Is a Gluten-Free Diet Enough to Maintain Correct Micronutrients Status in Young Patients with Celiac Disease?
Open accessAbstract
The current study assesses whether the use of a gluten-free diet (GFD) is sufficient for maintaining correct iron status in children with celiac disease (CD). The study included 101 children. The celiac group (n = 68) included children with CD, with long (> 6 months) (n = 47) or recent (< 6 months) (n = 21) adherence to a GFD. The control group (n = 43) included healthy children. Dietary assessment was performed by a food frequency questionnaire and a 3-day food record. Celiac children had lower iron intake than controls, especially at the beginning of GFD (p < 0.01). The group CD-GFD >6 months showed a higher intake of cobalamin, meat derivatives and fish compared to that of CD-GFD <6 months (all, p < 0.05). The control group showed a higher consumption of folate, iron, magnesium, selenium and meat derivatives than that of children CD-GFD >6 months (all, p < 0.05). Control children also showed a higher consumption of folate and iron compared to that of children CD-GFD <6 months (both, p < 0.05). The diet of celiac children was nutritionally less balanced than that of the control. Participation of dietitians is necessary in the management of CD to guide the GFD as well as assess the inclusion of iron supplementation and other micronutrients that may be deficient.
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Poor compliance to the gluten-free diet may hamper recovery from anaemia.
“Poor compliance to GFD may hamper recovery (70, 73).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [73]
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- Authors
- Nestares, T., Martín-Masot, R., Labella, A., Aparicio, V. A., Flor-Alemany, M., López-Frías, M., & Maldonado, J.
- Affiliations
- Universidad de Granada (ES)
- Pediatric Gastroenterology and Nutrition Unit, Hospital Regional Universitario de Malaga, 29010 Málaga, Spain
- Pediatric Clinical Management Unit., “San Cecilio” University Hospital, 18016 Granada, Spain
- Department of Physiology and “José MataixVerdú” Institute of Nutrition and Food Technology (INYTA), University of Granada, 18071 Granada, Spain
- Corresponding author
- Nestares, Teresa
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-03-21
- Volume
- 12
- Issue
- 3
- Pages
- 844
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7146183
- OpenAlex
- W3012106181
- Cited by
- 41
- References
- 42
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 9 · 2021: 9 · 2020: 1
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by)
- Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Consejería de Economía, Innovación, Ciencia y Empleo, Junta de Andalucía (P12-AGR-2581)
- Universidad de Granada ((PPIT)2016)
- Ministerio de Educación, Cultura y Deporte (FPU17/03715)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- celiac disease, gluten-free diet, micronutrient status, iron intake, iron deficiency, dietary adherence, children, dietary assessment, vitamin B12, folic acid, magnesium, selenium, iron supplementation
- MeSH terms
- Adolescent, Blood Chemical Analysis, Body Weights and Measures, Celiac Disease, Child, Female, Humans, Male, Nutritional Status, Biomarkers, Nutrition Assessment, Case-Control Studies, Micronutrients, Diet, Gluten-Free
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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