Diet Management For Celiac Disease

Abrematia, Alexis
Cando, Precious Gia

Ramos, Quino
Zabala, Catherine
 Celiac disease is a digestive disease that damages
the small intestine and interferes with absorption
of nutrients from food
 It is a lifelong, digestive disorder affecting
children and adults.
 Females are more likely to have celiac disease
than males
 Now it is known to be a common genetic disorder.
 More than 2 million people in the United States have the disease,
or about 1 in 133 people. Among people who have a first-degree
relative—a parent, sibling, or child—diagnosed with celiac
disease, as many as 1 in 22 people may have the disease
 It is also more common among people with other genetic disorders
including Down syndrome and Turner syndrome, a condition that
affects girls’ development.
 People who have celiac disease cannot tolerate
gluten, a protein in wheat, rye, and barley.
When people with celiac disease eat foods or use products containing gluten, their
immune system responds by damaging or destroying villi—the tiny, fingerlike
protrusions lining the small intestine. Villi normally allow nutrients from food to be
absorbed through the walls of the small intestine into the bloodstream. Without healthy
villi, a person becomes malnourished, no matter how much food one eats.
*Villi on the lining of the small intestine help absorb nutrients.

FOODS TO AVOID
 Amaranth
 Arrowroot wheat including:
 Buckwheat •einkorn
 Cassava •emmer
 Corn •spelt
 Flax
 Indian rice grass
•kamut
 Job’s tears legumes •wheat starch
 Millet •wheat bran
 Nuts •wheat germ
Potatoes
•cracked wheat

 Quinoa
 Rice
•hydrolyzed wheat protein
 sago seeds •Barley
 Sorghum •Rye
 Soy •triticale (a cross between wheat and rye)
 Tapioca
 Teff
 wild rice
 yucca
 People who are sensitive to gluten and who are on a
celiac disease diet can drink most beverages except
for beer.
 Beer is made with malted barley or wheat and
because of this it does contain gluten. Whisky also
has gluten in it and should be avoided.
 Wine, Tequila, Vermouth, Sherry, Rum, Cider and
Port do not contain gluten and are safe to drink
when you are on a Celiac disease diet.
Checking labels for “gluten-free” is important
since many corn and rice products are produced
in factories that also manufacture wheat products.
“Plain” meat, fish, rice, fruits, and vegetables do
not contain gluten, so people with celiac disease
can eat as much of these foods as they like.
 People with celiac disease cannot tolerate gluten, a protein in wheat, rye, and
barley.
 Untreated celiac disease damages the small intestine and interferes with nutrient
absorption.
 Without treatment, people with celiac disease can develop complications such as
osteoporosis, anemia, and cancer.
 A person with celiac disease may or may not have symptoms.
 Diagnosis involves blood tests and, in most cases, a biopsy of the small intestine.
 Since celiac disease is hereditary, family members of a person with celiac
disease may wish to be tested.
 Celiac disease is treated by eliminating all gluten from the diet. The gluten-free
diet is a lifetime requirement.
 A dietitian can teach a person with celiac disease about food selection, label
reading, and other strategies to help manage the disease.
A 35 y.o woman who owns a Pizza-Resto Bar is
currently sufferring from Celiac Disease.
BMI= 21
TER=1800 kcal
Ht= 5’4
wt-=56kg
(1800kcal) (290) (70) (40)
Food No. of CHO CHON Fats Energy B L D Sn

exchange
Veg., List 2 3 1 - 16 0 1 1 0
I-A
Veg., List 1 3 1 - 16 0 0 1 0
I-B
Fruit, List II 4 40 - - 200 1 2 1 0
Milk, List 1 12 8 10 170 1 0 0 0

III
Sugar, List 6 30 - - 120 1 1 2 2
VII
Rice, List 8 184 16 - 800 3 3 2 0
IV
Meat- Low 3 - 24 3 123 1 1 1 0
fat
High fat 2 - 16 12 172 0 1 0 0
Fat 3 - - 15 35 0 0 3 0
TOTAL 272 66 40 1752

Table 7.1 CHARACTERISTICS AND DIETARY MANAGEMENT
DISEASE CHARACTERISTICS DIETARY RATIONALE OF
CONDITION -A high protein diet DIET
MANAGEMENT
(100g or more) is
The mucosa of the usually necessary. -prevent damage or
-Gluten-free diet
small intestine is Minerals and vitamin prevent the body
damaged by gluten supplements are often from attacking the
which results to the prescribed. gut.
malabsorption of -Cereals and breads
nutrients. containing wheat, rye,
or oats must be omitted.
Thickened soups,
cooked salad dressings,
cold cuts, breaded
meats, meats loaf and
mixes of all kinds must
be avoided.
MEAL PATTERN MENU DIETARY
CONSIDERATIONS
SOUP , RICE & MEAT 1 cup Chinese Noodle Soup Noodles are glutten-free,
(Noodles, Beef Broth and 2 Sirloins are low fat. Meat is
slices of Sirloin) not hydrolyzed and it is
unprocessed.
MEAT 1 pc. Deep fried chicken “Plain” meat, fish, rice, fruits, and
vegetables do not contain gluten, so
legs(deep fried in 2 tsp of corn people with celiac disease can eat as
oil) much of these foods as they like.
VEGETABLES 5 tbsp of coleslaw(shredded

cabbage and carrots)
RICE ½ cup cooked rice Must be glutten-free
FRUIT/DESSERT 1 slice Papaya Low fiber
BEVERAGES 1 Glass Wine People who are sensitive to gluten
and who are on a celiac disease
diet can drink most beverages
except beer.
DISEASE CHARACTERISTICS DIETARY RATIONALE OF
CONDITION DIET
MANAGEMENT
The mucosa of the -Substitute corn and - prevent damage or

-Gluten-free diet
small intestine is rice cereals. Use breads prevent the body
damaged by gluten especially prepared from attacking the
which results to the with rice, corn, potato gut.
malabsorption of starch or wheat to
nutrients. thicken soups, gravis
and puddings.
-A low-fat fiber diet

may be better tolerated.

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Abrematia, Alexis

Cando, Precious Gia

*Villi on the lining of the small intestine help absorb nutrients.

Food No. of CHO CHON Fats Energy B L D Sn

Milk, List 1 12 8 10 170 1 0 0 0

TOTAL 272 66 40 1752

VEGETABLES 5 tbsp of coleslaw(shredded

The mucosa of the -Substitute corn and - prevent damage or

-A low-fat fiber diet

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