Relationship between the Diet and the Bone Mineral Density in Children with Celiac Disease
Received Date: Jan 05, 2018 / Accepted Date: Jan 27, 2018 / Published Date: Feb 02, 2018
Abstract
Objective: To analyze whether there were any deficiencies in the celiac diet that could affect dual X-ray absorptiometry (DXA), comparing a diet with gluten to one without gluten.
Methods: Forty-three children aged 1-13 years diagnosed with celiac disease (CD) were studied. Bone mineral density (BMD) was measured using DXA. A food questionnaire was completed before the start of the gluten-free diet (GFD) and again one year after diagnosis, when the patient was on a strict GFD.
Results: Lumbar spine BMD (g/cm2) increased over the one-year follow-up (P<0.001). We did not find significant differences in the percentages of energy intake and nutrients: carbohydrates (47.94% vs. 47.02%), lipids (34.73% vs. 36.24%) and proteins (17.65% vs. 16.60%). We found deficient vitamin D intake in both the gluten-containing and the GFDs. In observing the relationships between dietary intake and Z-score BMD, we found a significant correlation with the vitamin D intake at diagnosis.
Conclusion: The GFD is a healthy diet, similar in both macronutrients and micronutrients to a diet with gluten. The principal factor for BMD improvement is adequate proper compliance with the GFD.
Keywords: Celiac disease; Dual X-ray absorptiometry; Gluten free diet; Vitamin; Protein; Vitamin D; Bone mineral density
Citation: Salazar JC, Espin B, Rodríguez A, Argüelles F, Garcia R, et al. (2018) Relationship between the Diet and the Bone Mineral Density in Children with Celiac Disease. J Gastrointest Dig Syst 8: 550. Doi: 10.4172/2161-069X.1000550
Copyright: © 2018 Salazar JC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Share This Article
Recommended Journals
Open Access Journals
Article Tools
Article Usage
- Total views: 4036
- [From(publication date): 0-2018 - Aug 17, 2024]
- Breakdown by view type
- HTML page views: 3377
- PDF downloads: 659