Childhood Respiratory Infections Linked With Celiac Disease

Findings published recently in the journal Pediatrics reported that the number of at-risk children – or those with relatives who have celiac disease – who go on to develop celiac disease seems to be increasing. And recently, Dr. Renata Auricchio, from the University of Naples Federico II in Italy, set out to understand why this might be the case.

Studies have pointed toward infections in childhood as a potential trigger of celiac disease in those who are genetically susceptible. For instance, a 2013 study found that the presence of rotavirus antibodies could predict the onset of celiac disease.

Similarly, in the Norwegian Mother and Child Cohort Study, children who had experienced 10 or more infections before reaching the age of 18 months had a significantly increased risk of developing celiac disease than children who had had four or fewer.

Many earlier investigations into infections and celiac disease relied on parental recall of infections and have included a general cross-section of the population. However, to gather more detailed information, the new study used a prospective cohort. In other words, the team studied a group of infants known to be at risk of developing celiac disease and followed them for 6 years.

As the authors explain, the study’s aim was “to explore the relationship between early clinical events (including infections) and the development of CD [celiac disease] in a prospective cohort of genetically predisposed infants.

Across the study, 6 percent of the children were diagnosed with celiac disease at the age of 3, 13.5 percent at age 5, and 14 percent by age 6. They also found that “[c]ompared with gastroenteritis, respiratory infections during the first 2 years of life conferred a twofold increase in the risk of developing CD [celiac disease].”

When discussing how early infections might impact the later development of celiac disease, the authors write:
“It is possible that […] early infection stimulates a genetically predisposed immune profile, which contributes to the switch from tolerance to intolerance to gluten.”

More info: https://www.medicalnewstoday.com/articles/319702.php

Gluten-free Baby: When Parents Ignore Science

different-foods

Key points from Maclean’s January 11, 2017 article

By Toronto Celiac

different-foodsChildren raised eating only a raw, vegan, non-GMO, unprocessed diet get a rude awakening when they enter school and find a whole new world of food: jello, fruit loops and many other foods have never been seen before. Dietitians agree that diets can be dangerous for children.

“Once you start restricting food groups or large chunks of food groups, you start running into problems like vitamin and mineral deficiency.” Karen Kuperberg, RD states that “In general, any diets for kids aren’t recommended. You want kids to eat a variety of foods from all food groups.”

Dr. Peter Green, an expert in Celiac Disease, is all in favour of going gluten-free if it’s medically required. Parents should not self-diagnose themselves or their children however. Parents who are committed to diets do have the advantage of paying close attention to what their children eat. However, the article warns that imposing adult lifestyle choices on infants and children is ill-advised.

Alternative medicine choices for children may mean undiagnosed serious diseases are being missed. “You cannot afford to make any mistakes when it comes to your children.”

If you know someone putting their child on a gluten-free diet as they seem to be bothered by gluten, suggest that before they do that, that they have their child tested for Celiac Disease first. If diagnosed, they can then get the proper information from a Registered Dietitian to ensure that vitamin and mineral deficiency does not become an issue. Their child’s health is at risk.

Read the full article at: http://www.macleans.ca/society/health/gluten-free-baby-when-parents-ignore-science/

Schooling your celiac kids

Courtesy Ellen Baynes – The Celiac Scene via Facebook

We hope that the following information will provide you with the tools you need to start the conversation on how your child’s needs can be accommodated and hopefully form the foundation of a solid collaboration between your child, school staff and other parents whose children may have celiac disease or other sensitivities. Your child may be the first celiac student that your school may have encountered but she certainly won’t be the last!

The Canadian Celiac Association is dedicated to supporting you and many undertake to support their youngest members with kids groups, special events, activities and tailor-made information packages. Others create forums so mom’s can share information one another or arrange play dates. A Chapter or Satellite is waiting to welcome you! http://www.celiac.ca/index.php/about-the-cca/local-chapters/

*Thanks to Shirley, Volunteer from Victoria Chapter of the CCA for her invaluable assistance in compiling this information.

FOR PARENTS:
look to Danna Corn who founded ROCK, Raising our Celiac Kids at http://www.celiac.com/articles/604/1/The-Kids-are-Back-in-School—Tips-for-Making-the-Gluten-Free-Grade-by-Danna-Korn/Page1.html
www.KatieChalmers.com

FOR THE CHILD:
http://www.celiac.ca/store.php to purchase stickers for your child’s tupperware, frozen snacks that can kept in the school’s fridge. (Scroll down)

http://www.celiac.ca/store.php
Easy to read book written especially for children who have celiac disease. It contains information about Celiac Disease, questions and answers, recipes and snacks, games .

FOR THE TEACHER
About the disease:
http://www.celiac.ca/pdfs/celiac%20disease%20what%20is%20it.pdf
http://www.celiac.ca/pdfs/Hidden&Dangerous.pdf
http://www.celiac.ca/pdfs/celiac%20disease%20guide%20for%20teachers.pdf

Sample Letters from the Gluten Intolerance Group of North America (Gluten.net)

Letter to Teacher: http://library.constantcontact.com/download/get/file/1102560218550-261/CD+letter+to+teacher+fall+2012.pdf

School Trip Letter: http://library.constantcontact.com/download/get/file/1102560218550-274/School+trip+letter+CD+fall+2012.pdf

Understanding Your Student: http://www.gluten.net/Student%2006-2011.pdf

From We Care Schär: http://www.schar.com/smartedit/documents/download/schar_allergen_friendly_classroom.pdf

Back to school with celiac disease

Courtesy National Foundation for Celiac Awareness

girl eating a peach

photo courtesy Bruce Tuten

Getting back into an everyday routine, purchasing school supplies, and even convincing your little one that beach days are over can be a daunting task. For parents of children with celiac disease, the thrill of back-to-school can be more challenging.

