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Persistence of high levels of antibodies is frequently due to an inappropriate gluten-free diet The Dietetics Service of Madrid Coeliac Association, headed by Blanca Esteban, has been revising the diet of coeliac patients whose symptoms and/or high antibody levels were persistent despite the gluten-free diet since 2003. The results where shown in the 3rd International Immunonutrition Workshop, celebrated in Platja D'Aro - Girona (Spain) in October 2009. A total of 307 coeliacs' diet was analyzed, predominantly women's (66%) and children's (75%). The main causes of gluten consumption found were: i) absence of certification in special foodstuffs for coeliacs; ii) foodstuffs made of rice or corn that do not meet the dietary needs of coeliacs; iii) organic or biological foodstuffs made of corn or rice in which the absence of gluten was not certified; iv) baby food made of corn or rice not specific for coeliacs; v) foods lacking gluten according to their labels; vi) foodstuffs removed from the gluten-free foods and drinks directory; and vii) accidental consumption of gluten-containing products. All these cases were recommended to follow a much stricter gluten-free diet, reducing the consumption of manufactured foodstuffs and eliminating the incorrect foodstuffs from the diet. Antibody levels turned negative in a time between 3 and 12 months after the dietary changes were made in most patients. Interestingly, most adults failed to follow a correct gluten-free diet when eating outside home, while consumption of gluten in children frequently occurred at home. | |||||||||||||||||||||||||||||||||||||||
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