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Cited by 56Celiac Disease Research and ManagementFood composition and propertiesWheat and Barley Genetics and Pathology

Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review

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La Vieille, Sébastien, Pulido, Olga M., Abbott, Michael, Koerner, Terence B., Godefroy, Samuel·2016·Canadian Journal of Gastroenterology and Hepatology
DOI 10.1155/2016/1870305PMC PMC4904695
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Abstract

This paper provides an overview of the latest scientific data related to the safety of uncontaminated oats (<20 ppm of gluten) in the diet of individuals with celiac disease (CD). It updates the previous Health Canada position posted on the Health Canada website in 2007 and a related paper published in 2009. It considers a number of recent studies published between January 2008 and January 2015. While recognizing that a few people with celiac disease seem to be clinically intolerant to oats, this review concludes that oats uncontaminated by gluten-containing cereals (wheat, rye, and barley) can be safely ingested by most patients with celiac disease and that there is no conclusive evidence that the consumption of uncontaminated or specially produced oats containing no greater than 20 ppm gluten by patients with celiac disease should be limited to a specific daily amount. However, individuals with CD should observe a stabilization phase before introducing uncontaminated oats to the gluten-free diet (GFD). Oats uncontaminated with gluten should only be introduced after all symptoms of celiac disease have resolved and the individual has been on a GFD for a minimum of 6 months. Long-term regular medical follow-up of these patients is recommended but this is no different recommendation to celiac individuals on a GFD without oats.

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  • Controlled oats have no negative effect on symptoms, histology, immunity, or serologic features.

    “A systematic review and meta-analysis as well as long term studies on patients, have shown that controlled oats have no negative effect on symptoms, histology, immunity, or serologic features (36), and may safely be a part of the GFD (29,33,34).”

    From Gluten-free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease. (2024) · cites this paper as [36]

    The Results (§3.2; page not provided) describe a study of uncontaminated oats with no significant changes in symptoms or histology and no serologic relapse. But the Discussion (§4; page not provided) reports possible impaired normalization of intestinal immune markers in some children, while the Results (§3.1) note that two children experienced abdominal pain and vomiting after eating oats. The unqualified claim of no negative effect across all four domains overstates the review. (LLM, conf=0.87)

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  • Some publications report that controlled oats are well-tolerated in higher amounts (from 40 up to 100 g/day).

    “Recent reviews and position papers agreed to report that controlled oats are well-tolerated by most CD patients in moderate amounts (20-25 g/day for children; 50-70 g/day for adults) (37,40)and in some publications in higher amounts (from 40 up to 100 g/day) (36)(36,37,40,41).”

    From Gluten-free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease. (2024) · cites this paper as [36]

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Cited by

Sorted by citations

Authors
La Vieille, S., Pulido, O. M., Abbott, M., Koerner, T. B., & Godefroy, S.
Affiliations
  • Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, Canada K1A 0K9
  • University of Ottawa (CA)
  • Health Canada (CA)
ORCID
Venue
Canadian Journal of Gastroenterology and Hepatology
Publisher
Hindawi Limited
Published
2016
Volume
2016
Pages
1-10
ISSN
  • 2291-2789 (ISSN-L)
  • 2291-2797
DOI
10.1155/2016/1870305
PMC
PMC4904695
OpenAlex
W2274159116
Cited by
56
References
0
Citations by year
2026: 1 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 3
FWCI
0.96
Type
journal article
Language
en
Open access
Licence
Locations
  • Canadian Journal of Gastroenterology and Hepatology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Canadian Celiac Association
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Life Sciences › Agricultural and Biological Sciences › Plant Science › Wheat and Barley Genetics and Pathology
Keywords
celiac disease, gluten contamination, gluten-free diet, dietary safety

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