Foods made with wheat, rye or barley, oats, bulgur, spelt, or triticale
Foods using wheat products as a thickening agent or coating, such as meat loaf and certain
soups and sauces
Beverages containing gluten, such as beer
Many commercial salad dressings except pure mayonnaise
FOODS THAT HEAL
Low-fat milk
Eggs
Fish
Meat and poultry
Fresh fruits and vegetables
Legumes
Potatoes
Rice
WHO’S AFFECTED
About 2 5 million North Americans
Those who have other genetic disorders including Down’s syndrome and Turner’s syndrome
Those who have chronic or autoimmune diseases, such as type 1 diabetes and rheumatoid arthritis
Celiac disease, also known as celiac sprue or nontropical sprue, is a disorder that affects about one
out of every 133 people in the United States and Canada The problem is caused by gliadin, one of the
proteins collectively known as gluten, found in these grains This protein interferes with the
absorption of many nutrients and damages to the lining of the gut
Children with the disease are usually plagued with symptoms such as stomach upsets, diarrhea,
abdominal cramps, bloating, mouth sores, and an increased susceptibility to infection Their stool is
pale and foul-smelling, and it floats to the top of the toilet bowl, indicating a high fat content The
child’s growth may be stunted; some children develop anemia and skin problems, especially
dermatitis Diagnosis is confirmed through an intestinal biopsy or through blood tests
QUICK TIP:
Read labels on nonfood items
Scan the ingredient lists on packages of supplements, medications, and body lotions for wheat,
wheat proteins, and wheat products
People who develop celiac disease later in life may have had a mild or symptomless form of the
disease in childhood In unusual cases, adults with no prior history of gluten sensitivity develop the
condition after surgery on the digestive tract
Once the disease has been identified, patients are advised to permanently eliminate any foods that
contain gluten from their diet Luckily, gluten-free diets have become more popular in the past
decade
Nutrition Connection
These recommendations can help make living with celiac disease a little easier:
Be a gluten sleuth Many everyday foods contain gluten: breads, cakes, rolls, muffins, baking
mixes, pasta, sausages bound with bread crumbs, foods coated with batter, sauces and gravies, soups
thickened with wheat flour, and most breakfast cereals, as well as some candies, ice creams, and
puddings Many baby foods are thickened with gluten, although most commercial first-stage foods are
gluten-free
Don’t deprive yourself The market has responded to a demand for gluten-free items, so people
with Celiac disease can enjoy pastas and breads, such as rice pasta and baked goods made with corn,
rice, potato, or soy flours
Prepare most foods at home In general, it’s best to cook at home to ensure a healthy diet without
risking exposure to gluten
Always read labels on packaged foods Avoid ingredients such as flour-based binders and fillers
and modified starch Be suspicious of any label that specifies “other flours” because they are likely to
include at least some wheat derivatives Beer is made from barley and should be avoided, along with
malted drinks
Beyond the Diet
Note that gluten can appear in products besides foods and may affect your health For example,
medications and vitamins may use gluten as a binding agent At church, check with your pastor about
gluten-free communion wafers