According to Alice Bast, founder of the National Foundation for Celiac Awareness (NFCA) and an expert on celiac disease and the gluten-free lifestyle, “There are thousands of parents of school age children who have to learn to deal with their child’s celiac disease – an autoimmune digestive disorder triggered by the consumption of gluten – and make sure that they understand the implications of their medical condition and how they can manage this easily in a school environment.”

Every parent wants their child to make healthy food choices, but what if a cracker or a single bite of a chocolate chip cookie could make a child violently ill? The gluten-free diet is challenging at any age, but it can be especially hard on children. Food is social, and gluten-free kids often miss out on the moments their peers take for granted, such as eating a cupcake or pizza to celebrate a classmate’s birthday and trading lunches with a friend in the cafeteria. “It’s more than just food,” Bast said. “The gluten-free diet really is a lifestyle, so it can affect children’s confidence and their emotional and social health, too.”

Children with celiac disease must learn early about the health implications of their condition, and parents need to have an open conversation with them. They should reiterate that it is okay for their child to say “No, thank you.”

The number one goal for parents and school staff is to keep children gluten-free in school cafeterias, after-school activities and classroom parties. Bast recommends that parents meet with the staff prior to the school year starting so they can have a conversation about their child’s medical condition and the foods and items that must be avoided.

Fortunately, there are many gluten-free alternatives that can supplement kids’ favorite foods, and they are growing in popularity, such as gluten-free cookies, cupcakes, pasta, pretzels, crackers and gummy snacks. Some schools have even introduced gluten-free pizza for lunch.  School arts and crafts also pose a concern for gluten-free children. Many non-food items can contain gluten, including some types of clay, paints and glues. How do parents handle this? One idea from NFCA is for parents to get a list of supplies needed from the school and then provide safe alternatives to keep in the child’s art supply box. If crafts involve pasta, parents can supply the school with gluten-free pasta in a variety of shapes and sizes, giving careful instruction to keep these items separate from the gluten-containing supplies.

Education is key. Parents may also opt to discuss celiac disease with the students in their child’s classroom so they can learn about the condition and understand why a child with celiac disease cannot eat cupcakes or share their lunch. Most importantly, parents can emphasize that there are many things the child still can eat, and that he or she likes making friends and playing together just like everyone else. Children want to feel accepted and not different, so it is important for a parent to explain in simple terms that encourage kids to be welcoming rather than leave the child out.

“We usually tell children that everyone has a health limitation because nobody’s body is perfect,” said Marie-Nathalie Beaudoin, PhD, Training Director at Bay Area Family Therapy & Training Associates, Cupertino, Calif. “Some people wear glasses, others have a body that can’t run very well, and many have foods they don’t tolerate so well…Children with celiac disease are lucky to know about the needs of their body so young, because many people find out when they are adults and have complications.”

For additional coping strategies, NFCA recommends that parents read Gluten-Free Friends: An Activity Book for Kids, by Nancy Patin Falini, MA, RD, LDN, Kids with Celiac Disease: A Family Guide to Raising, Happy, Healthy Gluten-Free Children, by Danna Korn, and Mommy, What is Celiac Disease? by Katie Chalmers. The good news is that there is a greater understanding of celiac disease among school staff and a myriad of resources available at CeliacCentral.org. The foundation’s online hub also has a dedicated section called Kids Central where parents can find articles, advice and gluten-free snack suggestions. http://www.CeliacCentral.org.

Northern Albertan children at higher risk for celiac disease

Diana-MagerAccording to University of Alberta assistant professor Diana Mager,  northern Alberta children with celiac disease may be at a higher risk for poor bone health. Mager’s study looked at 43 celiac children between the ages of three and 17.

Mager,  asserts that the lack of sun in the winter along with a lack of essential vitamins increases the risk of low bone mineral density during childhood.  Vitamin D from the sun’s rays is essential to bone growth and overall health.

Mager recommends that patients eat a diet that includes a lot of vitamin D such as milk, fish and fortified dairy products. Weight bearing exercises are also helpful for bone health.

Read more in Fort McMurray Today

Vitamins needed to help celiacs stave off bone disease

By Assistant professor Diana Mager
Department of Agricultural, Food and Nutritional Science
University of Alberta

Children with celiac disease need to include certain must-have vitamins in their diets to stave off weak bones and osteoporosis, say researchers at the University of Alberta.

A study of 43 children and teens from three to 18 years of age diagnosed with celiac disease showed that they also tended to have low bone density, likely due to poor intake and absorption of vitamins and minerals. That means they should be getting more of bone-boosting vitamins such as K and D in their diets, says Diana Mager, a professor of agricultural, food and nutritional science at the U of A, and one of the researchers on the project.

“Children with celiac disease are at risk for poor bone health, but by adding vitamins K and D to their diets, it can help reduce the risk of fractures and osteoporosis,” Mager said.

The study revealed that the children were getting less than 50 per cent of their recommended dietary intake of Vitamin K, and that they also suffered from low levels of Vitamin D, which can be raised through increased exposure to sunlight and by eating fortified dairy products.

Mager also recommends that children with celiac disease include physical activity in their daily routines to build their bone strength and boost their Vitamin D intake by exercising outside.

“Enjoying activities such as walking and running outdoors when there is more sunshine is a great way to contribute to healthy bones,” Mager said.