Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate
  • Record is Archived

    This article is now archived and is closed to further replies.

    Jefferson Adams
    Jefferson Adams

    Higher Body Mass Index and Lower Risk of Obesity in Celiac Disease Patients on a Gluten-free Diet

    Reviewed and edited by a celiac disease expert.

    Celiac.com 05/25/2012 - A team of researchers recently set out to examine body mass and obesity risk in a large population of people with celiac disease who are following a gluten-free diet.

    Photo:CC-FBellonThe research team included T. A. Kabbani, A. Goldberg, C. P. Kelly, K. Pallav, S. Tariq, A. Peer, J. Hansen, M. Dennis & D. A. Leffler. They are affiliated with the Department of Medicine and Division of Gastroenterology at Beth Israel Deaconess Medical Center in Boston, Massachusetts.

    Celiac.com Sponsor (A12):
    Diagnosis for celiac disease is on the rise, and many people who are diagnosed experience weight changes once they adopt a gluten-free diet. There's a pretty good amount of study data on weight change on a gluten-free diet, but a very limited amount of data regarding changes in body mass.

    The researchers wanted to look at a large population of people with celiac disease, who followed a gluten-free diet to better understand changes in body mass index (BMI) following celiac diagnosis.

    To do this, they looked at a total of 1018 patients with biopsy confirmed celiac disease. The patients had all previously visited the Beth Israel gastroenterology clinic in Boston.

    The team recorded data for initial and follow-up BMIs, and used an expert dietitian to assess patient compliance with a gluten-free diet. They found a total of 679 patients with at least two recorded BMIs and GFD adherence data, and used data from those patients in their study. The average amount of time from first BMI measurement to follow-up measurement was 39.5 months.

    When they compared the results against data for the general population, they found that celiac disease patients on a gluten-free diet were significantly less likely to be overweight or obese (32% vs. 59%, P < 0.0001).

    They also found that average body mass increased significantly after patients adopted a gluten-free diet (24.0 to 24.6; P < 0.001). Overall, 21.8% of patients with normal or high BMI at study entry increased their BMI by more than two points.

    The results of this study show that celiac disease patients on a gluten-free diet have lower BMI than the regional population at diagnosis, but that BMI increases with a gluten-free diet, especially in those who follow the diet closely.

    Still, even though overall risk of obesity is lower than the regular population, once celiac patients adopt a gluten-free diet, 15.8% of patients move from a normal or low BMI class into an overweight BMI class, and 22% of patients overweight at diagnosis gain weight.

    As a result, the study team feels that weight maintenance counseling should be an integral part of celiac dietary education.

    Source:

    • Open Original Shared Link


    User Feedback

    Recommended Comments



    Guest Jennifer

    Posted

    This article is an unnecessary obesity scare tactic. BMI is bunk, so this article has no merit. It doesn't mention that half of adults are overweight at diagnosis (because it would nullify this study).

    Link to comment
    Share on other sites
    Guest marketing@celiac.com

    Posted

    This article is an unnecessary obesity scare tactic. BMI is bunk, so this article has no merit. It doesn't mention that half of adults are overweight at diagnosis (because it would nullify this study).

    We actually covered that research as well: https://www.celiac.com/articles/22908/1/Nearly-Half-of-Patients-with-Celiac-Disease-are-Overweight-or-Obese-at-Diagnosis--/Page1.html

     

    I wouldn't say this research is any sort of obesity scare tactic though. It just shows that we still don't entirely understand how celiac disease affects the body, particularly body weight.

    Link to comment
    Share on other sites
    Guest sandy

    Posted

    I don't understand the body mass index. All I know is that my waist and stomach keep getting bigger and I can't seem to lose any weight.

    Link to comment
    Share on other sites
    Guest shaell

    Posted

    How come it doesn't mention that gluten-free food is way higher in sugar and fats to make food more palatable?

    Link to comment
    Share on other sites
    Guest Lara

    Posted

    This may speak, in part, to the higher fat and calorie content present in many of the gluten-free breads/baked goods.

