Dieta libre de Gluten
Gluten free diet
Palabras clave:
enfermedad celíaca, dieta libre de gluten, estado nutricional, nutrientes
Resumen
La enfermedad celíaca es un trastorno autoimmune multisistémico crónico cuyo único tratamiento de por vida es la dieta libre en gluten, ya que favorece la remisión de los síntomas, la normalización de los anticuerpos séricos y la recuperación de la mucosa intestinal. La dieta libre de gluten tiene como objetivo proporcionar las calorías y nutrientes requeridos por el paciente, utilizando alimentos naturales sin gluten, tales como legumbres, frutas y verduras, proteinas magras, huevos y productos lácteos sin procesar y/o sustitutos de alimentos procesados sin gluten o que tienen un contenido de gluten inferior a 20 ppm, mas la inclusion de probióticos y prebióticos; así como el control dietético periódico para prevenir o corregir las deficiencias de macro y micronutrientes. Se concluye que la educación nutricional y la adherencia dietética son fundamentales en la calidad de vida del paciente celíaco.
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Citas
Abdi F, Zuberi S, Blom J, Armstrong D, Pinto-Sanchez M. Nutritional Considerations in Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity. Nutrients 2023;15(6):1475.
El Khoury D, BalfourS, Joye I. A Review on the Gluten-Free Diet: Technological and Nutritional Challenges. Nutrients 2018;10(10):1410.
Kreutz J, Adriaanse M, Van Der Ploeg E, Vreugdenhil A. Narrative Review: Nutrient Deficiencies in Adults and Children with Treated and Untreated Celiac Disease. Nutrients 2020;12:500.
Melini V, Melini F. Gluten-Free Diet: Gaps and Needs for a Healthier Diet. Nutrients 2019 Jan 15;11(1):170.
Saturni L, Ferretti G, Bacchetti T. La dieta sin gluten: seguridad y calidad nutricional. Nutrientes 2010;2:16–34.
King J, Jeong J, Underwood F, Quan J, Panaccione N, y col. Incidence of Celiac Disease Is Increasing Over Time: A Systematic Review and Meta-analysis. Am. J. Gastroenterol 2020;115:507–525.
Nadhem O, Azeez G, Smalligan R, Urban S. Review and practice guidelines for celiac disease in 2014. Postgrad Med 2015;127(3): 259-65.
Caio G, Lungaro L, Segata N, Guarino M, Zoli G, Volta U, De Giorgio R. Effect of Gluten-Free Diet on Gut Microbiota Composition in Patients with Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity. Nutrients 2020;12(6):1832.
Estévez V, Araya M. La dieta sin gluten y los alimentos libres de gluten. Rev chil nutr 2016;43(4): 428-433.
Calle I de la, Gaspar R, Peñalver R, Nieto G. Enfermedad celiaca: causas, patología y valoración nutricional de la dieta sin gluten. Revisión Nutr Hosp 2020; 37(5): 1043-1051.
Herrán A, Pérez J, Caminero A, Nistal E, Vivas S, de Morales J. Gluten-degrading bacteria are present in the human small intestine of healthy volunteers and celiac patients. Res. Microbiol 2017;168:673–684.
Cenni S, Sesenna V, Boiardi G, Casertano M, Russo G, y col. The Role of Gluten in Gastrointestinal Disorders: A Review Nutrient 2023;15(7):1615.
Serena G, Davies C, Cetinbas M, Sadreyev R, Fasano A. Analysis of blood and fecal microbiome profile in patients with celiac disease. Hum. Microbiome J 2019;11:100049.
Lupu V, Trandafir L, Raileanu A, Mihai C, Morariu I, y col. Advances in Understanding the Human Gut Microbiota and Its Implication in Pediatric Celiac Disease-A Narrative Review. Nutrients 2023;15(11):2499.
Quagliariello A, Aloisio I, Cionci N, Luiselli D, D'Auria G, y col. Efecto de Bifidobacterium breve sobre la microbiota intestinal de niños celíacos con una dieta sin gluten: un estudio piloto. Nutrientes 2016;8:660.
Van Berge-Henegouwen G, Mulder C. Pioneer in the Gluten Free Diet: Willem-Karel Dicke 1905–1962, over 50 Years of Gluten Free Diet. Gu. 1993;34:1473–1475.
