CD: Scope of Guideline (2021)
Guideline Scope Characteristics
Disease/Condition(s)
Medical Nutrition Therapy and Celiac Disease
Scientific evidence supports the effectiveness of medical nutrition therapy in increasing the effectiveness of therapy for celiac disease. The RDN is an integral part of the interdisciplinary care team and helps determine the optimal nutrition prescription and nutrition care plan for patients with celiac disease in order to provide optimal treatment.Populations to Whom This Guideline May Apply
This guideline applies to individuals with celiac disease.Other Guideline Overview Materials
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 Implementing the Recommendations
- Contradictions
Clinical judgement is crucial in the application of these guideline. Please work with your patients and pay careful consideration when applying these guidelines to patients with significant co-morbidities.
Guideline Category
Assessment of Therapeutic Effectiveness, Counseling, Evaluation, Management, Treatment
Clinical Specialty
Allergy and Immunology, Critical Care, Endocrinology, Family Practice, Gastroenterology, Hematology, Neurology, Nutrition, Obstetrics and Gynecology, Pediatrics, Rheumatology
Intended Users
This guideline is primarily intended for RDNs working with individuals with celiac disease and their families in the United States.
Guideline Objective(s)
Guideline Scope Characteristics
The purpose of this guideline is to provide an evidence-based summary of effective practice in the nutrition management of individuals with celiac disease. Recommendations have been formulated within the context of the nutrition care process. The focus of this guideline is on nutritional management for patients with celiac disease and comprehensively covers the major topics of: FODMAP, oats, supplements, prebiotics/probiotics, and gluten-free diet.This guideline is primarily intended for use by registered dietitian nutritionists (RDNs) involved in the management and treatment of individuals with celiac disease. It may also be useful for other health care professionals involved in the care and treatment of celiac disease. In addition, other stakeholders may also find this guideline helpful to assess the effectiveness of nutrition management of celiac disease or for consumer education purposes. Clinical judgement should be used when evaluating individuals with multiple issues and other comorbid conditions.
Guideline Objective(s)Overall Objective
To provide MNT guidelines for celiac disease to promote optimal health, prevent and treat malabsorption/malnutrition and other comorbidities, and improve quality of life.
Specific Objectives
- To define evidence-based celiac disease nutrition recommendations for registered dietitians (RDs) that are carried out in collaboration with other healthcare providers
- To guide practice decisions that integrate medical, nutritional and behavioral strategies
- To achieve consistency in practice among RDs
- To provide the RD with data to make recommendations to adjust MNT or recommend other therapies to achieve desired outcomes
- To enhance the quality of life for the individual with celiac disease, utilizing customized strategies based on the individual’s preferences, lifestyle and goals
- To develop guidelines for interventions that have measurable clinical outcomes
- To define the highest quality of care within cost constraints of the current healthcare environment.
Target Population
Infant (1 to 23 months), Pre-school Child (2 to 5 years), Child (6 to 12 years), Adolescent (13 to 18 years), Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years), Male, Female
Target Population Description
Individuals with celiac disease.
Interventions and Practices Considered
The guideline should cover the complete nutrition care process:
- Nutrition Assessment
- Nutrition Diagnosis
- Nutrition Intervention
- Nutrition Monitoring and Evaluation
The focus of this guideline is on nutrition intervention and the role of registered dietitian nutritionists in managing individuals with celiac disease.
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