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academies
March 07-09, 2019 | London, UK
2nd International Conference on
7th International Conference on
Food Safety and Hygiene
Nutrition, Food Science and Technology
Joint Event
&
Journal of Food Technology and Preservation | Volume 3
Administering gluten free diet: Personal experience
Sushil Chandra Mahapatra
All India Institute of Medical Sciences, India
G luten is a cereal protein largely found in wheat and
others, which triggers an auto-immune enteropathy
in some genetically predisposed children, leading to a
clinical problem called Celiac Disease (CD). The only known
treatment for this condition is a Gluten Free Diet (GFD).
When the CD patients follow a strict GFD, there is an
improvement in the clinical and histological parameters.
However even a very small reintroduction of gluten in the
diet leads to atrophy of intestinal architecture of villi, leading
to malabsorption, as seen in many micro-challenge studies.
Various factors such as, inadvertent gluten consumption
from “hidden” sources; too strict imposition of GFD; cross-
contamination of originally gluten-free cereals during
processing stages; lack of proper knowledge of the CD and
its management; poor socio-economic status; and improper
labeling of available food products for CD patients, make
GFD compliance exceedingly difficult. We used dietary and
compliance tools to provide and ensure a near zero GFD
in the pediatric gastroenterology clinic. The assessment of
nutritional intake was assessed by a. 24 h Dietary recall and b.
Semi-Quantitative Food Frequency Questionnaire (SQFFQ).
The compliance to GFD was ensure by a. Semi-Quantitative
Gluten Food Frequency Questionnaire (SQGFFQ); b. GFD
Information Education Communication (IEC) booklet; c.
Knowledge Attitude Practice (KAP) questionnaire and d.
Nutritionists’ GFD Adherence Scale (NGFDAS). Finally, to
provide a near zero GFD, an improvised GFD advice (iGFD)
was done. With motivating the parents, care givers and the
CD patients, most of the patients did improve as indicated by
their growth and intestinal biopsy.
Speaker Biography
Sushil Chandra Mahapatra has completed his MD from AIIMS, New Delhi; the premier
medical institute in India intheyear1985.Hehasmanypublicationsthathavebeencited
over1000times,andhispublicationH-indexis15andi-10index18.HeisaWHOfellowand
has been awarded Best Teacher by the Association of Physiologists and Pharmacologists
of India.TheabovestudywaspartofthePhDthesisworkofhisstudentMs.ShihkaNayar.
e:
Sushil Chandra Mahapatra, J Food Technol Pres, Volume 3
DOI: 10.4066/2591-796X-C1-005