Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2014 , Vol 5, Issue 1
The Importance of Infant Nutrition For Preventing Celiac Disease
Nevin Şanlıer, Sabriye Bolluk
Gazi Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Ankara, Türkiye Celiac disease (CD) is a multifactorial problem caused by gluten and prolamins, genetic and environmental factors in genetically susceptible individuals. In recent years, studies are focused in the early complementary feeding and time of gluten introduction and amount on the development of CD. Althoughi some studies have shown a protective effect of breast milk against the development of CD. This has not been confirmed by other studies. Due to the lack of studies showing that breastfeeding would prevent CD in long term; the effect of breastmilk to prevent or delay the development of clinical manifestations remains a controversial issue. European Pediatric Gastroenterology, Hepatology and Nutrition Association (ESPGHAN) suggests that time of gluten introduction should not be early (< 4 months) and late (>7 months) and, when gluten introduction to diet breast milk should continue. With the completion of ongoing trials in the future more detailed information in this regard will be obtained and the recommendations regarding the introduction time and the amound of gluten in infant diet will be revised over time. In this review, studies related with breast milk and gluten intake in infant nutrition in the prevention of celiac disease are discussed. Keywords : celiac disease, infant nutrition, breast milk