Does a gluten-free diet increase body mass index and lipid profile in celiac patients? A systematic review and meta-analysis

Does a gluten-free diet increase body mass index and lipid profile in celiac patients? A systematic review and meta-analysis


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: زینب نیک نیاز , لیلا نیک نیاز , حسین حسینی فرد , مهدیه عباسعلیزاد فرهنگی

کلمات کلیدی: Celiac disease, gluten-free diet, body mass index, lipid profile

نشریه: 23833 , 4 , 12 , 2019

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مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات پزشکی مبتنی بر شواهد EBM
کد مقاله 71357
عنوان فارسی مقاله Does a gluten-free diet increase body mass index and lipid profile in celiac patients? A systematic review and meta-analysis
عنوان لاتین مقاله Does a gluten-free diet increase body mass index and lipid profile in celiac patients? A systematic review and meta-analysis
ناشر 4
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Systematic Review Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Abstract: INTRODUCTION:Considering that a gluten-free diet (GFD) should be followed for life, investigating its effect on health is very important. In the present study, we systematically reviewed and meta-analyzed the studies that evaluated the changes in body mass index (BMI) and lipid profile during a gluten-free diet (GFD) in celiac patients. METHOD:The databases of Pubmed, Embase, Scopus, Web of Science and Cochrane Library were searched until June 2018 to select studies investigate the changes in BMI and lipid profile in celiac patients. The standard mean difference (SMD) was calculated. For the heterogeneity analysis, the I-square statistic test was used. RESULTS:Twenty-one articles were included in our systematic review and 16 studies were selected for meta-analysis. The results of meta-analysis showed the statistically significant increase in BMI [SMD: 0.26; 95% CI: 0.17, 0.35 p: <0.001] and HDL-C (HDL-C) [SMD: 0.36; 95% CI: 0.009, 0.18, p = 0.001] during GFD. However, the effect of GFD on total cholesterol [SMD: 0.17; 95% CI:–0.66, 0.41, p = 0.16], LDL-C [SMD: –0.21; 95% CI:–0.54, 0.10, p = 0.16], and triglyceride [SMD: 0.02; 95% CI:–0.22, 0.25, p = 0.87] was not statistically significant. CONCLUSION:The results of the present meta-analysis showed the positive effect of GFD on BMI and HDL-C. However, more cohort studies in this topic are needed with considering the level of mucosal healing and the effect of confounding factors such as physical activity level, smoking and dietary intakes on the association between GFD diet and cardiovascular risk factors.

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نویسنده نفر چندم مقاله
زینب نیک نیازاول
لیلا نیک نیازچهارم
حسین حسینی فردسوم
مهدیه عباسعلیزاد فرهنگیدوم

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