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Does a Gluten-Free Diet Affect BMI and Glycosylated Hemoglobin in Children and Adolescents with Type 1 Diabetes and Asymptomatic Celiac Disease? A Meta-Analysis and Systematic Review

Bibliographic Data

ID15712787
AuthorsSalma Burayzat (0000-0001-7265-5055, Hashemite University), Nour Amin Elsahoryi (0000-0003-2029-4045, Petra University), Ali Freitekh (Hashemite University), Osama Alzoubi (0000-0001-8196-3922, University of Jordan), Rahaf Al-Najjar (Hashemite University), Reema Tayyem (0000-0003-1640-0511, University of Jordan, corresponding author)
Year2022
Volume9
Issue8
Pages1247-1247
Publication date2022-08-18
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9081247
PMID36010137
OpenAlexW4293679693
LanguageEN
Citations received1
References cited2

Background: Children diagnosed with type 1 diabetes mellitus (T1DM) are more prone to having celiac disease (CD) than the normal population. Moreover, patients with this dual diagnosis who are also on a diabetic and gluten-free diet (GFD) risk faltering growth and uncontrolled blood glucose levels. This review aims to assess the efficacy and effectiveness of managing patients with T1DM screened for CD with GFD to prevent complications associated with these chronic pathologies in childhood and adulthood. Materials and Methods: We abided by the PRISMA guidelines in this meta-analysis and used multiple databases and search engines. We included case−control studies. The primary outcomes were changes in the standard deviation score, body mass index (SDS BMI), and glycosylated hemoglobin (HA1C) after being on a GFD for at least twelve months. Results: The pooled data from the six studies included showed that there was neither a statistically significant difference in the mean SDS BMI (−0.28 (95% CI −0.75, 0.42)) (p = 0.24) nor in the mean of HA1C (mean −0.07 (95% CI −0.44, 0.30)) (p = 0.36) for the same group. HDL cholesterol improved significantly in patients on a strict GFD (p < 0.01). Conclusions: In children with T1DM and asymptomatic CD, being on a GFD had no significant effect on BMI or HA1C. However, it can have a protective effect on the other complications found in both chronic pathologies

Asymptomatic · Body mass index · Diabetes mellitus · Disease · Gluten free · Hemoglobin · Meta-analysis · Population · Type 1 diabetes · Celiac Disease Research and Management · Digestive system and related health · Medicine · Microbial Metabolites in Food Biotechnology · Endocrinology · Gastroenterology · Internal Medicine

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  • GRADE guidelines

    Open Access•Gordon Guyatt, Gordon Guaytt et al.•Journal of Clinical Epidemiology•2011

  • BMI and BMI SDS in childhood

    Open Access•Bente Brannsether, Geir Egil Eide et al.•Annals of Human Biology•2016

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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Open DOIOpen Access
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