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The Role of the Gluten-Free Diet and Personalized Follow-Up on Complications and Associated Diseases in Celiac Disease

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (5 November 2024) | Viewed by 3927

Special Issue Editor

Dr. Judit Bajor

E-Mail Website
Guest Editor
Division of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary
Interests: gastrointestinal tract; gastrointestinal diseases; clinical nutrition; diagnosis; pathogenesis; nutritional and metabolic diseases
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Celiac disease (CeD) is a systemic immune-mediated disease that develops in genetically susceptible individuals. A gluten-free diet (GFD) is essential for CeD patients, and has many beneficial effects: symptoms alleviate in most patients, the small bowel mucosa heals, antibody production stops, and nutritive status and bone mineral density improve. Patients need lifelong follow-up, in which dietary counselling has an important role in maintaining adherence. During the disease’s course, patients may face many complications, e.g., autoimmunity, infertility, metabolic bone diseases, and malignancy. The role of a GFD in the management of the complications is controversial. The GFD could have positive effects on some complications (e.g., infertility, osteoporosis), but some of them are irreversible (e.g., gluten ataxia). Gastrointestinal symptoms that remain despite a GFD raise further differential diagnostic questions. Personalized follow-up could help address these issues.The planned Special Issue discusses the complications of and diseases associated with CeD at diagnosis, and the effect of the GFD on these. Further clinical questions, e.g., differential diagnosis, the management of associated diseases, and personalized approaches during follow-up will also be discussed. Studies that deal with changing symptoms, levels of macro- and micronutrients, body mass index and body composition, bone metabolism, microbiome, quality of life, and dietary counselling during a GFD are welcomed. We also welcome materials related to refractory CeD.

Dr. Judit Bajor
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • celiac disease
  • gluten-free diet
  • complications
  • co-morbidities
  • clinical presentation
  • symptoms
  • follow-up
  • autoimmunity
  • metabolic bone diseases
  • body composition
  • microbiome
  • quality of life
  • personalized therapy
  • refractory celiac disease

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Published Papers (2 papers)

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Research

13 pages, 727 KiB  
Article
Mediterranean Diet Adherence in Celiac Patients: A Nested Cross-Sectional Study
by Míra Zsófia Peresztegi, Zsolt Szakács, Zsófia Vereczkei, Eszter Dakó, Sarolta Dakó, Szilvia Lada, Klára Lemes, Miklós Holczer, Nelli Farkas and Judit Bajor
Nutrients 2025, 17(5), 788; https://doi.org/10.3390/nu17050788 - 25 Feb 2025
Viewed by 740
Abstract
Background/Objectives: The Mediterranean diet (MD) reduces cardiovascular risk, which is higher in celiac disease (CD). We aimed to investigate adherence to the MD in newly diagnosed CD patients, CD patients on a gluten-free diet (GFD), and in a non-celiac control group. Additionally, [...] Read more.
Background/Objectives: The Mediterranean diet (MD) reduces cardiovascular risk, which is higher in celiac disease (CD). We aimed to investigate adherence to the MD in newly diagnosed CD patients, CD patients on a gluten-free diet (GFD), and in a non-celiac control group. Additionally, we aimed to establish an association between GFD and MD adherence. Methods: In this nested, cross-sectional Hungarian study, MD adherence was assessed using the Mediterranean Diet Score (MDS), and GFD adherence was assessed using the Standardized Dietitian Evaluation (SDE). Results: A total of 215 subjects were enrolled, 128 of which were CD patients on a GFD for a minimum of 1 year, 24 were newly diagnosed CD patients, and 63 were non-CD healthy control subjects. Although the control subjects had a higher mean MDS, the groups did not differ statistically significantly from each other (CD on GFD: 5.55 ± 1.57, newly diagnosed CD: 5.35 ± 1.81, controls: 6.05 ± 1.73; p > 0.05)—all groups had suboptimal scores. Both CD groups consumed fewer whole grains than the controls (p < 0.001). Adequate GFD adherence was associated with higher MDS (5.62 ± 1.54 vs. 4.71 ± 1.21, respectively; p = 0.009). Conclusions: Our study highlights the low adherence to MD in celiac patients with insufficient consumption of whole grains. Adherence to GFD is associated with better MD adherence, which underlines the role of dietary education during follow-up. Targeted nutritional counseling could improve the quality of diet in CD patients to reduce cardiovascular risk. Full article
(This article belongs to the Special Issue The Role of the Gluten-Free Diet and Personalized Follow-Up on Complications and Associated Diseases in Celiac Disease)
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16 pages, 709 KiB  
Article
Gluten-Free Product Recalls and Their Impact on Consumer Trust
by Siyu Liu, Dalia El Khoury and Iris J. Joye
Nutrients 2023, 15(19), 4170; https://doi.org/10.3390/nu15194170 - 27 Sep 2023
Cited by 5 | Viewed by 2707
Abstract
The range of gluten-free food products available to consumers is steadily expanding. In recent years, recalls of food products have highlighted the importance of accurate labeling of food products for the presence of wheat, other gluten-containing cereals, or gluten itself as refined ingredient. [...] Read more.
The range of gluten-free food products available to consumers is steadily expanding. In recent years, recalls of food products have highlighted the importance of accurate labeling of food products for the presence of wheat, other gluten-containing cereals, or gluten itself as refined ingredient. The purpose of this study was to gain more insights into recent food recalls related to undeclared gluten/wheat contamination and consumer experiences with these recalls. Recalls of products triggered by gluten contamination are relatively scarce and are not often triggered by a consumer complaint. The impact of these recalls on consumer trust was evaluated through an online survey that was distributed among supporters of Celiac Canada (CCA) and covered (i) strategies to adhere to a gluten-free diet, (ii) experiences with gluten-free recalls and their impact on consumer trust, and (iii) demographic information. Consumer concern regarding gluten-free product recalls is significant, but the concern regarding recalls is not heightened after experiencing a recall. Companies pursuing transparency in the process, identification of the source of contamination, and mitigation strategies going forward are likely to retain consumer trust in their product and brand. Based on the survey results, further efforts focusing on consumer education regarding interpreting nutrient labels, identifying sources of information on product recalls, and understanding procedures to follow upon suspected gluten contamination of a gluten-free product are recommended. Full article
(This article belongs to the Special Issue The Role of the Gluten-Free Diet and Personalized Follow-Up on Complications and Associated Diseases in Celiac Disease)
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