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Nutrients 2014, 6(1), 207-220; doi:10.3390/nu6010207
Review

Celiac Disease and Overweight in Children: An Update

1,* , 1,2
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1 Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy 2 Gastroenterology Unit, Pediatric Clinic of University, Piazza Giulio Cesare 11, Bari 70124, Italy 3 Epidemiology and Biostatistics Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy
* Author to whom correspondence should be addressed.
Received: 11 October 2013 / Revised: 19 December 2013 / Accepted: 20 December 2013 / Published: 2 January 2014
(This article belongs to the Special Issue Nutrition and Celiac Disease)
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Abstract

The clinical presentation of celiac disease in children is very variable and differs with age. The prevalence of atypical presentations of celiac disease has increased over the past 2 decades. Several studies in adults and children with celiac disease indicate that obesity/overweight at disease onset is not unusual. In addition, there is a trend towards the development of overweight/obesity in celiac patients who strictly comply with a gluten-free diet. However, the pathogenesis and clinical implications of the coexistence of classic malabsorption (e.g., celiac disease) and overweight/obesity remain unclear. This review investigated the causes and main clinical factors associated with overweight/obesity at the diagnosis of celiac disease and clarified whether gluten withdrawal affects the current trends of the nutritional status of celiac disease patients.
Keywords: celiac disease; overweight; obesity; gluten free diet celiac disease; overweight; obesity; gluten free diet
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Diamanti, A.; Capriati, T.; Basso, M.S.; Panetta, F.; Di Ciommo Laurora, V.M.; Bellucci, F.; Cristofori, F.; Francavilla, R. Celiac Disease and Overweight in Children: An Update. Nutrients 2014, 6, 207-220.

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