Advances in ISSN: 2378-3168AOWMC

Obesity, Weight Management & Control
Proceedings
Volume 4 Issue 1 - 2016
Gluten Free Lifestyle
Katharine N Wagner*
Florida Department of Health, USA
Received: June 10, 2015| Published: January 04, 2016
*Corresponding author: Katharine N Wagner, Public Health Nutrition Supervisor, Florida Department of Health, 115 K. D. Revell Rd., Wauchula, FL 33873, Tel: (863)773-3276; Email:
Citation: Wagner KN (2016) Gluten Free Lifestyle. Adv Obes Weight Manag Control 4(1): 00075. DOI: 10.15406/aowmc.2016.04.00075

Introduction and Background

  1. Diagnosed in 1999 with Celiac Disease
  2. Process took one whole year before getting my final diagnosis, 2 family Physicians and 2 Dermatologists.
  3. At that time there were very few gluten free options.
  4. My family’s diagnosis

Celiac Disease

  1. Immune response in the small intestine when ingesting gluten found in wheat, barley and rye products. Damage to the villi and lack of absorption of nutrients.
  2. Classic symptoms: abdominal pain, cramps, bloating, diarrhea, anemia, weight loss, bone pain.

Celiac Disease and Dermatitis Herpetiformis

  1. Otherwise known as DH
  2. Skin form of Celiac. Extremely red and itchy bumps and blisters, hurts and itches at the same time!
  3. Classic location of rash: found on knees, elbows, buttocks, scalp.
  4. Usually no GI symptoms (Figure 1)
Figure 1: Examples of DH.

Gluten sensitivity

  1. Individuals who cannot tolerate gluten
  2. Does not trigger the immune response
  3. Hence does not show any GI symptoms or damage
  4. Becoming more recognized
  5. Currently unsure if gluten sensitivity has any long term health affects
  6. No current testing is available
  7. Diet

Hereditary links and Population

  1. Prevalent in Scandinavian and Celtic roots
  2. 1% of Americans or 3 million are diagnosed
  3. 97% are undiagnosed
  4. Those with a autoimmune diseases is more likely to also develop Celiac disease.

DH-the unbearable itch!

  1. Common age ranges are 15- 40 yr of age
  2. More common in women than men
  3. Only affects 15-25% of those with celiac disease
  4. Dapsone antibiotic. “Old fashioned” 1950s drug
  5. Also used to treat AIDS related pneumonia and Leprosy
  6. Does have side affects

Stressors

  1. “Trauma” can trigger Celiac disease, therefore, it may lay dormant for many years.
  2. Pregnancy
  3. Car accident
  4. Death
  5. Divorce
  6. High stress environment

Testing

  1. Blood testing: anti-tissue transgluteaminase (tTG)
  2. Anti-endomysium (EMA)
  3. Anti-demidated gliagin peptides(DGP)
  4. Biposy- from small intestine or skin for DH
  5. Must be eating gluten for at least 12 weeks to confirm
  6. Genetic testing to confirm carrier of DQ2 and DQ8 genes

Diet

  1. Healing varies from person to person
  2. Potato, rice, soy and bean flours
  3. Can include all plain fruits, vegetables, meats and dairy
  4. Gluten Free choices that are available
  5. Hidden gluten sources

Deficiency of nutrients

  1. Iron, folic acid, and calcium
  2. Vitamins-A, B-12, D, E and K
  3. Affects on body
  4. Supplementation

New labeling law

  1. New law in affect Aug 2, 2013, manufacturers have a year to be in compliance http://www.fda.gov/NewsEvents/Newsroo m/PressAnnouncements/ucm363474.htm
  2. Reports must be 20 ppm or less to be labeled as gluten free.
  3. This also includes all dietary supplements and restaurants claiming gluten free on their menu.
  4. Not required to place gluten free on an specific location on the product.
  5. Not required to have uniform symbols.

Popularity

  1. Restaurants
  2. Gluten Free diet as a “Cure all” for weight loss or other diseases/conditions
  3. Credible sources.

Conclusion

  1. If properly diagnosed, Celiac disease is manageable.
  2. Following a gluten free diet can reverse affects over time.
  3. Being gluten free does not mean you have to give up eating all the foods you like.
  4. Read labels and educate.
© 2014-2016 MedCrave Group, All rights reserved. No part of this content may be reproduced or transmitted in any form or by any means as per the standard guidelines of fair use.
Creative Commons License Open Access by MedCrave Group is licensed under a Creative Commons Attribution 4.0 International License.
Based on a work at http://medcraveonline.com
Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version | Opera |Privacy Policy