Title |
Paediatric Patients with Coeliac Disease on a Gluten-Free Diet: Nutritional Adequacy and Macro- and Micronutrient Imbalances
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Published in |
Current Gastroenterology Reports, January 2018
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DOI | 10.1007/s11894-018-0606-0 |
Pubmed ID | |
Authors |
Alison Sue, Kate Dehlsen, Chee Y. Ooi |
Abstract |
A strict, lifelong gluten-free diet is the cornerstone for management of coeliac disease. Elimination of gluten from the diet may be associated with nutritional imbalance; however, the completeness of this diet in energy and macro- and micronutrients in children is not well described. Understanding the nutritional adequacy of the gluten-free diet in children during this critical period of growth and development when dietary intake is strongly influential is important. Children, regardless of whether they have eliminated gluten from their diet, have a tendency to consume excess fat and insufficient fibre, iron, vitamin D and calcium, compared to recommendations. In the context of a gluten-free diet, these imbalances may be worsened or have more significant consequences. Paediatric studies have demonstrated that intakes of folate, magnesium, zinc and selenium may decrease on a gluten-free diet. Nutritional inadequacies may be risks of a gluten-free diet in a paediatric population. The potential implications of these inadequacies, both short and long term, remain unclear and warrant further investigation and clarification. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Australia | 2 | 40% |
United Kingdom | 1 | 20% |
New Zealand | 1 | 20% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 60% |
Scientists | 1 | 20% |
Science communicators (journalists, bloggers, editors) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 77 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 12 | 16% |
Researcher | 7 | 9% |
Student > Ph. D. Student | 6 | 8% |
Student > Doctoral Student | 6 | 8% |
Other | 3 | 4% |
Other | 10 | 13% |
Unknown | 33 | 43% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 20 | 26% |
Nursing and Health Professions | 12 | 16% |
Unspecified | 2 | 3% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Arts and Humanities | 1 | 1% |
Other | 7 | 9% |
Unknown | 33 | 43% |