Gluten-Free Diet and Lipid Profile in Children With Celiac Disease: Comparison With General Population Standards

Journal of Pediatric Gastroenterology and Nutrition
M Luisa ForchielliAndrea Pession

Abstract

A gluten-free diet (GFD) may carry high energy and fat load. We verified lipid profile and dietary indicators cross-sectionally and prospectively in patients with celiac disease (CD). In any consecutive child receiving a GFD (group 1) or newly diagnosed as having CD (group 2), total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL) cholesterol, blood pressure (BP), anthropometric data, physical activity, and a 24-hour food diary were collected during follow-up visits (yearly in group 1 and during the first year of GFD in group 2). In group 1 (132 girls, 73 boys, 10.7 ± 4.2 years), TC (P = 0.006), TG (P = 0.014), and HDL (P = 0.019) were significantly higher in girls than in boys. Compared with the general pediatric population, group 1 girls had higher TC, TG, HDL, and low-density lipoprotein; group 1 boys had lower TC, TG, and low-density lipoprotein and higher HDL. TC was significantly and positively affected by age, sex, and time receiving GFD, whereas HDL was significantly and positively affected by body mass index, diastolic BP, and sex; TG was negatively affected by diastolic BP. Compared with recommendations, group 1 children introduced less calories, iron, and calcium; one-third more sodium; similar am...Continue Reading

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Citations

Aug 23, 2017·World Journal of Clinical Pediatrics·Caterina AnaniaClaudio Chiesa
Jul 12, 2019·Nutrición hospitalaria·Laura García SotoJosé Maldonado
Jan 18, 2019·Nutrients·Valentina Melini, Francesca Melini
Jan 17, 2019·European Journal of Clinical Nutrition·Joaquim Calvo-LermaCarmen Ribes-Koninckx
Dec 19, 2018·Journal of Pediatric Gastroenterology and Nutrition·Eyal ZifmanRaanan Shamir
Jan 19, 2020·Journal of the Academy of Nutrition and Dietetics·Feon W Cheng, Deepa Handu

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