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This study examined the impact of a gluten-free diet on nutritional status and inflammation markers in adult celiac patients compared to a control group. Twenty-six celiac patients and 26 healthy individuals participated. Interviews, dietary records, anthropometric measurements, and blood samples were collected. After six weeks, celiac patients showed improved adherence to the gluten-free diet and increased quality of life scores. While initial micronutrient intake was lower in celiac patients, it improved over the study period. However, there were no significant changes in inflammation markers.
This study aimed to examine the effects of a gluten-free diet on the nutritional status, anthropometric measurements, and serum levels of interferon-gamma (IFN-γ) and interleukin-15 (IL-15) in adult celiac patients, comparing them with a control group. A total of 26 celiac patients aged 18-64 years and 26 healthy individuals as the control group were included. Face-to-face interviews were conducted to determine participants' general characteristics, dietary habits, and physical activity status. Additionally, a retrospective 24-hour dietary recall and food frequency questionnaire were administered to assess dietary intake. Anthropometric measurements and blood samples were collected during the interviews. Celiac patients received education about the gluten-free diet, and follow-up assessments were conducted six weeks later. At the beginning, 53.8% of celiac patients reported always/mostly adhering to the gluten-free diet, which increased to 100.0% after six weeks. The total quality of life scores significantly increased in celiac patients after six weeks. Initial serum IL-15 levels were similar between celiac and control groups, whereas serum IFN-γ levels were significantly higher in celiac patients compared to the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Celiac Disease | Adult patients who were diagnosed with celiac disease were enrolled in the study. |
| |
| Healthy Subjects | Healthy subjects with matching demographical characteristics to the celiac group were enrolled in the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adherence to Gluten Free Diet | Behavioral | Participants with a diagnosed celiac disease were following a gluten-free diet. Study observed the adherence to the gluten-free diet for 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Serum interferon-gamma level | Serum interferon-gamma level was measured. | 6 weeks |
| Serum interleukin-15 levels | Serum interleukin-15 level was measured. | 6 weeks |
| Body weight | Body weight was measured using body composition analyzer device. | 6 weeks |
| Lean body mass | Lean body mass was measured using body composition analyzer device. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Total energy intake | Total energy intake was measured using food records. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consisted of 26 individuals diagnosed with celiac disease, comprising 21 females and 5 males, aged between 18 and 64 years. Additionally, a healthy control group of 26 individuals, including 20 females and 6 males, without any known diseases, was included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Zeynep Goktas, PhD | Hacettepe University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University Nutrition and Dietetics Department | Ankara | 06100 | Turkey (Türkiye) |
Due to the ethical reasons participant data will not be shared.
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| ID | Term |
|---|---|
| D002446 | Celiac Disease |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D008286 | Malabsorption Syndromes |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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Blood samples were collected from all subjects.
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |