High fat consumption in children with celiac disease

Aim : The purpose of this study was to estimate the caloric intake and fat consumption in children with celiac disease (CD) following a gluten-free diet (GFD). Patients and methods : This study enrolled 100 subjects, includ- ing 50 children with CD on a gluten-free diet and a control group of 50 healthy children. Statistical analysis to compare groups was performed using one-way ANOVA. Results : A significant increase in fat consumption was observed in children with CD as compared to healthy children. The daily fat intake was 72.5 ± 37.2 g per 100 g of food in the CD group and 52.9 ± 35.4 g per 100 g of food in the control group (p < 0.008). A significant difference in fat intake was found between celiac and healthy females (10.21 ± 3.15 g/100 g in the celiac group vs 7.46 ± 2.91 g/100 g in the control group), p = 0.004. Conclusions : This study describes a significantly higher fat consumption in patients with CD on GFD as compared to controls. This increase was more pronounced in females and during the puberal age. Based on these interesting preliminary results we estimate that further investigations are necessary, such as a randomized multicentre study on the long-term effects of GFD with particular attention to the imbalance in daily fat intake. (Acta gastroenterol. belg., 2009, 72, 296-300).