Gluten Free Diet TemiFadugba
What is Gluten? • Gluten is a protein found in wheat, rye, barley and some oats • Gluten generally contains 75-80% protein which are mostly composed of two proteins, gliadins and glutenins • Gives dough elasticity and strength • Used as a filler and as a binder in prepackaged foods
Gluten-Free Foods • Fresh meats, fish, and poultry (unless breaded and marinated) • Most diary products (although many gluten-sensitive individuals are sensitive to dairy protein) • Gluten-free flours (rice, soy, corn, potato) • Fruits • Vegetables • Rice • Potatoes
What Foods Contains Gluten ? • Flour products (breads, pasta) • Some oats (gluten-free oats are available) • Some lunch meat • Some sport drinks • Beer (except Redbridge beer by Budweiser) • Cereals (unless gluten-free) • Food additives (flavorings, malt) • Modified food starch can also contain gluten
HowMany people have Gluten Intolerance? • 1 in 8% are thought to be gluten intolerant (Which is about 39 million Americans) • 77% produce antibodies in response to gluten (231 million Americans) • 8% have an autoimmune disease (24 million) • Gluten-sensitivity can lead to similar celiac symptoms such as stomach cramps, diarrhea and bloating. But unlike celiac, sensitivity doesn’t damage the intestine • The gluten-free diet is used by persons who are gluten-sensitive to prevent damage to their small intestines and to prevent serious complications such as gastrointestinal cancers, iron deficiency anemia, and decreased bone mineral density
Celiac Disease And Dermatitis Herpetiformis • Celiac disease is caused by a reaction to gliadin, a prolamine (gluten protein) causing autoimmune disorder of the small intestine • Symptoms: Diarrhea, abdominal distension, gastrointestinal disturbance, fatigue and weight loss • If untreated, these responses can lead to intestinal cancers and complications such as infertility and osteoporosis • Dermatitis herpetiformis is an intensively itchy vesicular rash occurring everywhere in the body, especially on the extensor surfaces (Knees and elbows) and the scalp • 100% of patients with dermatitis herpetiformis have celiac disease • Persons with celiac disease and dermatitis herpetiformis must maintain a gluten-free diet for the rest of their lives.
Risk with the gluten-Free diet • People who follow a gluten-free diet may have low levels of certain vitamins and nutrients in their diets. Many grains are enriched with vitamins • Many gluten-free products contain lower amount of nutrients • Persons with gluten-intolerance should ask a dietitian to see if they are getting enough key nutrients from vitamins such as folate, iron, calcium and fiber
Safe Foods • All unprocessed gluten-free foods • Always check the actual ingredient list If not sure whether a food contains gluten, don’t buy it or check with the manufacturer first to ask what it contains
Steps to the Gluten-Free Diet Switching to a gluten-free diet can be difficult in the beginning. Following these 10 steps will make the changes easier: • Identify Naturally gluten-free foods at home, many food are naturally gluten-free such as fresh fruits, fresh beef, pork, chicken, fresh eggs, plain beans, plain corn, and oils • Identify gluten-free packaged foods at home, some packaged foods have gluten hidden ingredients. Read the ingredients lists • Plan one week’s menu around naturally gluten-free foods • Make a gluten-free shopping list • Read food labels every time you buy a packaged product
Avoid cross-contact of gluten containing food and gluten-free foods • Eat out and travel gluten-free with ease • Eat a balanced diet • Identify any additional food intolerances • Get support
Conclusions • For a successful transition to the gluten-free lifestyle, persons with gluten intolerance should get support from their doctor, dietitian, family, and friends. Lastly, joining a local celiac disease support group can be very helpful.
References • Hagman, Bette. 2004. The Gluten-Free Gourment Cooks Comfort Foods: Creating old Favorites with the New Flours. New York, NY: Henry Holt and co. • Korn, Danna. 2001. Kids with Celiac Disease: A Family Guide to Raising Happy, Healthy, Gluten-Free Children. Bethesda, MD: Woodbine House Inc. • Lowell, Jax Peters. 2005. The Gluten-Free Bible: The Thoroughly Indispensible Guide to Negotiating Life without wheat. New York, NY: Owl Books. • Tessmer, Kimberly A. 2003. Gluten-Free for a Healthy Life: Nutritional Advice and recipes for those suffering from celiac disease and other gluten-related disorders. Franklin Lakes, NJ: New Page Books.