Pondostatural evolution in patients with Celiac Disease
Reference of this article: Kirchschläger E, Camps Rubiol T, Valverde Gómez F, Hernández Lorca MA, Roldán Martín MB, Ramos Fernández JM, et al. Pondostatural evolution in patients with Celiac Disease. Rev Pediatr Aten Primaria. 2000;2:559-571.
Published in Internet: 31-12-2000 - Visits: 5450
Celiac disease is a permanent intolerance to gluten , in which genetic, environmental
and immunologic factors are implicated. Still there are doubts about the exact pathogenesis.
A variable failure to thrive is a dominant feature. Removal of gluten from the diet leads
to clinical remission and catch-up of weight and height. In this study we realize a follow-up
of growth y weight patterns of 14 celiac patients, from birth up to 12 months after instauration
of gluten free diet (GFD). We observe a low weight and normal size at birth; the introduction
of gluten produces a mean decrease of 0.11 scores of standard desviation (SDS) of
weight and a loss of 0.23 SDS of height. Weight catch-up was already significant after 3
months of GFD, while the percentiles of height did not initiate revovery until 3 months after
the elimination of gluten. After a year of GFD mean weight gain is 1.16 SDS and the mean
height gain is 0.60 SDS. We related the catch-up with the age at diagnosis and evaluated
the weight/height ratio and the major growth velocity.
Keywords● catch-up growth ● Celiac disease ● Diet, gluten-free