Body Mass Index in Celiac Disease: Beneficial Effect of a Gluten-free Diet
BACKGROUNDThere is concern about celiac disease patients being overweight and gaining more weight while on a gluten-free diet (GFD). AIMTo investigate body mass index (BMI) and effect of GFD on BMI of celiac disease patients in the United States where obesity is a systematic problem. METHODSBMI at d...
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| Veröffentlicht in: | Journal of clinical gastroenterology 2010-04, Vol.44 (4), p.267-271 |
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| container_title | Journal of clinical gastroenterology |
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| creator | Cheng, Jianfeng Brar, Pardeep S Lee, Anne R Green, Peter H. R |
| description | BACKGROUNDThere is concern about celiac disease patients being overweight and gaining more weight while on a gluten-free diet (GFD).
AIMTo investigate body mass index (BMI) and effect of GFD on BMI of celiac disease patients in the United States where obesity is a systematic problem.
METHODSBMI at diagnosis and after 2.8 years (mean) on a GFD were compared with national data.
RESULTSAmong our patients (n=369, 67.2% female), 17.3% were underweight, 60.7% normal, 15.2% overweight, and 6.8% obese. All patients were followed by a dietitian. Compared with national data, females had lower BMI (21.9 vs. 24.2, P |
| doi_str_mv | 10.1097/MCG.0b013e3181b7ed58 |
| format | Article |
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AIMTo investigate body mass index (BMI) and effect of GFD on BMI of celiac disease patients in the United States where obesity is a systematic problem.
METHODSBMI at diagnosis and after 2.8 years (mean) on a GFD were compared with national data.
RESULTSAmong our patients (n=369, 67.2% female), 17.3% were underweight, 60.7% normal, 15.2% overweight, and 6.8% obese. All patients were followed by a dietitian. Compared with national data, females had lower BMI (21.9 vs. 24.2, P<0.0001) and fewer were overweight (11% vs. 21%, P<0.0001); more males had a normal BMI (59.5% vs. 34%, P<0.0001) and fewer were underweight (9.1% vs. 26.7%, P<0.0001). Factors associated with low BMI were female sex, Marsh IIIb/c histology, and presentation with diarrhea. On GFD, 66% of those who were underweight gained weight, whereas 54% of overweight and 47% of obese patients lost weight.
CONCLUSIONSA GFD had a beneficial impact on BMI, underweight patients gained weight and overweight/obese patients lost weight. The improvement in BMI adds to the impetus to diagnose celiac disease. Expert dietary counseling may be a major factor in the beneficial effects we noted.</description><identifier>ISSN: 0192-0790</identifier><identifier>EISSN: 1539-2031</identifier><identifier>DOI: 10.1097/MCG.0b013e3181b7ed58</identifier><identifier>PMID: 19779362</identifier><identifier>CODEN: JCGADC</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Biological and medical sciences ; Body Mass Index ; Celiac Disease - complications ; Celiac Disease - diet therapy ; Celiac Disease - pathology ; Diet, Gluten-Free ; Diseases of the digestive system ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Middle Aged ; Obesity - complications ; Obesity - pathology ; Other diseases. Semiology ; Overweight ; Prevalence ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Reference Values ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Thinness - complications ; Thinness - pathology ; United States</subject><ispartof>Journal of clinical gastroenterology, 2010-04, Vol.44 (4), p.267-271</ispartof><rights>2010 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3302-492ffcb3f96100e338fdd5c45a15a854a8c1520b52927e62c62352b04d06c1683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22545322$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19779362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Jianfeng</creatorcontrib><creatorcontrib>Brar, Pardeep S</creatorcontrib><creatorcontrib>Lee, Anne R</creatorcontrib><creatorcontrib>Green, Peter H. R</creatorcontrib><title>Body Mass Index in Celiac Disease: Beneficial Effect of a Gluten-free Diet</title><title>Journal of clinical gastroenterology</title><addtitle>J Clin Gastroenterol</addtitle><description>BACKGROUNDThere is concern about celiac disease patients being overweight and gaining more weight while on a gluten-free diet (GFD).
AIMTo investigate body mass index (BMI) and effect of GFD on BMI of celiac disease patients in the United States where obesity is a systematic problem.
METHODSBMI at diagnosis and after 2.8 years (mean) on a GFD were compared with national data.
RESULTSAmong our patients (n=369, 67.2% female), 17.3% were underweight, 60.7% normal, 15.2% overweight, and 6.8% obese. All patients were followed by a dietitian. Compared with national data, females had lower BMI (21.9 vs. 24.2, P<0.0001) and fewer were overweight (11% vs. 21%, P<0.0001); more males had a normal BMI (59.5% vs. 34%, P<0.0001) and fewer were underweight (9.1% vs. 26.7%, P<0.0001). Factors associated with low BMI were female sex, Marsh IIIb/c histology, and presentation with diarrhea. On GFD, 66% of those who were underweight gained weight, whereas 54% of overweight and 47% of obese patients lost weight.
