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Celiac Disease diagnosed celiac disease patients before and after the institution of a celiac disease diet - association with the grade of mucosal villous atrophy. Am J Clin Nutr 1998;

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  • Celiac Disease Celiac Disease (CD) Guideline (2009)

    Celiac Disease

    CD: Major Recommendations (2009) Recommendations

    Recommendations are categorized in terms of either conditional or imperative statements. While conditional statements clearly define a specific situation, imperative statements are broadly applicable to the target population and do not impose restraints on their application.

    Conditional recommendations are presented in an if/then format, such that:

    If CONDITION then ACTION(S) because REASON(S)

    Fulfillment of the condition triggers one or more guideline-specified actions. In contrast, imperative recommendations include terms such as “require, ” “must, ” and “should, ” and do not contain conditional text that would limit their applicability to specified circumstances.

    Resources Available with Each Recommendation

    In addition to the recommendation statement and strength rating, you will find on each recommendation page:

    A brief narrative summary of the evidence analyzed to reach the recommendation A statement of justification, or reason for the strength of the recommendation Detailed information on the evidence supporting the recommendations and background narrative (available in the Supporting Evidence section toward the bottom of each recommendation page) A reference list at the end of each recommendation page that includes all the sources used in the evidence analysis for the particular recommendation (each reference is hyperlinked to a summary of the article analyzed in the evidence analysis).

    Below, you will find a list of the Celiac Disease Recommendations organized by the steps in ADA's Nutrition Care Process. To see the Recommendation Summary, just click on the recommendation title.

    Celiac Disease (CD) Major Recommendations

    CD: Medical Nutrition Therapy

    Nutrition Assessment

    CD: Assessment of Food/Nutrition-Related History

    CD: Assessment of Factors Affecting Quality of Life

    CD: Bone Density Screening

    CD: Assessment of Biochemical Data and Results of Medical Procedures

    CD: Assessment of Gastrointestinal Symptoms

    CD: Assessment of Other Disease States

    Nutrition Intervention

    CD: Inclusion of Gluten-Free Oats

    Inclusion of Gluten-Free Oats as Tolerated

    CD: Meeting Nutritional Needs

    Consumption of Whole/Enriched Gluten-Free Grains and Products Addition of Multivitamin and Mineral Supplements

    CD: Calcium/Vitamin D for Reduced Bone Density

    CD: Iron Supplementation for Iron Deficiency Anemia

    CD: Gluten-free Dietary Pattern

    CD: Provide Resources and Education on Label Reading

    CD: Education on Food Cross-Contamination

    CD: Coordination of Care

    Nutrition Monitoring and Evaluation

    CD: Monitoring and Evaluation of Dietary Compliance

    CD: Monitoring and Evaluation of Factors Affecting Quality of Life

    CD: Monitoring and Evaluation of Gastrointestinal Symptoms

    Celiac Disease Celiac Disease (CD) Guideline (2009)

    © 2015 Academy of Nutrition and Dietetics (A.N.D.), Evidence Analysis Library. Printed on: 12/16/15 - from: http://www.andeal.org

    file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm http://www.andeal.org/template.cfm?template=guide_summary&key=2421 http://www.andeal.org/template.cfm?template=guide_summary&key=2130 http://www.andeal.org/template.cfm?template=guide_summary&key=2419 http://www.andeal.org/template.cfm?template=guide_summary&key=2418 http://www.andeal.org/template.cfm?template=guide_summary&key=2417 http://www.andeal.org/template.cfm?template=guide_summary&key=2429 http://www.andeal.org/template.cfm?template=guide_summary&key=2431&cms_preview=1 http://www.andeal.org/template.cfm?template=guide_summary&key=2103 http://www.andeal.org/template.cfm?template=guide_summary&key=2102 http://www.andeal.org/template.cfm?template=guide_summary&key=2131 http://www.andeal.org/template.cfm?template=guide_summary&key=2132 http://www.andeal.org/template.cfm?template=guide_summary&key=2101 http://www.andeal.org/template.cfm?template=guide_summary&key=2376 http://www.andeal.org/template.cfm?template=guide_summary&key=2463 http://www.andeal.org/template.cfm?template=guide_summary&key=2422 http://www.andeal.org/template.cfm?template=guide_summary&key=2133 http://www.andeal.org/template.cfm?template=guide_summary&key=2420 http://www.andeal.org/template.cfm?template=guide_summary&key=2430 file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm

  • Recommendations Summary CD: Medical Nutrition Therapy 2009

    Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

    Recommendation(s) CD: Medical Nutrition Therapy

    Medical nutrition therapy (MNT) provided by a registered dietitian is strongly recommended for individuals with celiac disease. Consultation with a registered dietitian as part of a team-based approach results in improved self-management.

    Rating: Consensus Imperative

    Risks/Harms of Implementing This Recommendation

    None.

    Conditions of Application

    None specified.

    Potential Costs Associated with Application

    Although costs of MNT sessions and reimbursement vary, MNT sessions are essential for improved outcomes.

    Recommendation Narrative

    The National Institutes of Health Consensus Development Conference Statement identified six elements required for the management of celiac disease:

    Consultation with a skilled dietitian Education about the disease Lifelong adherence to a gluten-free diet Identification and treatment of nutritional deficiencies Access to an advocacy group Continuous long-term follow-up by a multi-disciplinary team.

    Recommendation Strength Rationale

    The ADA Celiac Disease Work Group concurs with the National Institutes of Health Consensus Development Conference Statement.

    Minority Opinions

    Consensus reached.

    Supporting Evidence The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).

    References References not graded in Academy of Nutrition and Dietetics Evidence Analysis Process

    National Institutes of Health Consensus Development Conference on Celiac Disease. Consensus Development Conference Statement, June 28-30, 2004. Available at http://consensus.nih.gov/2004/2004CeliacDisease118html.htm.

    Celiac Disease Celiac Disease (CD) Guideline (2009)

    Quick Links

    Recommendations Summary CD: Assessment of Food/Nutrition-Related History 2009

    Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels

    © 2015 Academy of Nutrition and Dietetics (A.N.D.), Evidence Analysis Library. Printed on: 12/16/15 - from: http://www.andeal.org

    file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm http://consensus.nih.gov/2004/2004CeliacDisease118html.htm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm file:/E:/InetWeb/WebSiteRoot/andeal.org/print_queue.cfm

  • Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

    Recommendation(s) CD: Assessment of Food/Nutrition-Related History

    The registered dietitian (RD) should assess the food and nutrition-related history of individuals with celiac disease, including (but not limited to) the following:

    Food and nutrient intake (e.g., diet history, diet experience and macronutrient or micronutrient intake, specifically calcium, iron, vitamin B complex and vitamin D) Medication and herbal supplement use Knowledge, beliefs or attitudes (e.g., readiness to change nutrition-related behaviors) Behavior (e.g., social network) Factors affecting access to food and food and nutrition-related supplies (e.g., safe food and meal availability).

    Assessment of the above factors is needed to effectively determine nutrition diagnoses and plan the nutrition intervention. Intake of gluten results may result in gastrointestinal symptoms, malabsorption and villous atrophy.

    Rating: Strong Imperative

    Risks/Harms of Implementing This Recommendation

    None.

    Conditions of Application

    None specified.

    Potential Costs Associated with Application

    Although costs o

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