Nutritional Considerations of the Gluten-Free Diet

Melinda Dennis; Anne R Lee; Tara McCarthy

doi:10.1016/j.gtc.2018.09.002

Nutritional Considerations of the Gluten-Free Diet

Gastroenterol Clin North Am. 2019 Mar;48(1):53-72. doi: 10.1016/j.gtc.2018.09.002. Epub 2018 Dec 14.

Authors

Melinda Dennis¹, Anne R Lee², Tara McCarthy³

Affiliations

¹ Celiac Center, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Dana 603, Boston, MA 02215, USA.
² Celiac Disease Center at Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, 9th Floor, Suite 936, New York, NY 10032, USA. Electronic address: arl2004@cumc.columbia.edu.
³ Division of Gastroenterology, Hepatology and Nutrition, Celiac Center, Boston Children's Hospital, 330 Longwood Avenue, Boston, MA 02215, USA.

PMID: 30711211
DOI: 10.1016/j.gtc.2018.09.002

Abstract

Celiac disease (CD) is an autoimmune-related disease causing inflammation in the small intestine triggered by the ingestion of gluten in the diet. The gluten-free diet (GFD) is the only treatment. Nutritional deficiencies of macronutrients and micronutrients are frequently found in untreated or newly diagnosed CD. A registered dietitian nutritionist is uniquely qualified to educate on the GFD and assess and support nutritional status at diagnosis and long term as well as helping patients with nonresponsive CD. Quality of life is important to address in individuals with CD because the GFD affects all aspects of life.

Keywords: Gluten-free diet; Nonresponsive celiac disease; Nutrient deficiencies; Nutrition therapy; Obesity; Quality of life.

Publication types

Review

MeSH terms

Celiac Disease / diagnosis
Celiac Disease / diet therapy*
Celiac Disease / etiology
Celiac Disease / physiopathology*
Diet, Gluten-Free*
Gastrointestinal Microbiome
Humans
Intestine, Small / microbiology
Malnutrition
Nutritional Physiological Phenomena*
Nutritional Status
Nutritionists
Patient Education as Topic
Professional Role
Quality of Life