Document Detail


Early changes of body composition in asymptomatic celiac disease patients.
MedLine Citation:
PMID:  8677938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIM: This is a study of patients with asymptomatic celiac disease. The aims of this study were: 1) To evaluate the nutritional status of asymptomatic patients with newly diagnosed celiac disease, and 2) to compare these findings with those of untreated/symptomatic and treated patients. MATERIAL: We examined 41 patients with celiac disease divided into three groups: a) 8 asymptomatic (diagnosed in a study of first-degree relatives of probands), b) 20 untreated/symptomatic patients, and c) 13 treated patients. Nutrition of patients from groups A and B was assessed at the time of diagnosis. METHODS: Nutritional status was evaluated by: 1) body composition (fat and lean mass) by dual energy x-ray absorptiometry (DEXA), and 2) anthropometric measurements. RESULTS: Compared with sex and age matched controls (n = 153), asymptomatic patients presented a moderate but significant reduction of the fat compartment (-29%; p < 0.001), but not of the lean-tissue mass (p = NS). Untreated/symptomatic patients showed a more severe depletion of fat (-46%; p < 0.001) and lean mass (-9.0%; p < 0.05) compared with healthy controls. Although fat mass of treated patients was significantly reduced with respect to controls (-24%; p < 0.003), lean mass was not affected. The anthropometric measurements of fat showed a significant correlation with the evaluation by DEXA (multiple regression analysis r = 0.918). CONCLUSION: Asymptomatic patients in our study with an unequivocal diagnosis of celiac disease established by mucosal biopsy exhibited a modified body composition.
Authors:
R M Mazure; H Vazquez; D Gonzalez; C Mautalen; G Soifer; M Cataldi; E Mauriño; S Niveloni; A M Siccadi; D Flores; S Pedreira; L Boerr; J C Bai
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  91     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-08-15     Completed Date:  1996-08-15     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  726-30     Citation Subset:  IM    
Affiliation:
Centro de Osteopatías Médicas, Hospital de Clínicas, Universidad de Buenos Aires, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Absorptiometry, Photon
Adipose Tissue / pathology
Adult
Body Composition*
Body Mass Index
Case-Control Studies
Celiac Disease / diagnosis,  diet therapy,  physiopathology*
Female
Glutens / administration & dosage
Humans
Male
Nutritional Status
Chemical
Reg. No./Substance:
8002-80-0/Glutens

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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