Differences in metabolic variables between adult coeliac patients at diagnosis and patients on a gluten-free diet

Scandinavian Journal of Gastroenterology
Esmeralda CapristoG Gasbarrini

Abstract

Coeliac patients often have nutrient malabsorption with nutritional status impairment, but no report on their energy requirements is available. In this study body composition, dietary habits, basal energy expenditure, and substrate oxidation were investigated in patients with the classic form of coeliac disease. Sixteen untreated and 18 adult coeliac patients on a gluten-free diet participated in the study. Body composition was assessed by anthropometry and bioimpedance. Energy expenditure was measured by indirect calorimetry. A food diary over 7 days was collected. Coeliac patients showed reduced body weight components but not a different fat-free mass percentage compared with age- and sex-matched healthy volunteers. Basal metabolic rate normalized by fat-free mass (BMR/FFM) was higher in coeliac patients than in controls. Untreated patients showed a significantly higher non-protein respiratory quotient with regard to both treated patients (P < 0.01) and controls (P < 0.05), an increased percentage of carbohydrate intake, and a good correlation between lipid faecal loss and carbohydrate oxidation (Spearman R = 0.74; P < 0.01). Both groups of patients had lower fat mass and FFM content than controls. The preferential carbohydra...Continue Reading

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Citations

Feb 27, 2004·The American Journal of Medicine·Giovanni AddoloratoGiovanni Gasbarrini
Aug 12, 2005·Journal of the American College of Nutrition·Donatella GniuliGeltrude Mingrone
Oct 16, 1999·Scandinavian Journal of Gastroenterology·W S SelbyR H Loblay
Sep 24, 2004·Alimentary Pharmacology & Therapeutics·G AddoloratoG Gasbarrini
Sep 11, 1998·The American Journal of Gastroenterology·E CapristoG Gasbarrini
Jul 21, 2005·Scandinavian Journal of Gastroenterology·Esmeralda CapristoGiovanni Gasbarrini
Oct 20, 2019·Nutrients·Arrate LasaJonatan Miranda
May 11, 2001·Scandinavian Journal of Gastroenterology·G AddoloratoG Gasbarrini
Dec 17, 2008·Journal of Proteome Research·Ivano BertiniLeonardo Tenori
Apr 2, 2020·Inflammatory Intestinal Diseases·Mohammad Rostami-NejadMohammad Reza Zali

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