Systemic consequences of coeliac disease in children with type 1 diabetes - is it worth following a gluten-free diet?

Q3 Medicine
Karolina Ruszkiewicz, Joanna Nazim
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引用次数: 0

Abstract

Introduction: Coeliac disease (CD) often coexists with type 1 diabetes mellitus (T1D). Children with double diagnosis are frequently asymptomatic, which raises the question of whether to introduce a strict gluten-free diet (GFD) or not.

Aim of the study: To summarise data on systemic consequences of coeliac disease in children with type 1 diabetes mellitus.

Material and methods: The PubMed database was searched for papers to identify meta-analyses, reviews and clinical trials focusing on children.

Results: Coeliac disease, like type 1 diabetes may adversely influence glycaemic control, growth, weight gain, lipid profile and bone health as well as increase the risk of vascular complications. A strict gluten-free diet, at least partly, prevents the development of systemic complications of both disorders.

Conclusions: Dietary restrictions do not have a negative impact on the quality of life of young diabetic patients hence a gluten-free diet with its multifaceted beneficial effects should be recommended to all children with diabetes and coeliac disease.

1型糖尿病儿童乳糜泻的全身性后果——是否值得遵循无麸质饮食?
乳糜泻(CD)常与1型糖尿病(T1D)共存。双重诊断的儿童通常无症状,这就提出了是否引入严格的无麸质饮食(GFD)的问题。研究目的:总结1型糖尿病患儿乳糜泻的全身性后果。材料和方法:检索PubMed数据库,以确定以儿童为重点的荟萃分析、综述和临床试验。结果:乳糜泻与1型糖尿病一样,可能对血糖控制、生长、体重增加、脂质分布和骨骼健康产生不利影响,并增加血管并发症的风险。严格的无麸质饮食,至少在一定程度上,可以防止这两种疾病的系统性并发症的发展。结论:饮食限制不会对年轻糖尿病患者的生活质量产生负面影响,因此应向所有患有糖尿病和乳糜泻的儿童推荐无麸质饮食,其多方面的有益影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Endocrinology, Diabetes and Metabolism
Pediatric Endocrinology, Diabetes and Metabolism Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.00
自引率
0.00%
发文量
36
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