Included here are some sources that might be useful in determining appropriate testing for the newly diagnosed patient.

 

Gluten-Sensitive Enteropathy (Celiac Disease): More Common Than You Think (see table 5)
DAVID A. NELSEN, JR., M.D., M.S., University of Arkansas for Medical Sciences, Little Rock, Arkansas

By Dr. David Nelson


Nutritional Aspects of Celiac Sprue [3]- by Kenneth D. Fine, MD, summarized by Jim Lyles. This article contains highlights from an article by Kenneth D. Fine, MD, Baylor University Medical Center, GI Research, in Dallas, Texas

By Dr. Kenneth Fine

PubMed Abstracts:

"Almost all CD-patients (87%) had at least one value below the lower limit of reference. Specifically, for vitamin A, 7.5% of patients showed deficient levels, for vitamin B6 14.5%, folic acid 20%, and vitamin B12 19%. Likewise, zinc deficiency was observed in 67% of the CD-patients, 46% had decreased iron storage, and 32% had anaemia. Overall, 17% were malnourished (>10% undesired weight loss), 22% of the women were underweight (Body Mass Index (BMI) < 18.5), and 29% of the patients were overweight (BMI > 25). Vitamin deficiencies were barely seen in healthy controls, with the exception of vitamin B12. Vitamin/mineral deficiencies were counter-intuitively not associated with a (higher) grade of histological intestinal damage or (impaired) nutritional status. In conclusion, vitamin/mineral deficiencies are still common in newly "early diagnosed" CD-patients, even though the prevalence of obesity at initial diagnosis is rising. Extensive nutritional assessments seem warranted to guide nutritional advices and follow-up in CD treatment."
Vitamin and Mineral Deficiencies Are Highly Prevalent in Newly Diagnosed Celiac Disease Patients.

PMID: 24084055  Sept 2013

More than one in 10 of both newly-diagnosed and experienced women had inadequate thiamin, folate, vitamin A, magnesium, calcium and iron intakes. More than one in 10 newly-diagnosed men had inadequate thiamin, folate, magnesium, calcium and zinc intakes.
Nutritional inadequacies of the gluten-free diet in both recently-diagnosed and long-term patients with coeliac disease.
PMID: 23198728  Nov 2012

Conclusions. Adults with longstanding coeliac disease taking extra B vitamins for 6 months showed normalized tHcy and significant improvement in general well-being, suggesting that B vitamins should be considered in people advised to follow a gluten-free diet.
Clinical trial: B Vitamins improve health in coeliac patients living on a gluten-free diet.
PMID: 19154566  Jan 2009

Neurologic impairment due to vitamin E and copper deficiencies in celiac disease.
PMID: 18779515  Sept 2008

Metabolic and nutritional features in adult celiac patients.
PMID: 18431062  April 2008

Celiac disease with diffuse cutaneous vitamin K-deficiency bleeding.
PMID: 18165211  Nov 2007

Anemia in celiac disease is multifactorial in etiology.
PMID: 17636474  Nov 2007

Nutritional deficiencies in celiac disease.
PMID: 17472877 Mar 2007

Undiagnosed coeliac disease and nutritional deficiencies in adults screened in primary health care.
PMID: 17190764 Jan 2007

Gluten-free diet: the medical and nutrition management of celiac disease.
PMID: 16439765 Feb 2006

Neurological manifestations in celiacs and vitamin E status.
PMID: 16100995  June 2005

Nutritional status in adolescents and young adults with screen-detected celiac disease.
PMID: 15861017  May 2005

 


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