GFD has been proposed as an alternative to reach a healthy gluten-free state ( 93 ). In addition, the GFD may have a considerable psychological impact and interfere with social life, also due to low availability, high costs, and food labeling of gluten-free products, which may also limit adherence to the diet ( 94 ).…”

Section: Introductionmentioning

confidence: 99%

The low-FODMAP diet and the gluten-free diet in the management of functional abdominal bloating and distension

et al. 2022

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This review summarizes current knowledge on the role of low-FODMAP diet and gluten-free diet in functional abdominal bloating and distension, an emerging disorder of gut-brain interaction characterized by remarkable costs for healthcare systems and a significant impact on the patient’s quality of life. Ingested food plays a key role in the pathophysiology of disorders of gut-brain interaction as up to 84% of patients with irritable bowel syndrome (IBS) report food-triggered symptoms. Potential pathogenetic mechanisms of food-related symptoms in these patients are discussed, focusing on bloating and abdominal distension. These mechanisms provide the rationale for dietary treatment in patients with functional abdominal bloating and distension. The role of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) and gluten in functional abdominal bloating and distension is examined. Current literature evaluating the efficacy of the low-FODMAP diet and the gluten-free diet in abdominal bloating and distension is analyzed. Available evidence originates mainly from studies on patients with IBS, since clinical studies on selected cohorts of patients with only functional abdominal bloating and distension have been missing to date. Promising evidence on the potential efficacy of the low-FODMAP diet in functional abdominal bloating and distension is provided by the reduction of the bloating observed in patients with IBS. Regarding the gluten-free diet, there is insufficient evidence to recommend it to reduce bloating and abdominal distension. In conclusion, this review asserts the need for a close collaboration with experts in nutrition to optimize the management of these patients and reduce the risks associated with elimination diets.

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Mediterranean Gluten-Free Diet: Is It a Fair Bet for the Treatment of Gluten-Related Disorders?

Cited by 15 publications

References 76 publications

The Mediterranean Diet in Paediatric Gastrointestinal Disorders

The Mediterranean Diet in Paediatric Gastrointestinal Disorders

Maintaining, Managing, and Tele-Monitoring a Nutritionally Adequate Mediterranean Gluten-Free Diet and Proper Lifestyle in Adult Patients

The low-FODMAP diet and the gluten-free diet in the management of functional abdominal bloating and distension

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