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Cited by 30Celiac Disease Research and ManagementEosinophilic EsophagitisFood composition and properties

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To Be Oats or Not to Be? An Update on the Ongoing Debate on Oats for Patients With Celiac Disease

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Spector Cohen, Inna, Day, Andrew S., Shaoul, Ron·2019·Frontiers in Pediatrics
DOI 10.3389/fped.2019.00384PMC PMC6775206
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Abstract

To date, the only known effective treatment for celiac disease (CD) is a strict gluten-free diet (GFD) for life. Patients with CD often find it difficult to adhere to strict GFD. Oats, compared with wheat, barley, and rye, contain less amounts of prolamins. Inclusion of oats in a GFD might be valuable due to their nutritional and health benefits and increase of food variety. Therefore, they may potentially improve feeding diversity for these children and improve taste and satiety. We reviewed the literature to evaluate the safety of oats in CD patients. We have searched PUBMED, societal guidelines and national health authorities' recommendations. The following aspects were reviewed: gastrointestinal symptoms, malabsorption, serology including specific avenin antibodies, mucosal changes, avenin toxicity, immunogenicity of oats, and quality of life. We also referred to wheat contamination of oat products, the safe amount of oats for CD patients and the type of oats recommended. Data support that pure oats are well-tolerated by most CD patients, at moderate amounts (20-25 g/day dry rolled oats for children; 50-70 g/day for adults). Nevertheless, since the potential for sensitivity/toxicity exists, oats should be added with caution to a GFD, only after all CD symptoms including weight loss and growth disturbances have resolved, after at least 6 months of conventional GFD and probably also after normalization of serology. The need for pre exposure biopsy is unclear and should be considered on an individual basis.

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Cited by

Sorted by citations

Metadata

Authors
Spector Cohen, I., Day, A. S., & Shaoul, R.
Affiliations
  • University of Otago (NZ)
  • Technion – Israel Institute of Technology (IL)
Corresponding author
Shaoul, Ron
ORCID
Venue
Frontiers in Pediatrics
Publisher
Frontiers Media SA
Published
2019-09-26
Volume
7
Pages
384-384
ISSN
2296-2360 (ISSN-L)
DOI
10.3389/fped.2019.00384
PMC
PMC6775206
OpenAlex
W2972103088
Cited by
30
References
0
Citations by year
2026: 1 · 2025: 1 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 6 · 2020: 2
FWCI
0.59
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Pediatrics (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Medicine › Gastroenterology › Eosinophilic Esophagitis
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
Keywords
celiac disease, oat, gluten-free diet, avenin, prolamin, dietary adherence, children, immunogenicity, serology, mucosal healing, quality of life

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