The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients

The gluten-free diet (GFD) is the cornerstone treatment for coeliac disease (CD). However, a healthy GFD is more complex than the only exclusion of gluten-containing foods. Most celiac patients do not receive nutritional advice and tend to consume industrial gluten-free products (GFPs), which often...

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Main Authors: Emanuele Rinninella, Marco Cintoni, Pauline Raoul, Silvia Triarico, Tommaso Dionisi, Giovanni Battista Gasbarrini, Antonio Gasbarrini, Maria Cristina Mele
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Gastroenterology Insights
Subjects:
Online Access:https://www.mdpi.com/2036-7422/12/2/15
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author Emanuele Rinninella
Marco Cintoni
Pauline Raoul
Silvia Triarico
Tommaso Dionisi
Giovanni Battista Gasbarrini
Antonio Gasbarrini
Maria Cristina Mele
author_facet Emanuele Rinninella
Marco Cintoni
Pauline Raoul
Silvia Triarico
Tommaso Dionisi
Giovanni Battista Gasbarrini
Antonio Gasbarrini
Maria Cristina Mele
author_sort Emanuele Rinninella
collection DOAJ
description The gluten-free diet (GFD) is the cornerstone treatment for coeliac disease (CD). However, a healthy GFD is more complex than the only exclusion of gluten-containing foods. Most celiac patients do not receive nutritional advice and tend to consume industrial gluten-free products (GFPs), which often lack fiber, vitamins, and other micronutrients while being rich in saturated fats and refined sugars. This review focuses on the main potential metabolic disorders and nutritional deficiencies in CD patients at diagnosis and dissects the main nutritional and metabolic issues due to a non-balanced GFD. Nutritional tips to achieve an adequate dietary approach in CD are provided. We also compared the main nutritional components of naturally gluten-free cereals (including pseudocereals) to give an exhaustive overview of the possible healthy alternatives to processed GFPs. Clinicians and dietitians should be systematically involved in the diagnosis of CD to monitor the appropriateness of GFD and the patient’s nutritional status over time.
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spelling doaj.art-3d0f0ef0a5f045e1a8ece31184740d272023-11-21T13:47:03ZengMDPI AGGastroenterology Insights2036-74142036-74222021-04-0112216618210.3390/gastroent12020015The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac PatientsEmanuele Rinninella0Marco Cintoni1Pauline Raoul2Silvia Triarico3Tommaso Dionisi4Giovanni Battista Gasbarrini5Antonio Gasbarrini6Maria Cristina Mele7UOC di Nutrizione Clinica, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, ItalyScuola di Specializzazione in Scienza dell’Alimentazione, Università di Roma Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica Del Sacro Cuore, Largo F. Vito 1, 00168 Rome, ItalyUOSD di Oncologia Pediatrica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, ItalyScuola di Specializzazione in Medicina Interna, Università Cattolica Del Sacro Cuore, Largo F. Vito 1, 00168 Rome, ItalyDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica Del Sacro Cuore, Largo F. Vito 1, 00168 Rome, ItalyDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica Del Sacro Cuore, Largo F. Vito 1, 00168 Rome, ItalyDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica Del Sacro Cuore, Largo F. Vito 1, 00168 Rome, ItalyThe gluten-free diet (GFD) is the cornerstone treatment for coeliac disease (CD). However, a healthy GFD is more complex than the only exclusion of gluten-containing foods. Most celiac patients do not receive nutritional advice and tend to consume industrial gluten-free products (GFPs), which often lack fiber, vitamins, and other micronutrients while being rich in saturated fats and refined sugars. This review focuses on the main potential metabolic disorders and nutritional deficiencies in CD patients at diagnosis and dissects the main nutritional and metabolic issues due to a non-balanced GFD. Nutritional tips to achieve an adequate dietary approach in CD are provided. We also compared the main nutritional components of naturally gluten-free cereals (including pseudocereals) to give an exhaustive overview of the possible healthy alternatives to processed GFPs. Clinicians and dietitians should be systematically involved in the diagnosis of CD to monitor the appropriateness of GFD and the patient’s nutritional status over time.https://www.mdpi.com/2036-7422/12/2/15gluten-free dietnutritional deficienciescoeliac diseasemetabolic diseasesricemaize
spellingShingle Emanuele Rinninella
Marco Cintoni
Pauline Raoul
Silvia Triarico
Tommaso Dionisi
Giovanni Battista Gasbarrini
Antonio Gasbarrini
Maria Cristina Mele
The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
Gastroenterology Insights
gluten-free diet
nutritional deficiencies
coeliac disease
metabolic diseases
rice
maize
title The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
title_full The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
title_fullStr The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
title_full_unstemmed The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
title_short The Healthy Gluten-Free Diet: Practical Tips to Prevent Metabolic Disorders and Nutritional Deficiencies in Celiac Patients
title_sort healthy gluten free diet practical tips to prevent metabolic disorders and nutritional deficiencies in celiac patients
topic gluten-free diet
nutritional deficiencies
coeliac disease
metabolic diseases
rice
maize
url https://www.mdpi.com/2036-7422/12/2/15
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