Normas CODEXALIMENTARIUS FAO-OMS. (consultado el 28 de agosto de 2023);Disponible en línea: http://www.fao.org/fao-who-codexalimentarius/codex-texts/list-standards/jp/
Jones A. The Gluten-Free Diet: Fad or Necessity? Diabetes Spectr 2017;30:118–123.
RostamiM, Asri N, Olfatifar M, Khorsand B, Houri H, Rostami K. Systematic Review and Dose-Response Meta-Analysis on the Relationship between Different Gluten Doses and Risk of Coeliac Disease Relapse. Nutrients 2023;15(6):1390.
Wieser H, Segura V, Ruiz A, Sousa C, Comino I. Food Safety and Cross-Contamination of Gluten-Free Products: A Narrative Review. Nutrients 2021;13:2244.
Akobeng A, Thomas A. Systematic review: Tolerable amount of gluten for people with coeliac disease. Aliment Pharmacol Ther 2008;27:1044–1052.
See J, Kaukinen K, Makharia G, Gibson P, Murray J. Practical insights into gluten-free diets. Nat Rev Gastroenterol Hepatol 2015;12(10): 580-91.
Defeudis G, Massari MC, Terrana G, Coppola L, Napoli N, Migliaccio S. Gluten-Free Diet and Metabolic Syndrome: Could Be a Not Benevolent Encounter? Nutrients 2023;15(3):627. D
Gobbetti M, Pontonio E, Filannino P, Rizzello C, De Angelis M, Di Cagno R. How to improve the gluten-free diet: The state of the art from a food science perspective. Food Res Int. 2018;110:22-32.
Machado M. New Developments in Celiac Disease Treatment. Int J Mol Sci 2023;24(2):945.
Öztekin Y, Güneş FE, Özen Alahdab Y. The Investigation of Nutritional Status, Intestinal Permeability, and Quality of Life in People with Celiac Disease. Turk J Gastroenterol 2022;33(12):1043-1049.
Aljada B, Zohni A, El-Matary W. The Gluten-Free Diet for Celiac Disease and Beyond. Nutrients 2021;13(11):3993.
Larretxi I, Txurruka I, Navarro V, Lasa A, Bustamante M, Fy col. Micronutrient Analysis of Gluten-Free Products: Their Low Content Is Not Involved in Gluten-Free Diet Imbalance in a Cohort of Celiac Children and Adolescent. Foods 2019;8:321.
Gessaroli M, Frazzoni L, Sikandar U, Bronzetti G, Pession A, y col. Nutrient intakes in adult and pediatric coeliac disease patients on gluten-free diet: a systematic review and meta-analysis. Eur J Clin Nutr 2023;77(8):784-793.
Lindfors K, Ciacci C, Kurppa K, Lundin K, Makharia G, y col. Celiac disease. Nat Rev Dis Prim 2019;5:3.
Bravo M, Muñoz F. Adherencia e impacto de la dieta sin gluten en niños con enfermedad celíaca. Rev chil pediatr 2011; 82(3): 191-197.
Antún M, González V, De Ruggiero M, Lava M, Naranja K, Alonso N y col. Factores que inciden en la adherencia a la dieta libre de gluten en adultos celíacos de la Ciudad Autónoma de Buenos Aires. Dieta 2017;35(161): 10-18.
Real R, Chamorro M. Adherencia a la dieta sin gluten y calidad de vida de los celiacos del Paraguay, Perspect Nut Hum 2021;23(2):171-82.
Caruso R, Pallone F, Stasi E, Romeo S, Monteleone G. Appropriate Nutrient Supplementation in Celiac Disease. Ann Med 2013;45:522–531.
Cardo A, Churruca I, Lasa A, Navarro V, Vázquez M, Perez G, Larretxi I. Nutritional Imbalances in Adult Celiac Patients Following a Gluten-Free Diet. Nutrients 2021;13(8):2877.
Wild D, Robins G, Burley V, Howdle P. Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet. Aliment Pharmacol Ther 2010;32:573–581.
Theethira TG, Dennis M, Leffler D. Nutritional consequences of celiac disease and the gluten-free diet. Expert Rev Gastroenterol Hepatol 2014;8:123–129.
