CD: Introduction (2009)
Guideline Title
Celiac Disease (2009) Evidence-Based Nutrition Practice Guideline
Guideline Narrative Overview
The focus of this guideline is on medical nutrition therapy (MNT) for people with celiac disease. The primary goals of MNT for people with celiac disease are to promote optimal health, to prevent and treat malabsorption/malnutrition and other comorbidities, and improve quality of life.
Guideline Development
- Long-term effectiveness of a gluten-free dietary pattern on bone density, hematological variables, villous atrophy, pregnancy outcomes, neurological symptoms and gastrointestinal symptoms
- Inclusion of oats in the dietary pattern
- Quality of life
The recommendations are based on the work performed by the American Dietetic Association Celiac Disease expert work group. The number of supporting documents for these topics is below:
- Recommendations: Seventeen (17)
- Conclusion Statements: Ten (10)
- Evidence Summaries: Ten (10)
- Article Worksheets: One hundred and fifty-six (156)
This guideline will be accompanied by a set of companion documents (i.e., a toolkit) to assist the practitioner in applying the guideline. The toolkit will contain materials such as the Medical Nutrition Therapy protocol, documentation forms, outcomes management tools, client education resources and case studies. The toolkit is currently under development and will undergo pilot-testing through the ADA's Dietetic Practice-Based Research Network prior to publication.
Revision
The literature search will be repeated for each guideline topic on an annual basis to identify new research that has been published since the previous search was completed. Based on the quantity and quality of new research, a determination will be made about whether the new information could change the published recommendation or rating.
When the analysis is completed, the expert workgroup will approve and re-grade the conclusion statements and recommendations. The guideline will undergo a complete revision every three to five years.
Medical Nutrition Therapy and Celiac Disease
Scientific evidence supports the effectiveness of medical nutrition therapy to increase effectiveness of therapy for celiac disease. Topics included in this guideline are:
- Medical nutrition therapy and dietitian intervention
- Gluten-free dietary pattern
- Inclusion of oats in the dietary pattern
- Quality of life
- Education
Populations to Whom This Guideline May Apply
This guideline applies to people with celiac disease.
Other Guideline Overview Material
For more details on the guideline components, use the links on the left to access:
- Scope of Guideline
- Statement of Intent
- Guideline Methods
- Implementation of the Guideline
- Benefits and Harms of Implementating the Recommendations.
Contraindications
Clinical judgment is crucial in the application of these guidelines. Careful consideration should be given to the application of these guidelines for patients with significant medical co-morbidities.