    Link to comment
    Share on other sites
    Guest Lynn_M

    Posted

    I was diagnosed with non-celiac gluten sensitivity 6 months ago at age 64. No gluten since then, very few other grains, and barely any desserts, yet my weight stays unchanged at slightly overweight. Given the change in my eating habits, I'm astounded that I haven't lost weight. My experience parallels that of the research subjects.

     

    I wonder what the metabolic explanation is for persistent weight gain despite being gluten-free.

    Link to comment
    Share on other sites
    Guest gfistheonlyway

    Posted

    I was relieved to read this article. I was diagnosed 2 years ago with celiac disease, and after adapting to a gluten-free lifestyle, my weight jumped a lot. I have tried every diet and cannot seem to lose weight, the belly fat has really increased and I work out daily. I was glad to hear there are others who are struggling with this as well. Thank you for printing the study!

    Link to comment
    Share on other sites
    Guest ScooterMama

    Posted

    Learning, Learning, Learning. Thanks for the

    info. And yes, I'm one who was found to be

    overweight from celiac disease after 20 years, but I have

    definitely benefited from the gluten-free diet.

    Thanks again!

    Link to comment
    Share on other sites
    Guest BK Simmons

    Posted

    I would have liked a little info on how the gluten-free diet, which adds more "bread, rice, & other starches" into a celiac's diet causes a weight gain especially when their previous diet has limited these foods. Also how the medication(s) used in the management of the disease affects the weight gain.

    Link to comment
    Share on other sites
    Guest Don Brown

    Posted

    This article is an unnecessary obesity scare tactic. BMI is bunk, so this article has no merit. It doesn't mention that half of adults are overweight at diagnosis (because it would nullify this study).

    Hi all, well perhaps my personal experience may help. I self-diagnosed gluten sensitivity about 2 years back. My weight at that time was 234. My weight today is 234... changes. Yep, after removing all wheat products my body size started to change; it was almost to 3x. After 6 months, my size overall dropped to a large. I lost no weight but I felt much better. I'm 61 now and am at a size that feels better. I will start to lose some pounds soon, diet changes, but body mass dropped like a rock when I started eliminating wheat. Maybe others have had similar results. Have a good one.

    Link to comment
    Share on other sites
    Guest Renee

    Posted

    For those who haven't lost any weight, maybe you aren't eating enough food? It's important to fill your diet with healthy proteins and those grains that you are able to eat. For me, I eat a jumbo egg and veggie omelet with one corn tortilla, sprinkling of cheese, and salsa in the morning. Lunch is usually chicken with a green salad with some sort of nut and olives and a healthy dressing. Dinner is about the same: a healthy protein, lots of veggies, and a carb that I can handle. I've also done the 4-6 small meals a day when I have time. Gluten-free doesn't necessarily mean diet food. You still have to eat wisely and think portion-control. Which is why the eating small meals every 3 hours really is best.

    Link to comment
    Share on other sites
    Guest Gill
    Hi all, well perhaps my personal experience may help. I self-diagnosed gluten sensitivity about 2 years back. My weight at that time was 234. My weight today is 234... changes. Yep, after removing all wheat products my body size started to change; it was almost to 3x. After 6 months, my size overall dropped to a large. I lost no weight but I felt much better. I'm 61 now and am at a size that feels better. I will start to lose some pounds soon, diet changes, but body mass dropped like a rock when I started eliminating wheat. Maybe others have had similar results. Have a good one.

    So far, I've only been gluten-free (self-diagnosed celiac disease) for two months, and I have had similar results. Over the first month I decreased one dress size in volume though my weight stayed the same. As gluten-free bread, etc. is in general higher calorie, if the same amount is consumed after going gluten-free then weight is bound to rise. I'm 64 and feel so much better since going gluten-free. I would like to lose about 5 kilos eventually but will wait until I have been 6 months gluten-free to evaluate the changes. I find that I eat less bread, biscuits, etc. than before as the gluten-free ones are more filling and unless home-made, not very nice.