CONCLUSIONSA GFD had a beneficial impact on BMI, underweight patients gained weight and overweight/obese patients lost weight. The improvement in BMI adds to the impetus to diagnose celiac disease. Expert dietary counseling may be a major factor in the beneficial effects we noted.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Celiac Disease - complications</subject><subject>Celiac Disease - diet therapy</subject><subject>Celiac Disease - pathology</subject><subject>Diet, Gluten-Free</subject><subject>Diseases of the digestive system</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Obesity - pathology</subject><subject>Other diseases. Semiology</subject><subject>Overweight</subject><subject>Prevalence</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Reference Values</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Thinness - complications</subject><subject>Thinness - pathology</subject><subject>United States</subject><issn>0192-0790</issn><issn>1539-2031</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFv1TAMgCMEYo_BP0AoF7RThx03bcONPcZjaBMXOEdp6miFvHYkrcb-PUF72qRZiixLn2P5sxBvEU4RTPvhars7hR6QmLDDvuVBd8_EBjWZSgHhc7EBNKqC1sCReJXzLwBsifClOELTtoYatRHfzubhTl65nOXFNPBfOU5yy3F0Xn4eM7vMH-UZTxxGP7ooz0Ngv8g5SCd3cV14qkJiLiwvr8WL4GLmN4d8LH5-Of-x_Vpdft9dbD9dVp4IVFUbFYLvKZgGAZioC8Ogfa0datfp2nUetYJeK6NabpRvFGnVQz1A47Hp6Fic3P97k-Y_K-fF7sfsOUY38bxmW3ZsyBA2hazvSZ_mnBMHe5PGvUt3FsH-l2iLRPtUYml7dxiw9nseHpsO1grw_gC47F0MyU1-zA-cUrrWpNTj_Ns5Lpzy77jecrLX7OJybaFE3VFTrlVE1KWqykNF_wAaSYew</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Cheng, Jianfeng</creator><creator>Brar, Pardeep S</creator><creator>Lee, Anne R</creator><creator>Green, Peter H. R</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Body Mass Index in Celiac Disease: Beneficial Effect of a Gluten-free Diet</title><author>Cheng, Jianfeng ; Brar, Pardeep S ; Lee, Anne R ; Green, Peter H. R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3302-492ffcb3f96100e338fdd5c45a15a854a8c1520b52927e62c62352b04d06c1683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Celiac Disease - complications</topic><topic>Celiac Disease - diet therapy</topic><topic>Celiac Disease - pathology</topic><topic>Diet, Gluten-Free</topic><topic>Diseases of the digestive system</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Obesity - pathology</topic><topic>Other diseases. Semiology</topic><topic>Overweight</topic><topic>Prevalence</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Reference Values</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Thinness - complications</topic><topic>Thinness - pathology</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Jianfeng</creatorcontrib><creatorcontrib>Brar, Pardeep S</creatorcontrib><creatorcontrib>Lee, Anne R</creatorcontrib><creatorcontrib>Green, Peter H. R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Jianfeng</au><au>Brar, Pardeep S</au><au>Lee, Anne R</au><au>Green, Peter H. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body Mass Index in Celiac Disease: Beneficial Effect of a Gluten-free Diet</atitle><jtitle>Journal of clinical gastroenterology</jtitle><addtitle>J Clin Gastroenterol</addtitle><date>2010-04</date><risdate>2010</risdate><volume>44</volume><issue>4</issue><spage>267</spage><epage>271</epage><pages>267-271</pages><issn>0192-0790</issn><eissn>1539-2031</eissn><coden>JCGADC</coden><abstract>BACKGROUNDThere is concern about celiac disease patients being overweight and gaining more weight while on a gluten-free diet (GFD).
AIMTo investigate body mass index (BMI) and effect of GFD on BMI of celiac disease patients in the United States where obesity is a systematic problem.
METHODSBMI at diagnosis and after 2.8 years (mean) on a GFD were compared with national data.
RESULTSAmong our patients (n=369, 67.2% female), 17.3% were underweight, 60.7% normal, 15.2% overweight, and 6.8% obese. All patients were followed by a dietitian. Compared with national data, females had lower BMI (21.9 vs. 24.2, P<0.0001) and fewer were overweight (11% vs. 21%, P<0.0001); more males had a normal BMI (59.5% vs. 34%, P<0.0001) and fewer were underweight (9.1% vs. 26.7%, P<0.0001). Factors associated with low BMI were female sex, Marsh IIIb/c histology, and presentation with diarrhea. On GFD, 66% of those who were underweight gained weight, whereas 54% of overweight and 47% of obese patients lost weight.
CONCLUSIONSA GFD had a beneficial impact on BMI, underweight patients gained weight and overweight/obese patients lost weight. The improvement in BMI adds to the impetus to diagnose celiac disease. Expert dietary counseling may be a major factor in the beneficial effects we noted.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19779362</pmid><doi>10.1097/MCG.0b013e3181b7ed58</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Body Mass Index Celiac Disease - complications Celiac Disease - diet therapy Celiac Disease - pathology Diet, Gluten-Free Diseases of the digestive system Female Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Obesity - complications Obesity - pathology Other diseases. Semiology Overweight Prevalence Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Reference Values Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Thinness - complications Thinness - pathology United States |
| title | Body Mass Index in Celiac Disease: Beneficial Effect of a Gluten-free Diet |
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