Celiac disease life style modifications

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]

Overview

Dietary modification is the preferred theray for celiac disease, which includes gluten-free diet. Patient should be referred to a dietitian once the diagnosis of celiac disease is made.

Life Style Modifications

  • Dietary modification is the preferred theray for celiac disease, which includes gluten-free diet. [1][2]
  • Patient should be referred to a dietitian once the diagnosis of celiac disease is made.

Celiac Disease

  • 1 Dietary modification
    • 1.1 Gluten-free diet (GFD)
      • 1.1.1 Storage protein not allowed
        • Wheat
        • Rye
        • Barley
        • Spelt
        • Kamut
        • Emmer wheat
        • Einkorn wheat
        • Green spelt
      • 1.1.2 Storage protein allowed
        • 1.1.2.1 Comparatively more nutritious (more nutritious than other starches in the GFD; higher fiber, protein, calcium, iron.)
          • Amaranth
          • Buckwheat
          • Legumes
          • Quinoa
          • Sorghum/Milo
          • Soy
          • Tef/Teff
        • 1.1.2.2 Comparatively less nutritious
          • Arrowroot
          • Corn/maize
          • Indian Rice Grass (Montina)
          • Mesquite
          • Millet
          • Nuts
          • Potato
          • Rice
          • Tapioca
          • Wild rice
          • Pure oats (oats that are not contaminated by gluten)[3]
          • Wheat starch
          Note: There is evidence that wheat starch is a safe and well-tolerated addition to gluten-free diet.However, wheat starch is not currently accepted in the United States or Canadian GFD.
    • 2.1 Nutritional supplements (must be strict gluten-free)
      Note: Even while on a diet, health-related quality of life (HRQOL) may be decreased in people with celiac disease. Some have persisting digestive symptoms or dermatitis herpetiformis, mouth ulcers, osteoporosis and fractures. Symptoms suggestive of irritable bowel syndrome may be present, and there is an increased rate of anxiety, fatigue, dyspepsia and musculoskeletal pain.[4]

References

  1. Schuppan D, Zimmer KP (2013). "The diagnosis and treatment of celiac disease". Dtsch Arztebl Int. 110 (49): 835–46. doi:10.3238/arztebl.2013.0835. PMC 3884535. PMID 24355936.
  2. Kupper C (2005). "Dietary guidelines and implementation for celiac disease". Gastroenterology. 128 (4 Suppl 1): S121–7. PMID 15825119.
  3. Rashid M, Butzner D, Burrows V, Zarkadas M, Case S, Molloy M, Warren R, Pulido O, Switzer C (2007). "Consumption of pure oats by individuals with celiac disease: a position statement by the Canadian Celiac Association". Can. J. Gastroenterol. 21 (10): 649–51. PMC 2658132. PMID 17948135.
  4. Häuser W, Gold J, Stein J, Caspary WF, Stallmach A (2006). "Health-related quality of life in adult coeliac disease in Germany: results of a national survey". Eur J Gastroenterol Hepatol. 18 (7): 747–54. doi:10.1097/01.meg.0000221855.19201.e8. PMID 16772832.