Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity
A gluten-free diet (GFD) is the only available treatment for celiac disease (CeD), and it may also improve symptoms in non-celiac gluten/wheat sensitivity (NCGWS). In CeD, gluten triggers an immune reaction leading to enteropathy, malabsorption, and symptoms; in NCGWS, the mechanism leading to sympt...
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| Format: | Article |
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MDPI AG
2023-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/6/1475 |
| _version_ | 1797609637993775104 |
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| author | Fardowsa Abdi Saania Zuberi Jedid-Jah Blom David Armstrong Maria Ines Pinto-Sanchez |
| author_facet | Fardowsa Abdi Saania Zuberi Jedid-Jah Blom David Armstrong Maria Ines Pinto-Sanchez |
| author_sort | Fardowsa Abdi |
| collection | DOAJ |
| description | A gluten-free diet (GFD) is the only available treatment for celiac disease (CeD), and it may also improve symptoms in non-celiac gluten/wheat sensitivity (NCGWS). In CeD, gluten triggers an immune reaction leading to enteropathy, malabsorption, and symptoms; in NCGWS, the mechanism leading to symptoms is unknown, and neither wheat nor gluten triggers enteropathy or malabsorption. A strict GFD is, therefore, necessary for CeD, but a gluten-restricted diet (GRD) may suffice to achieve symptom control for NCGWS. Regardless of this distinction, the risk of malnutrition and macro- and micronutrient deficiencies is increased by the adoption of a GFD or GRD. Thus, patients with CeD or NCGWS should undergo nutritional assessment and subsequent monitoring, based on evidence-based tools, under the care of a multidisciplinary team involving physicians and dietitians, for the long-term management of their nutrition. This review gives an overview of available nutrition assessment tools and considerations for the nutritional management of CeD and NCGWS populations. |
| first_indexed | 2024-03-11T06:04:11Z |
| format | Article |
| id | doaj.art-69efa599053a46fab660ec47892a75a1 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T06:04:11Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-69efa599053a46fab660ec47892a75a12023-11-17T13:06:18ZengMDPI AGNutrients2072-66432023-03-01156147510.3390/nu15061475Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat SensitivityFardowsa Abdi0Saania Zuberi1Jedid-Jah Blom2David Armstrong3Maria Ines Pinto-Sanchez4Department of Medicine, Faculty of Health Sciences, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON L8S 4K1, CanadaDepartment of Medicine, Faculty of Health Sciences, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON L8S 4K1, CanadaDepartment of Medicine, Faculty of Health Sciences, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON L8S 4K1, CanadaDepartment of Medicine, Faculty of Health Sciences, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON L8S 4K1, CanadaDepartment of Medicine, Faculty of Health Sciences, Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON L8S 4K1, CanadaA gluten-free diet (GFD) is the only available treatment for celiac disease (CeD), and it may also improve symptoms in non-celiac gluten/wheat sensitivity (NCGWS). In CeD, gluten triggers an immune reaction leading to enteropathy, malabsorption, and symptoms; in NCGWS, the mechanism leading to symptoms is unknown, and neither wheat nor gluten triggers enteropathy or malabsorption. A strict GFD is, therefore, necessary for CeD, but a gluten-restricted diet (GRD) may suffice to achieve symptom control for NCGWS. Regardless of this distinction, the risk of malnutrition and macro- and micronutrient deficiencies is increased by the adoption of a GFD or GRD. Thus, patients with CeD or NCGWS should undergo nutritional assessment and subsequent monitoring, based on evidence-based tools, under the care of a multidisciplinary team involving physicians and dietitians, for the long-term management of their nutrition. This review gives an overview of available nutrition assessment tools and considerations for the nutritional management of CeD and NCGWS populations.https://www.mdpi.com/2072-6643/15/6/1475nutrition assessmentglutenceliac diseasewheat sensitivity |
| spellingShingle | Fardowsa Abdi Saania Zuberi Jedid-Jah Blom David Armstrong Maria Ines Pinto-Sanchez Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity Nutrients nutrition assessment gluten celiac disease wheat sensitivity |
| title | Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity |
| title_full | Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity |
| title_fullStr | Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity |
| title_full_unstemmed | Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity |
| title_short | Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity |
| title_sort | nutritional considerations in celiac disease and non celiac gluten wheat sensitivity |
| topic | nutrition assessment gluten celiac disease wheat sensitivity |
| url | https://www.mdpi.com/2072-6643/15/6/1475 |
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