CD: Medical Nutrition Therapy (2021)

Intervention
In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect anthropometrics?
- Conclusion
  The effects of individualized counseling or medical nutrition therapy (MNT) by a registered dietitian nutritionist on anthropometric outcomes are unclear. However, in healthy adult patients with celiac disease, limited observational evidence suggests that longer follow-up with registered dietitian nutritionist may lead to better outcomes related to BMI. (Grade III or Very Low)
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect anthropometrics?
- Search Plan and Results: CD: MNT 2020
In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect nutrition-related laboratory measures?
- Conclusion
  In healthy adult patients with celiac disease, one neutral-quality cohort study found significant improvement in nutrition-related laboratory measures (hemoglobin and serum albumin) in both treatment-naïve patients and follow-up patients who received nutrition counseling at regular intervals from a registered dietitian nutritionist specializing in the management of celiac disease at six months in comparison to baseline. (Grade III or Very Low)
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect nutrition status?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Rajpoot P, Sharma A, Harikrishnan S, Baruah B, Ahuja V, Makharia G. Adherence to gluten-free diet and barriers to adherence in patients with celiac disease. Indian Journal of Gastroenterology 2015; 34:380-386
- Search Plan and Results: CD: MNT 2020
In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect gastrointestinal health and gastrointestinal symptoms?
- Conclusion
  The effect of medical nutrition therapy on gastrointestinal health among patients with celiac disease is unclear. Two out of the three neutral-quality studies indicated improvements in indicators of gastrointestinal health. (Grade III or Very Low)
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect gastrointestinal health and gastrointestinal symptoms?
- Search Plan and Results: CD: MNT 2020
In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect gluten-free diet adherence or compliance?
- Conclusion
  The effect of medical nutrition therapy on gluten-free dietary adherence among patients with celiac disease is unclear. Limited evidence suggests that theory-based in-depth interventions may improve adherence. (Grade III or Very Low)
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling), provided by a registered dietitian or international equivalent, compared to a control, affect gluten-free diet adherence or compliance?
- Search Plan and Results: CD: MNT 2020
In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect quality of life?
- Conclusion
  The effect of medical nutrition therapy on indicators of quality of life among patients with celiac disease is unclear. Limited evidence suggests medical nutrition therapy may result in improvement in self-reported general health, well-being and self-control. (Grade III or Very Low)
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In patients with celiac disease, how does medical nutrition therapy (MNT or nutrition counseling) provided by a registered dietitian or international equivalent, compared to a control, affect quality of life?
- Search Plan and Results: CD: MNT 2020