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Is Banning Gluten From Your Diet A Wise Health Decision?

 

Generally, cereal grains are good for you but they contain gluten, especially wheat as previously mentioned. However, gluten can trigger adverse autoimmune reactions responsible for many disorders that are gluten-related. Gluten-free diets are often practiced by people with gluten-related disorders. Here Lisa Drayer, CNN.com, reflects on eliminating gluten from your diet:

 


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“There was a time when gluten, a mixture of proteins found in wheat, rye and barley, was something of a foreign term. Not many people had heard of it, and the few who needed to avoid it found meals to be extremely challenging.

Today, I hear the word “gluten” on a daily basis, but mostly as a food component to be avoided at all costs. In fact, according to late-night host Jimmy Kimmel, it seems that “in Los Angeles, gluten is comparable to Satanism.” But is banning gluten from your diet really a wise health decision?
“That's the $64,000 question that everyone is asking,” said Shelley Case, a registered dietitian, expert on the gluten-free diet and author of “Gluten Free: The Definitive Resource Guide.” “The answer is, not everyone benefits from going gluten-free, despite the fact that celebrities and athletes say it will cure anything that ails you.”
 

Who needs to go gluten-free


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A gluten-free diet is designed specifically for those with celiac disease and a condition known as non-celiac gluten sensitivity, Case explained.
When gluten is consumed in people with celiac disease, it triggers an immune response that damages the lining of the small intestine, which affects the ability of the intestine to absorb nutrients, including carbohydrates, proteins, fats, vitamins and minerals. When nutrients are not properly absorbed, deficiencies can result, causing anemia, osteoporosis, weight loss and other complications.
Following a gluten-free diet allows the intestine to heal; nutrients are absorbed, and symptoms such as abdominal pain, bloating, fatigue and diarrhea or constipation resolve over time.
 
“Medical nutrition therapy with a gluten-free diet is the only treatment that will work for celiac disease, and if people don't follow it strictly, they can have all kinds of complications,” said Case, who has celiac disease and avoids gluten-containing foods.
People with non-celiac gluten sensitivity may have trouble digesting gluten and have similar symptoms to those with celiac disease, but they lack the antibodies and intestinal damage seen in celiac disease, according to Case.
 
They also benefit by following a gluten-free diet to alleviate symptoms, which may also include headaches, fatigue and joint pain in addition to gastrointestinal problems similar to those of celiac disease.
The definitive test for diagnosing celiac disease is a small intestinal biopsy in which multiple samples are taken from the small intestine. But it's important to avoid going on a gluten-free diet until tests are completed, as doing so can interfere with an accurate diagnosis.


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“If you've gone gluten-free, the biopsy test result may be falsely negative,” Case said.
The only way to determine whether someone has non-celiac gluten sensitivity is to first rule out celiac disease and wheat allergy and then observe the response to a gluten-free diet, followed by a reintroduction of gluten to see if symptoms return.
 
Note: Although some may believe that a gluten-free diet may help children with autism spectrum disorder, this is “really controversial” and lacks rigorous scientific evidence, according to Case.

Gaining popularity, but for its intended population?


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Despite the fact that a gluten-free diet is primarily indicated for those with celiac disease and non-gluten celiac sensitivity, the diet has increased in popularity, even among those who are not allergic to gluten. According to the Academy of Nutrition and Dietetics, gluten-free alternatives to traditional foods accounted for nearly $1.6 billion in sales in 2015, with most of the growth driven by consumers for whom being gluten-free is not medically necessary.
On the flip side, those who should be eliminating gluten from their diets may not be doing so.”
 
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