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[Celiac disease in adolescents].

E Chávez1, S Ceresa, G Guevara

  • 1Unidad de Gastroenterología Infantil, Hospital Clínico San Borja-Arriarán.

Revista Chilena De Pediatria
|July 1, 1991
PubMed
Summary
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Adolescent celiac patients showed delayed growth and sexual maturation. Factors like socio-economic status, late diagnosis, and gluten-free diet adherence impact their nutritional status.

Area of Science:

  • Pediatric Gastroenterology
  • Adolescent Medicine
  • Nutritional Science

Context:

  • Celiac disease is an autoimmune disorder affecting adolescents.
  • Nutritional status and sexual maturation are critical during adolescence.
  • Intestinal absorption is often compromised in celiac disease.

Purpose:

  • To assess nutritional status, sexual maturation, and intestinal absorption in adolescent celiac patients.
  • To evaluate growth parameters (weight/age, height/age) and sexual development (Tanner stages, menarche).
  • To identify factors contributing to delayed development in these patients.

Summary:

  • 16 adolescent celiac patients (12 females) were studied at ages 12 and 18.
  • Weight/age and height/age showed improvement from 12 to 18 years but remained below optimal ranges.

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  • Sexual maturation advanced, with menarche occurring by 14 years in most, but delayed in some; serum carotene levels were within normal ranges.

    • Impact:

    • Delayed growth and maturation in adolescent celiac patients may be linked to socio-economic factors, late diagnosis, and poor diet adherence.
    • Early diagnosis and consistent gluten-free diet are crucial for optimal adolescent development in celiac disease.
    • Findings highlight the need for comprehensive management addressing nutritional, developmental, and socio-economic aspects in pediatric celiac disease.