The Vancouver Chapter of the Canadian Celiac Association is a non-profit charity that supports people who are adversely affected by gluten, dermatitis herpetiformis, and other gluten-related conditions.
July 20, 2016: Jan's on Beach, White Rock
Celiac Disease (CD) is a genetic, multi-system, autoimmune disorder where the body reacts to gluten and other prolamines in wheat (e.g. durum, kamut, spelt), rye and barley. Gluten consumption causes damage to the absorptive surface of the small intestine and can result in malnutrition, anemia, nutritional deficiencies and an increased risk of other autoimmune diseases and some cancers of the gut. Every person is different and there may be no symptoms, but damage is still being done. More information can be found at the Canadian Celiac Association website.
Correlation of Type 1 Diabetes and Thyroid and Celiac Disease Autoantibodies in Patients A study in Saudi Arabia found the prevalence of thyroid and celiac disease autoantibodies among Type 1 diabetic patients was high. There was no correlation between the age of Type 1 diabetes diagnosis and the level of autoantibodies. Saudi Medical Journal 16 Apr, 37 (4): pages 386 - 391.
Diagnosis of Celiac Disease The authors of this study reviewed over 7,000 prior studies on PubMed, Embase, Cochrane Library and the web of science and found that the tTG IgA tests have excellent sensitivity and excellent specificity is found in the tTG IgA and EmA IgA tests. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Jan. Report No.: 15(16)-EHC032-EF. AHRQ Comparative Effectiveness Reviews
Presenting Pattern of Pediatric Celiac Disease A review of 165 patient charts of children newly diagnosed as having CD in western New York, they found that patients presented most frequently with abdominal pain and constipation and were older at the time of diagnosis than those described in the classical presentation of CD (gastrointestinal issues, diarrhea, and fatigue). They speculate that these patients may have a different long-term natural history and risk factors than originally described for patients with CD. Journal of Pediatric Gastroenterology Nutrition 2016 January Pages 60-3.
Pathogenic Role of Gut Microbiota in Gastrointestinal Diseases The gut microbiota is responsible for immune and metabolic functions. When this microbiota is out of balance, a condition called dysbiosis, gastrointestinal issues result that can lead to irritable bowel syndrome, celiac disease, inflammatory bowel disease and other inflammatory gastrointestinal issues. This study is looking at how genetics, diet, stress and medications can influence the gut bacteria. See comment in PubMed Commons below Intestinal Research, 2016 April 14(2):127-38.
The Decreasing Prevalence of Severe Villous Atrophy in Dermatitis Herpetiformis: A 45-Year Experience in 393 Patients This study looked at patients with Dermatitis Herpetiformis (DH), which is a manifestation of celiac disease presenting with itchy blistering rash and pathognomonic IgA deposits in the skin, and the degree of mucousal damage that these patients had. Prominent gastrointestinal symptoms are rare, and small-bowel findings range from severe villous atrophy (SVA) and partial villous atrophy (PVA) to normal mucosa with inflammatory changes. http://www.ncbi.nlm.nih.gov/pubmed/27136959
Is it gluten-free? Relationship between self-reported gluten-free diet adherence and knowledge of gluten content of foods Patients are often unable to identify what food is gluten-free and which is not. Therefore, self-report measures do not account for the possibility of unintentional gluten ingestion and overestimate gluten-free diet adherence. The role of patient advocacy groups and education to improve outcomes through improved adherence to a GFD requires further research. Nutrition February 13, 2016.
Development of a Risk Score for Extraintestinal Manifestations of Coeliac Disease This Australian study reviewed 301 patients who had symptoms other than the classic symptoms of gastrointestinal issues. They identified other symptoms that increased the risk of having celiac disease. These include a family history of CD, the presence of another autoimmune disorder, anemia, lactose intolerance, and depression. A risk score was developed (Coeliac Risk COMPARE) which scores individuals based on the presence or absence of these additional symptoms and provides an additional screening tool when assessing whether the patient requires follow-up testing for CD. http://www.ncbi.nlm.nih.gov/pubmed/27082568
Gluten-Free Certification Program - The CCA has spent several years developing a voluntary certification program based on a preventative approach for managing the production of gluten-free products. This symbol is the copyright of the Allergen Control Group who now manages the certification of gluten-free products. To see vendors who have been certified check out their website or look for this symbol on products in your stores.