Serum Vitamins and Minerals at Diagnosis and Follow‐up in Children With Celiac Disease
Abstract
Objectives Children with celiac disease (CD) may experience deficiencies of several micronutrients. The objectives of the present study were to determine the prevalence of micronutrient deficiencies in children with CD at diagnosis, 6 months, and 18 months after the start of a gluten-free diet (GFD), and examine any correlation between micronutrient deficiencies, serum tissue transglutaminase (TtG) immunoglobulin A (IgA) antibody titers, and the degree of mucosal damage at diagnosis. Methods Children ( Results The medical records of 140 children (mean age at diagnosis 7.8 ± 4.01 years, 87 girls [621%]) with CD were examined. At diagnosis, serum vitamin D was the most commonly deficient vitamin in 70% of children. Serum ferritin was subnormal in 34.5% with zinc in 18.6% children but only 12 (10.9%) children had iron deficiency anemia. There was no correlation between micronutrient deficiencies at diagnosis and serum TtG IgA antibody titers or the degree of villous atrophy. The majority of serum levels of measured micronutrients had normalized after 6 months of starting GFD except for vitamin D, which improved but remained subnormal. Conclusions At diagnosis, most children with CD have vitamin D deficiency. The degree of micronutrient deficiencies does not correlate with the degree of villous atrophy or serum titers of anti-TtG IgA antibodies.
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Some studies demonstrate low vitamin D levels at diagnosis in coeliac disease children.
“Some of these demonstrate low vitamin D levels at diagnosis (12, 14, 34-36)”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [34]
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- Authors
- Deora, V., Aylward, N., Sokoro, A., & El‐Matary, W.
- Affiliations
- University of Manitoba (CA)
- Children's Hospital Research Institute of Manitoba (CA)
- Corresponding author
- Deora, Vini
- Aylward, Nicole
- El‐Matary, Wael
- ORCID
- El‐Matary, Wael
- Venue
- Journal of Pediatric Gastroenterology and Nutrition
- Publisher
- Wiley
- Published
- 2017-08
- Volume
- 65
- Issue
- 2
- Pages
- 185-189
- ISSN
- 0277-2116 (ISSN-L)
- 1536-4801
- OpenAlex
- W2550446517
- Cited by
- 78
- References
- 23
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 7 · 2023: 7 · 2022: 11 · 2021: 11 · 2020: 12 · 2019: 9 · 2018: 7 · 2017: 2
- FWCI
- 6.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Gastroenterology and Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- celiac disease, children, micronutrient deficiency, vitamin D deficiency, serum ferritin, zinc deficiency, iron deficiency anemia, gluten-free diet, villous atrophy, duodenal injury, Marsh classification
- MeSH terms
- Adolescent, Celiac Disease, Child, Child, Preschool, Deficiency Diseases, Female, Follow-Up Studies, Humans, Infant, Male, Minerals, Retrospective Studies, Vitamins, Biomarkers, Treatment Outcome, Diet, Gluten-Free
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