Rondanelli M, Faliva M, Gasparri C, Peroni G, Naso M, Picciotto G, y col. Micronutrients Dietary Supplementation Advices for Celiac Patients on Long-Term Gluten-Free Diet with Good Compliance: A Review. Medicina (Kaunas) 2019;55(7):337.
Penagini F, Dilillo D, Meneghin F, Mameli C, y col. Dieta sin gluten en niños: un enfoque para una dieta nutricionalmente adecuada y equilibrada. Nutrientes 2013;5:4553–4565.
El Khoury D, BalfourS, Joye I. A Review on the Gluten-Free Diet: Technological and Nutritional Challenges. Nutrients 2018;10(10):1410.
Kreutz J, Adriaanse M, Van Der Ploeg E, Vreugdenhil A. Narrative Review: Nutrient Deficiencies in Adults and Children with Treated and Untreated Celiac Disease. Nutrients 2020;12:500.
Melini V, Melini F. Gluten-Free Diet: Gaps and Needs for a Healthier Diet. Nutrients 2019 Jan 15;11(1):170.
Saturni L, Ferretti G, Bacchetti T. La dieta sin gluten: seguridad y calidad nutricional. Nutrientes 2010;2:16–34.
King J, Jeong J, Underwood F, Quan J, Panaccione N, y col. Incidence of Celiac Disease Is Increasing Over Time: A Systematic Review and Meta-analysis. Am. J. Gastroenterol 2020;115:507–525.
Nadhem O, Azeez G, Smalligan R, Urban S. Review and practice guidelines for celiac disease in 2014. Postgrad Med 2015;127(3): 259-65.
Caio G, Lungaro L, Segata N, Guarino M, Zoli G, Volta U, De Giorgio R. Effect of Gluten-Free Diet on Gut Microbiota Composition in Patients with Celiac Disease and Non-Celiac Gluten/Wheat Sensitivity. Nutrients 2020;12(6):1832.
Estévez V, Araya M. La dieta sin gluten y los alimentos libres de gluten. Rev chil nutr 2016;43(4): 428-433.
Calle I de la, Gaspar R, Peñalver R, Nieto G. Enfermedad celiaca: causas, patología y valoración nutricional de la dieta sin gluten. Revisión Nutr Hosp 2020; 37(5): 1043-1051.
Herrán A, Pérez J, Caminero A, Nistal E, Vivas S, de Morales J. Gluten-degrading bacteria are present in the human small intestine of healthy volunteers and celiac patients. Res. Microbiol 2017;168:673–684.
Cenni S, Sesenna V, Boiardi G, Casertano M, Russo G, y col. The Role of Gluten in Gastrointestinal Disorders: A Review Nutrient 2023;15(7):1615.
Serena G, Davies C, Cetinbas M, Sadreyev R, Fasano A. Analysis of blood and fecal microbiome profile in patients with celiac disease. Hum. Microbiome J 2019;11:100049.
Lupu V, Trandafir L, Raileanu A, Mihai C, Morariu I, y col. Advances in Understanding the Human Gut Microbiota and Its Implication in Pediatric Celiac Disease-A Narrative Review. Nutrients 2023;15(11):2499.
Quagliariello A, Aloisio I, Cionci N, Luiselli D, D'Auria G, y col. Efecto de Bifidobacterium breve sobre la microbiota intestinal de niños celíacos con una dieta sin gluten: un estudio piloto. Nutrientes 2016;8:660.
Van Berge-Henegouwen G, Mulder C. Pioneer in the Gluten Free Diet: Willem-Karel Dicke 1905–1962, over 50 Years of Gluten Free Diet. Gu. 1993;34:1473–1475.
Normas CODEXALIMENTARIUS FAO-OMS. (consultado el 28 de agosto de 2023);Disponible en línea: http://www.fao.org/fao-who-codexalimentarius/codex-texts/list-standards/jp/
Jones A. The Gluten-Free Diet: Fad or Necessity? Diabetes Spectr 2017;30:118–123.
RostamiM, Asri N, Olfatifar M, Khorsand B, Houri H, Rostami K. Systematic Review and Dose-Response Meta-Analysis on the Relationship between Different Gluten Doses and Risk of Coeliac Disease Relapse. Nutrients 2023;15(6):1390.
