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 What is Celiac Disease?

³Also known as celiac sprue or gluten-sensitive

enteropathy -- is a digestive and autoimmune disorder
that results in damage to the lining of the small
intestine when foods with gluten are eaten.´ -webmd
 
 


What is Gluten?
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Rrevalence of Celiac Disease

‡ In average healthy people: 1 in 133

‡ In people with related symptoms: 1 in 56
‡ In people with first-degree relatives(parent, child,
sibling) who are celiac: 1in 22
‡ In people with second-degree relatives(aunt, uncle,
cousin) who are celiac: 1 in39
Source: A multi-center study on the sero-prevalence of celiac disease in the United States
among both at risk and not at risk groups. Fasano et. al., Archives of Internal Medicine.
February 2003.
‡ Celiac disease affects at least 3 million Americans.
‡ The average length of time it takes for a symptomatic person
to be diagnosed with celiac disease in the US is four years;
Source: Characteristics of adult celiac disease in the USA: results of a national survey. Green,
R.H. et.al. American Journal of Gastroenterology, 2001, 2006.
 
 


Symptoms
‡ Unexplained iron-deficiency
‡ Gas anemia
‡ Diarrhea ‡ Arthritis
‡ Stomach pain ‡ Bone loss or osteoporosis
‡ Fatigue ‡ depression or anxiety
‡ Joint pain ‡ tingling numbness in the
‡ Weight loss hands and feet
‡ Seizures
‡ An itchy skin rash called
dermatitis herpetiformis ‡ missed menstrual periods
‡ infertility or recurrent
miscarriage
‡ canker sores inside the

Source:digestive.niddk.nih.gov/ddiseases/pubs/celiac/
 
 


Diagnosis of Celiac Disease

‡ Most Accurate Diagnostic Tool is Small Intestinal Biopsy.
This is done through an endoscope through the mouth
into the duodenum (beginning of the small intestine).
‡ Blood test can also be run to determine if antibodies
(specifically: endomysial antibodies, anti-tissue
transglutaminase antibodies, and anti-gliadin
antibodies).
 
 


Controlling Symptoms
‡ Eating a Gluten-Free Diet
± Avoid products made from wheat, rye
and barley
± 2006 Food Allergen Labeling and
Consumer Rrotection Act (FALCRA),
require companies to clearly label
products with Gluten.
 
 








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What is Therapeutic Nutrition?

‡ Therapeutic Snacking (supplements)
± Snacks that provide specific
additional nutrients beneficial to
the overall daily intake

‡ Therapeutic Snacking Options which

omit Gluten are available!
 Therapeutic Nutrition

Who can benefit from Therapeutic

Nutrition?
Individuals with the follow conditions:
‡ CELIAC DISEASE ‡ Obesity
‡ Muscle wasting ‡ Gastric bypass
‡ Acute response to Bariatric surgery
injury ‡ Diabetes & wound
‡ Critical illness recovery
‡ Osteoporosis ‡ CVD
‡ Immune function ‡ Liver disease
‡ Alzheimers/Memory ‡ Exercise & recovery
loss
 3

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Therapeutic Nutrition?
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