nutrients-logo

Journal Browser

Journal Browser

Coeliac Disease: Addressing Nutritional Challenges and Dietary Practices

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: 15 April 2025 | Viewed by 1884

Special Issue Editor


E-Mail Website
Guest Editor
Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK
Interests: coeliac disease; peptic ulcer; hiatus hernia; irritable bowel syndrome; ulcerative colitis; gastrointestinal infections; nutrition
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Coeliac disease is a relatively common condition that affects 1–2% of subjects in Europe, North America, and most other countries. It involves a hypersensitivity to gluten proteins in wheat, rye, barley, and oats. The condition can present at any age, although most commonly in young children when they have been given gluten-containing foods as a part of their diet.

The condition is genetically inherited, particularly in people who carry either the HLA-DQ2 or HLA-DQ8 genes. The only accepted treatment is a lifelong gluten-free diet, avoiding foods that contain coeliac-toxic gluten proteins present in the cereals described above. 

The diagnosis involves screening with blood tests for IgA and IgG tissue transglutaminase antibodies for gluten proteins or their partially broken down peptides, which is routinely undertaken in North America.  Blood tests should also be performed for haematology, including haemoglobin levels and serum iron and folic acid levels. Once a diagnosis has been established, subjects should be referred to a dietitian, who is experienced in advising on how to initiate and follow a lifelong strict gluten-free diet. In the UK, gluten-free foods are available through family general practitioners, with prescriptions from the NHS that can be used to obtain gluten-free foods from local pharmacies. The UK Guidelines, as those followed in most other countries, stipulate subjects with coeliac disease should be followed up annually by someone who is experienced in the management of the condition, including gastroenterologists and dieticians who are experienced in the management of the condition. Particular care should be taken to screen young children of a parent who has coeliac disease, as the condition is genetically inherited. 

For this Special Issue, we invite articles on improving the nutritional and dietary aspects of coeliac disease and other gluten-related diseases.

Prof. Dr. Paul J. Ciclitira
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • coeliac disease
  • gluten-free diet
  • nutrition
  • genes
  • gluten-sensitive enteropathy

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

22 pages, 576 KiB  
Article
Assessment of Non-Cereal Products Gluten Cross-Contamination Exposure Risk in a Polish Female Population of Patients Diagnosed with Coeliac Disease
by Dominika Skolmowska, Dominika Głąbska, Dominika Guzek and Frank Vriesekoop
Nutrients 2025, 17(7), 1281; https://doi.org/10.3390/nu17071281 (registering DOI) - 6 Apr 2025
Viewed by 68
Abstract
Background/Objectives: Following gluten-free diet is challenging, due to risk of gluten cross-contamination. The study aimed to assess the non-cereal products gluten cross-contamination exposure risk in patients with coeliac disease. Methods: The study was conducted in a population of 699 Polish female members of [...] Read more.
Background/Objectives: Following gluten-free diet is challenging, due to risk of gluten cross-contamination. The study aimed to assess the non-cereal products gluten cross-contamination exposure risk in patients with coeliac disease. Methods: The study was conducted in a population of 699 Polish female members of the Polish Coeliac Society purchasing gluten-free products on-line (445 patients, 254 relatives). Participants were asked about frequency of buying and availability of gluten-free alternatives of non-cereal products characterized by the gluten cross-contamination risk (‘hidden’ gluten sources). Results: The most frequently bought non-cereal gluten-free alternatives of the ‘hidden’ gluten sources were baking powders, spices, side dishes, ice cream, chocolate and chocolate products, snack bars and candies. The caregivers often declared buying ‘often’ gluten-free baking powder, snack bars, chocolate and chocolate products, candies, ice cream, as well as often declared problems with the availability of gluten-free spices, chocolate and chocolate products, while patients often declared buying ‘often’ gluten-free beer, as well as often declared problems with its availability. The older respondents often declared buying ‘often’ gluten-free baking powder, while younger respondents often declared buying ‘often’ gluten-free chocolate and chocolate products, as well as often declared problems with the availability of gluten-free instant soups, and beer. The respondents living in small towns/villages often declared problems with the availability of gluten-free powder sauces. The respondents not purchasing in hypermarkets often declared buying ‘often’ gluten-free baking powder, spices, candies. The respondents who most often purchased gluten-free products often declared problems with the availability of gluten-free side dishes, chocolate and chocolate products. Conclusions: The majority of patients diagnosed with coeliac disease do not buy a number of gluten-free alternatives of the ‘hidden’ gluten sources, so they may be prone to gluten exposure, due to non-cereal products’ gluten cross-contamination risk. Full article
Show Figures

Figure 1

14 pages, 929 KiB  
Article
Gluten-Free Diet and Health-Related Quality of Life: The Validated Hellenic Version of the Celiac Dietary Adherence Test
by Emmanuel Psylinakis, Alexios Manidis, Fotios Makris, Nikolaos Thalassinos, Anastasia Markaki, Vasileia Kounelaki, Eirini Sfakianaki and Aspasia Spyridaki
Nutrients 2025, 17(2), 353; https://doi.org/10.3390/nu17020353 - 20 Jan 2025
Viewed by 1491
Abstract
Background/Objectives: A reliable assessment of gluten-free diet (GFD) adherence is essential for managing celiac disease (CD). This study aimed to validate the Hellenic version of the Celiac Disease Adherence Test (H-CDAT) to evaluate adherence levels and explore the impact of dietary adherence on [...] Read more.
Background/Objectives: A reliable assessment of gluten-free diet (GFD) adherence is essential for managing celiac disease (CD). This study aimed to validate the Hellenic version of the Celiac Disease Adherence Test (H-CDAT) to evaluate adherence levels and explore the impact of dietary adherence on health-related quality of life (HRQoL)—both of which have never been objectively assessed in Greek CD patients. Methods: The study included 102 adult CD patients who completed H-CDAT, diet-related questions, and the 36-Item Short Form Health Survey (SF-36). Results: H-CDAT demonstrated good psychometric properties and showed multiple strong correlations with HRQoL dimensions. H-CDAT adherence was Good in 38.2%, Moderate in 42.2%, and Poor in 19.6% of patients, despite their perception of effective adherence, with 51% never having visited a dietitian for guidance on a GFD. Patients scored significantly lower across most HRQoL dimensions compared to the general Greek population. When stratified into the three adherence categories, striking differences emerged between Good and Moderate adherence across both physical and mental health domains, highlighting that moderate adherence is not sufficient for optimal health outcomes. Conclusions: These findings emphasize the critical role of strict GFD adherence in improving overall health and underscore the importance of dietetic intervention for achieving optimal patient outcomes. Full article
Show Figures

Figure 1

Back to TopTop