The Impact of Formulated Gluten Free Flour on the Dietary Pattern of Celiac Pakistani Patients

• Published in: Pakistan journal of zoology 2016-04, Vol.48 (2), p.415
• Main Authors: Imran, Samra, Kalsoom, Samia, Nagra, Saeed Ahmad
• Format: Article
• Language: English
• Subjects: Age; Age groups; Appetite; Carbohydrates; Celiac disease; Children; Compliance; Consumption; Cooking; Corn; Diet; Feeding; Flour; Food intake; Fruits; Gastroenterology; Gluten; Gluten-free diet; Health aspects; Meat; Nutrition research; Patients; Physiological aspects; Review boards; Small intestine; Starch; Vegetables; Wheat
• ISSN: 0030-9923

Present study is intended to introduce indigenously formulated gluten free flour (GFF) in the diet of selected celiac patients and to evaluate the effect of its induction on their dietary patterns. Indigenous sources including rice, corn and daal mung were used in the formulation of GFF. Fifty diagnosed celiac patients were selected from Sheikh Zayed Medical Complex, Lahore and Mayo Hospital, Lahore, Pakistan, after approval from the corresponding review boards and given GFF for a period of four months. Pre and post treatment assessment of food intake, compliance, appetite, meal patterns and meal satisfaction of the study participants was done. Caloric and macronutrient consumption of the study participants was more than the recommended dietary guidelines before and during the feeding trial. A maximum of flour consumption was observed in the study participants of 9-13 years.No significant difference was found in the food intake from starch, milk, meat and fruit groups during the treatment phase. Mean carbohydrate exchanges of all age groups were more than recommended for their respective age groups. Highest wheat (gluten) consumption was reported in the study participants of 19 to 30 years of age before the feeding trial and was reduced significantly with GFF induction. Meanwhile milk, meat, fruit and vegetable intake of the study participants was less than the recommended intake. A significant increase in vegetable intake was observed with GFF administration. The improvement in compliance, appetite, meal regularity and meal satisfaction of the study participants was noticeable in all age groups but the change was more prominent in children.