DDSEP® 8 Quick Quiz

December 2020 - Quick Quiz Question 2

Question 2

Patients with celiac disease subscribing to a strict gluten-free diet are at particular risk for which nutrient deficiency?

Fiber

Protein

Folate

Thiamine

Iron

Q2. Correct answer: D

Rationale
Deficient intake of fiber and folate may originate in the food choice of the individual, whereas some deficiencies of intake, such as thiamine, appear to be celiac specific. The provider should encourage intake of nutrient-dense foods including wholegrain foods, enriched if possible, legumes, fruits, vegetables, lean meat, fish, chicken, and eggs. It is not necessary to prioritize micronutrient supplements over achieving nutritional adequacy through dietary intake. Iron deficiency is an effect of untreated celiac disease.

Reference
1. Shepherd SJ, Gibson PR. J Human Nutr Dietet. 2012;26:349-58.

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