Lifestyle modifications

NUTRITION

  • Dietary changes should not be started until diagnosis is confirmed (1)
  • A gluten free diet is prescribed (1)
  • Gluten free diet is associated with lower intake of fiber, mineral and vitamin deficiencies, increased intake of saturated fats and simple carbohydrates (1)
  • Celiac disease causes increased risk of obesity (1)
  • Check for vitamin B12, iron, vitamin D and folate deficiencies (1)
  • Vitamin D and calcium supplementation is recommended (1)

References

1) https://bestpractice.bmj.com/topics/en-gb/636/management-approach

Resources

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

​Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

​Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

​Evidence based on observational / cohort studies is written in CURSIVE font