Clinical and nutritional profile of children with celiac disease.

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dc.contributor.authorPatwari, A Ken_US
dc.contributor.authorAnand, V Ken_US
dc.contributor.authorKapur, Gauraven_US
dc.contributor.authorNarayan, Shashien_US
dc.date.accessioned2003-04-09en_US
dc.date.accessioned2009-05-27T04:58:20Z
dc.date.available2003-04-09en_US
dc.date.available2009-05-27T04:58:20Z
dc.date.issued2003-04-09en_US
dc.description.abstractThis prospective study was aimed to evaluate the clinical and nutritional profile of children diagnosed as celiac disease (CD) as per the modified ESPGAN criteria, at the time of diagnosis and after institution of gluten free diet. Out of 65 enrolled cases of CD, 7 (10.8%) children did not follow a strict dietary compliance. Only 41 children with satisfactory dietary compliance on gluten free diet (GFD) who regularly attended the follow up for at least 6 months were evaluated for their nutritional and hematological status. Results were compared with age and sex matched controls. The mean age of diagnosis was 8.7 +/- 3.3 years. Diarrhea and failure to thrive were the most common presenting symptoms. At diagnosis, the nutritional and hematological indices were significantly lower in patients than in controls. Mean duration of follow up on GFD was 22 months (range 6-48 +/- 5.6 months). On follow up, height for age Z score was significantly lower, mean BMI was significantly higher, and weight for age Z score, weight for height Z score (%), mean triceps and biceps skin fold thickness, and mid arm circumference were comparable to controls. At diagnosis, 80% cases had microcytic hypochromic anemia and 20% had dimorphic anemia. On GFD for at least a period of more than 6 months, 19% had microcytic anemia and in 81% the hematological picture was normocytic normochromic. 60% cases had thrombocytosis at diagnosis in comparison to 2.3% after treatment. Institution of GFD leads to rapid improvement in clinical picture as well as most of the nutritional and hematological parameters.en_US
dc.description.affiliationDivision of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Kalawati Saran Childrens Hospital, Lady Hardinge Medical College, New Delhi-110 001, India.en_US
dc.identifier.citationPatwari AK, Anand VK, Kapur G, Narayan S. Clinical and nutritional profile of children with celiac disease. Indian Pediatrics. 2003 Apr; 40(4): 337-42en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/6960
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshAnemia --epidemiologyen_US
dc.subject.meshAnthropometryen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshCeliac Disease --diet therapyen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshNutritional Statusen_US
dc.subject.meshPatient Complianceen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleClinical and nutritional profile of children with celiac disease.en_US
dc.typeJournal Articleen_US
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