Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders
Lactose malabsorption (LM), celiac disease (CD), non-celiac gluten sensitivity (NCGS), and irritable bowel syndrome (IBS) are conditions associated with food triggers, improvement after withdrawal, treatment with dietary restriction, and subsequent nutritional detriments. LM occurs when there is inc...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/1/2 |
| _version_ | 1797498035681361920 |
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| author | Michele J. Alkalay |
| author_facet | Michele J. Alkalay |
| author_sort | Michele J. Alkalay |
| collection | DOAJ |
| description | Lactose malabsorption (LM), celiac disease (CD), non-celiac gluten sensitivity (NCGS), and irritable bowel syndrome (IBS) are conditions associated with food triggers, improvement after withdrawal, treatment with dietary restriction, and subsequent nutritional detriments. LM occurs when there is incomplete hydrolysis of lactose due to lactase deficiency and frequently produces abdominal symptoms; therefore, it can cause lactose intolerance (LI). A lactose-restricted diet is frequently recommended, although it can potentially lead to nutrient deficiencies. Furthermore, lactose is an essential component of fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) and is subsequently associated with intolerance to these compounds, especially in IBS. LM commonly presents in CD. Nutritional deficits are common in CD and can continue even on a gluten-free diet (GFD). Conditions triggered by gluten are known as gluten-related disorders (GRDs), including CD, wheat allergy, and NCGS. IBS can also be associated with a gluten sensitivity. A GFD is the treatment for CD, GRDs, and gluten sensitive IBS, although compliance with this restricted diet can be difficult. Strict dietary therapies can have a negative effect on quality of life. This review aims to provide an overview of the difficult nutritional elements of these disorders, which are critical for medical providers to recognize when managing these patients. |
| first_indexed | 2024-03-10T03:27:40Z |
| format | Article |
| id | doaj.art-22a3dad804d8441889194a28c5a472e6 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T03:27:40Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-22a3dad804d8441889194a28c5a472e62023-11-23T12:02:38ZengMDPI AGNutrients2072-66432021-12-01141210.3390/nu14010002Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related DisordersMichele J. Alkalay0Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Texas Southwestern, Dallas, TX 75235, USALactose malabsorption (LM), celiac disease (CD), non-celiac gluten sensitivity (NCGS), and irritable bowel syndrome (IBS) are conditions associated with food triggers, improvement after withdrawal, treatment with dietary restriction, and subsequent nutritional detriments. LM occurs when there is incomplete hydrolysis of lactose due to lactase deficiency and frequently produces abdominal symptoms; therefore, it can cause lactose intolerance (LI). A lactose-restricted diet is frequently recommended, although it can potentially lead to nutrient deficiencies. Furthermore, lactose is an essential component of fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) and is subsequently associated with intolerance to these compounds, especially in IBS. LM commonly presents in CD. Nutritional deficits are common in CD and can continue even on a gluten-free diet (GFD). Conditions triggered by gluten are known as gluten-related disorders (GRDs), including CD, wheat allergy, and NCGS. IBS can also be associated with a gluten sensitivity. A GFD is the treatment for CD, GRDs, and gluten sensitive IBS, although compliance with this restricted diet can be difficult. Strict dietary therapies can have a negative effect on quality of life. This review aims to provide an overview of the difficult nutritional elements of these disorders, which are critical for medical providers to recognize when managing these patients.https://www.mdpi.com/2072-6643/14/1/2lactose malabsorptionlactose intoleranceceliac diseasegluten-related disordersFODMAPsnutrition |
| spellingShingle | Michele J. Alkalay Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders Nutrients lactose malabsorption lactose intolerance celiac disease gluten-related disorders FODMAPs nutrition |
| title | Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders |
| title_full | Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders |
| title_fullStr | Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders |
| title_full_unstemmed | Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders |
| title_short | Nutrition in Patients with Lactose Malabsorption, Celiac Disease, and Related Disorders |
| title_sort | nutrition in patients with lactose malabsorption celiac disease and related disorders |
| topic | lactose malabsorption lactose intolerance celiac disease gluten-related disorders FODMAPs nutrition |
| url | https://www.mdpi.com/2072-6643/14/1/2 |
| work_keys_str_mv | AT michelejalkalay nutritioninpatientswithlactosemalabsorptionceliacdiseaseandrelateddisorders |