Wieser H, Segura V, Ruiz A, Sousa C, Comino I. Food Safety and Cross-Contamination of Gluten-Free Products: A Narrative Review. Nutrients 2021;13:2244.
Akobeng A, Thomas A. Systematic review: Tolerable amount of gluten for people with coeliac disease. Aliment Pharmacol Ther 2008;27:1044–1052.
See J, Kaukinen K, Makharia G, Gibson P, Murray J. Practical insights into gluten-free diets. Nat Rev Gastroenterol Hepatol 2015;12(10): 580-91.
Defeudis G, Massari MC, Terrana G, Coppola L, Napoli N, Migliaccio S. Gluten-Free Diet and Metabolic Syndrome: Could Be a Not Benevolent Encounter? Nutrients 2023;15(3):627. D
Gobbetti M, Pontonio E, Filannino P, Rizzello C, De Angelis M, Di Cagno R. How to improve the gluten-free diet: The state of the art from a food science perspective. Food Res Int. 2018;110:22-32.
Machado M. New Developments in Celiac Disease Treatment. Int J Mol Sci 2023;24(2):945.
Öztekin Y, Güneş FE, Özen Alahdab Y. The Investigation of Nutritional Status, Intestinal Permeability, and Quality of Life in People with Celiac Disease. Turk J Gastroenterol 2022;33(12):1043-1049.
Aljada B, Zohni A, El-Matary W. The Gluten-Free Diet for Celiac Disease and Beyond. Nutrients 2021;13(11):3993.
Larretxi I, Txurruka I, Navarro V, Lasa A, Bustamante M, Fy col. Micronutrient Analysis of Gluten-Free Products: Their Low Content Is Not Involved in Gluten-Free Diet Imbalance in a Cohort of Celiac Children and Adolescent. Foods 2019;8:321.
Gessaroli M, Frazzoni L, Sikandar U, Bronzetti G, Pession A, y col. Nutrient intakes in adult and pediatric coeliac disease patients on gluten-free diet: a systematic review and meta-analysis. Eur J Clin Nutr 2023;77(8):784-793.
Lindfors K, Ciacci C, Kurppa K, Lundin K, Makharia G, y col. Celiac disease. Nat Rev Dis Prim 2019;5:3.
Bravo M, Muñoz F. Adherencia e impacto de la dieta sin gluten en niños con enfermedad celíaca. Rev chil pediatr 2011; 82(3): 191-197.
Antún M, González V, De Ruggiero M, Lava M, Naranja K, Alonso N y col. Factores que inciden en la adherencia a la dieta libre de gluten en adultos celíacos de la Ciudad Autónoma de Buenos Aires. Dieta 2017;35(161): 10-18.
Real R, Chamorro M. Adherencia a la dieta sin gluten y calidad de vida de los celiacos del Paraguay, Perspect Nut Hum 2021;23(2):171-82.
Caruso R, Pallone F, Stasi E, Romeo S, Monteleone G. Appropriate Nutrient Supplementation in Celiac Disease. Ann Med 2013;45:522–531.
Cardo A, Churruca I, Lasa A, Navarro V, Vázquez M, Perez G, Larretxi I. Nutritional Imbalances in Adult Celiac Patients Following a Gluten-Free Diet. Nutrients 2021;13(8):2877.
Wild D, Robins G, Burley V, Howdle P. Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet. Aliment Pharmacol Ther 2010;32:573–581.
Theethira TG, Dennis M, Leffler D. Nutritional consequences of celiac disease and the gluten-free diet. Expert Rev Gastroenterol Hepatol 2014;8:123–129.
Rondanelli M, Faliva M, Gasparri C, Peroni G, Naso M, Picciotto G, y col. Micronutrients Dietary Supplementation Advices for Celiac Patients on Long-Term Gluten-Free Diet with Good Compliance: A Review. Medicina (Kaunas) 2019;55(7):337.
Penagini F, Dilillo D, Meneghin F, Mameli C, y col. Dieta sin gluten en niños: un enfoque para una dieta nutricionalmente adecuada y equilibrada. Nutrientes 2013;5:4553–4565.
Publicado
2023-11-21
Cómo citar
Anderson Vazquez, H. (2023). Dieta libre de Gluten: Gluten free diet. Revista Profesional HígadoSano, (26), 45-54. https://doi.org/10.5281/zenodo.10195833
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