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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 (25 April 2024) | Viewed by 1680

Special Issue Editor


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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

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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

Published Papers (1 paper)

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Research

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
Viewed by 1531
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
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