NHD clinical - coeliac disease
only do they provide useful leaflets on the basics of the GFD, shopping, cooking, eating out, prescriptions, but also additional information sheets on: • Dermatitis Herpetiformis (DH)
• Osteoporosis (currently being updated in line with change to calcium requirements)
• Lactose intolerance • Pregnancy, weaning • Going into hospital • Vegetarians
They also produce a Food and Drink directory which lists manufactured foods known to be gluten free. A new website was launched in November 2009 –
www.coeliac.org.uk and a helpline operates from Monday to Friday on 0845 305 2060.
Osteoporosis and coeliac disease
Osteoporosis is one of the most important long-term con- cerns for patients with the coeliac condition (3). It is defined as a bone disease in which there is a decreased bone mass and density, resulting in an increased risk of fractures, especially in the areas of the hips, wrists and spine. Diagnosis is made through a DEXA scan (Dual-energy X-ray absorptiometry) and should be considered at diagnosis of the coeliac condition if the patient falls into one of the ‘at risk’ groups (4): • Post menopausal women
• Early menopause – before the age of 45 years • Men over the age of 55 • Steroid therapy - for longer than three months • Low body mass index – increases fracture risk
• Family history of osteoporosis – 80 percent of bone health is inherited from our parents
• Unexplained fractures
People are also at an increased risk of osteoporosis if they smoke, take more than the recommended units of alcohol, have a low dietary calcium intake and take little exercise. Treatment of osteoporosis can be divided into two categories – modification of risk factors and medication.
Modification of risk factors
• Keep active and encourage weight bearing exercise e.g. brisk walking
• Strict gluten-free diet • Maintain a healthy body weight • Stop smoking • Avoid excess alcohol consumption
• Ensure adequate intakes of calcium – recommendation 1200mg per day
Medication
• Bisphosphonates • Raloxifene, an oestrogen receptor modulator • Calcium and vitamin D supplements
References 1 Holmes, Geoffrey; Carassi, Carlo; Fasano, Alessio. 2009. Fast Facts: Celiac Dis- ease second edition 2 Blow et al (2005) Gluten Free Foods: A Prescribing Guide. Good Relations Health- care, London 3 Walters, JRF. (2007) Analysis of the absolute risk in coeliac disease indicates the importance of the prevention of osteoporosis. Gut 56(2):310 4 Griffiths, Helen. (2008) Coeliac Disease Nursing Care and Management
NHDmag.com June '10 - issue 55
Apple and Sultana Cookies, Chocolate Chip Cookies and Digestive Biscuits, 2 portion packs
On-line shopping now available
To find out more about our products visit
www.lovemore-freefromfoods.com
or telephone us on: 01685 815072 We look forward to hearing from you
GOOD NEWS. Fresh Gluten Free breads now available.
Lovemore are pleased to announce the launch of white and seeded fresh bread, and three long life breads and rolls to complement existing lines of cakes, biscuits and cookies.
Dedicated Wheat, Gluten and Milk Free manufacturing site
Conforms to new Codex Guidelines
All ingredients and finished goods tested to Gluten <20ppm and Total Milk <2.5ppm
Seal of Guarantee - for your peace of mind
Iced Fruit Cake, Lemon Cake and Chocolate Brownie, 2 slices individually wrapped
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