    Link to comment
    Share on other sites



    Guest
    This is now closed for further comments

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate
  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     


  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Related Articles

    Jefferson Adams
    Celiac.com 12/19/2011 - Very little data has been collected about how body mass relates to celiac disease in children in the United States. Recently, a team of researchers sought to document the way celiac disease presents in children with normal and with elevated body mass index (BMI) for age, and to study BMI changes in those kids following a gluten-free diet.
    The research team included Norelle Rizkalla Reilly, Kathleen Aguilar, Benjamin G. Hassid, Jianfeng Cheng, Amy R. DeFelice, Philip Kazlow, Govind Bhagat, and Peter H. Green. They are variously affiliate with Columbia University School of Medicine.
    The team reviewed data from patients treated at their specialty clinic from 2000 to 2008, for whom follow-up growth data available. In all, they evaluated 142 children from 13 months...


    Jefferson Adams
    Should Doctors Ignore Body Mass Index to Better Diagnose Celiac Disease?
    Celiac.com 03/19/2012 - A clinical gastroenterology research team recently weighed in on the practice of using weight as a factor to screen for celiac disease. They are calling for doctors to ignore body-mass when assessing patients for possible celiac disease screening.
    The team was made up of Fabio Meneghin, Dario Dilillo, Cecilia Mantegazza, Francesca Penagini, Erica Galli, Giulia Ramponi, and Gian Vincenzo Zuccotti. They are affiliated with the Department of Pediatrics of the Università di Milano Luigi Sacco Hospital in Milan, Italy.
    The team argues that, more and more, people with clinical celiac disease are presenting widely varied symptoms, while classic gastrointestinal symptoms like diarrhea or failure to thrive are becoming less frequent at diagnosis.
    In fact, data ...


    Jefferson Adams
    Should Patients With Morbid Obesity be Tested for Celiac Disease Before Surgery?
    Celiac.com 03/04/2013 - Morbid obesity is a common medical condition. In many cases, bariatric surgery is necessary. Although for decades celiac disease has been associated with chronic diarrhea and weight loss, and other classic symptoms, recent data shows that the clinical spectrum of celiac disease is extremely wide.
    A group of researchers recently reported on the benefits of diagnosing celiac disease during pre-operative work-up for bariatric surgery.
    The researchers included Federico Cuenca-Abente, Fabio Nachman, and Julio C. Bai of the Department of Surgery and Department of Medicine at Dr C. Bonorino Udaondo Gastroenterology Hospital in Buenos Aires, Argentina.
    They reported on the cases of five morbidly obese patients diagnosed with celiac disease during preoperative...


    Jefferson Adams
    Metabolic Syndrome in Patients with Celiac Disease on a Gluten-free Diet
    Celiac.com 04/06/2015 - Several studies have shown that many patients with celiac disease experience changes in body weight after starting a gluten-free diet, but researchers still don't have much data on rates of metabolic syndrome in this population.
    A team of researchers recently set out to assess rates of metabolic syndrome in patients with celiac at diagnosis, and at one year after starting gluten-free diet. The research team included R. Tortora, P. Capone, G. De Stefano, N. Imperatore, N. Gerbino, S. Donetto, V. Monaco, N. Caporaso, and A. Rispo. They are affiliated with the Department of Clinical Medicine and Surgery, University Federico II of Naples, Naples, Italy, or with the Department of Education and Professional Studies, King's College London, London, UK.
    For...


  • Recent Activity

    1. - Kathleen JJ replied to Kathleen JJ's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Options - 7 year old boy - Helicobacter pylori and serology

    2. - StaciField replied to StaciField's topic in Related Issues & Disorders
      6

      My bone structure is disintegrating and I’m having to have my teeth removed

    3. - Kathleen JJ replied to Kathleen JJ's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Options - 7 year old boy - Helicobacter pylori and serology

    4. - cristiana replied to Kathleen JJ's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Options - 7 year old boy - Helicobacter pylori and serology

    5. - Kathleen JJ posted a topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      3

      Options - 7 year old boy - Helicobacter pylori and serology


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      126,055
    • Most Online (within 30 mins)
      7,748

    malcolmg
    Newest Member
    malcolmg
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.9k
    • Total Posts
      69.1k

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Popular Now

    • Captain173
      10
    • jjiillee
      5
    • Kristina12
      7
    • StaciField
    • ShRa
      9
  • Popular Articles

    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
    • Scott Adams
  • Upcoming Events

×
×
  • Create New...