Journal
EUROPEAN JOURNAL OF CLINICAL NUTRITION
Volume 64, Issue 11, Pages 1371-1372Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/ejcn.2010.161
Keywords
celiac disease; obesity; gluten-free diet; children
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More than 20 years of serological approach to diagnosis of celiac disease (CD) has deeply changed the classical clinical presentation of the disease, and some reports indicate that CD and obesity can coexist in both childhood and adolescence. We reviewed clinical records of 149 children with CD followed in our institution between 1991 and 2007, considering weight, height and body mass index (BMI), both at diagnosis and after at least 12 months of gluten-free diet (GFD). In all, 11% of patients had BMI z-score >+1 and 3% were obese (z-score >+2) at presentation. In our population, there was a significant (P = 0.008) increase in BMI z-score after GFD and the percentage of overweight (z-score >+1) subjects almost doubled (11 vs 21%, P=0.03). Our data suggest the need for a careful follow-up of nutritional status after diagnosis of CD, especially addressing those who are already overweight at presentation. European Journal of Clinical Nutrition (2010) 64, 1371-1372; doi: 10.1038/ejcn.2010.161; published online 18 August 2010
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