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Cardiovascular disease risk factor profiles in children with celiac disease on gluten-free diets

World Journal of Gastroenterology 2013年第34期19卷 5658-5664页

作者： Lorenzo Norsa Raanan Shamir Noam Zevit Elvira Verduci Corina Hartman Diana Ghisleni Enrica Riva marcello giovannini Department of Pediatrics San Paolo Hospital University of Milan Institute of Gastroenterology Nutrition and Liver DiseasesSchneider Children’s Medical Center of Israel Sackler Faculty of Medicine Tel-Aviv University marcello giovannini Università degli Studi di Milano

AIM:To describe the cardiovascular disease(CVD)risk factors in a population of children with celiac disease(CD)on a gluten-free diet(GFD).METHODS:This cross-sectional multicenter study was performed at Schneider Children’s Medical Center of Israel(Petach Tiqva,Israel),and San Paolo Hospital(Milan,Italy).We enrolled 114 CD children in serologic remission,who were on a GFD for at least one *** enrollment,anthropometric measurements,blood lipids and glucose were assessed,and compared to values at *** homeostasis model assessment-estimated insulin resistance was calculated as a measure of insulin ***:Three or more concomitant CVD risk factors[body mass index,waist circumference,low density lipoprotein(LDL)cholesterol,triglycerides,blood pressure and insulin resistance]were identified in 14%of CD subjects on a *** most common CVD risk factors were high fasting triglycerides(34.8%),elevated blood pressure(29.4%),and high concentrations of calculated LDL cholesterol(24.1%).On a GFD,four children(3.5%)had insulin *** insulin and HOMA-IR were significantly higher in the Italian cohort compared to the Israeli cohort(P<0.001).Children on a GFD had an increased prevalence of borderline LDL cholesterol(24%)when compared to values(10%)at diagnosis(P=0.090).Trends towards increases in overweight(from 8.8%to 11.5%)and obesity(from 5.3%to 8.8%)were seen on a ***:This report of insulin resistance and CVD risk factors in celiac children highlights the importance of CVD screening,and the need for dietary counseling targeting CVD prevention.

关键词： Celiac disease Cardiovascular disease risk factors Gluten-free diet Insulin resistance Children Hyperlipidemia Cholesterol

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