Hidden gluten Dr. Suad AlFuraih paper in Dammam University Updates on Pediatrics Clicnical Nutrition

1. Healthy life
free of Gluten
Dr. Suad AlFuraih
Founder and president of
Kuwait Voluntary Celiac Awareness Team

2. The recent dramatic increase
in the amount of foods
labeled as gluten free may
have caught your attention.

3. Sales of gluten-free
products are estimated to
hit $15 billion by 2016

4. What is
GLUTEN?

5. Gluten is the glue that combines ingredients
together, It is the thing that forms the
structure of the dough and makes it stretchy.

7. Wheat, Barley, Rye

8. What about Oats?

10. Cross Contact
wheat
oat
s
Planting, production, processing and packaging

11. "Pure," Uncontaminated Oats are now available in the
Market

12. Gliadin in wheat,
Secalin in rye
Hordein in
barley
Forms GLUTEN

13. Eating Gluten in certain cases, affect the Immune
system (which is the body's defense against infection)
The Immune system mistakenly attacks healthy tissue
in the digestive tract leading to numerous side affects.

16. Who should follow a Gluten Free diet?
•Gluten Intolerance
•Celiac disease
•Wheat Allergy
•Gluten Ataxia
•Dermatitis herpetiformis
•Autoimmune diseases
Psoriasis, MS, ..etc
•ADHD
•Autism
Weight/Health watchers

17. The gluten-free diet is a treatment for
celiac disease. Some people who don't
have celiac disease also may have
symptoms when they eat gluten,
however. This is called non-celiac
gluten sensitivity.
People with non-celiac gluten
sensitivity may benefit from a gluten-
free diet. But people with celiac disease
must be on gluten-free diet for life, to
prevent symptoms and disease-related
complications.

19. Typical appearance of celiac disease
in kids

20. The prevalence of
Celiac disease in KSA is
2.2%

21. Gluten sources

22. Gluten free food

23. Milk and
diary
products
Fruits
vegetable
GF grains
Meat
Healthy Meal for Patients

24. Beans, seeds and nuts in their natural, unprocessed form
Fresh eggs
Fresh meats, fish and poultry (not breaded, batter-coated or marinated)
Fruits and vegetables
Most dairy products
Amaranth
Arrowroot
Buckwheat
Corn and cornmeal
Flax
Gluten-free flours (rice, soy,
corn, potato, bean)
Hominy (corn)
Millet
Quinoa
Rice
Sorghum
Soy
Tapioca
Teff
Etc.
GLUTEN FREE

25.  Eliminate all food and medications
◦ containing
◦ made from
◦ derived from
 Wheat, Barley and Rye

26. Health complications are most
common in those who do not
FOLLOW a STRICT diet.

27. The legal amount of gluten in gluten free
product stated by the FDA is 20 ppm

28. Gluten-Free Challenges
 Lack of food labeling
 Determining ingredient sources
 Finding medical personnel
 Avoiding cross-contamination
(tied with) Traveling concerns

30. Gluten is used as:
•A thickener.
•A bleach agent.
•A preservative.
•A flavouring agent.
•A filler.

31. Stamps and envelopes:

32. Arabic coffee

33. Medications, supplements and herbal formulas

34. Gluten / Gelatine

35. Body and beauty products:

36. Candy:

37. Play dough

38. Sauces and condiments:

39. Marination

40. Luncheon meat, Crab
and Vegan ‘meats’:

41. Scrambled eggs:

42. Mashed potatoes:

43. Rice pudding:

44. Soup:

45. Pickles:

46. Coated nuts and popcorns

47. Egg replacer powder

48. Flavored yogurt

49. Using the same frying pan or oil

50. Modified food starch

51. Rate Immune Response
Immune Response
0
200
400
600
800
1000
1200
1 2 3 4 5 6 7
Sensitivity
NumberofResponses
Consuming foods
Medications consumed
Skin contact form medications
Skin contact from hair products
Skin contact from detergent
Skin contact from lotions and
soaps
Sensitivity
Little/No…………………….….Highly

52. Cross contamination

54. Pasta strainers

55. Toasters

56. Cross contamination and
Hidden Gluten Will
definitely cause
inflammation in the small
intestines and start to
damage the villis

57. Long-Term Health Conditions
•Iron deficiency anemia
•Early onset osteoporosis or osteopenia
•Infertility and miscarriage, and early menopause
•Lactose intolerance
•Vitamin and mineral deficiencies
•Central and peripheral nervous system disorders
•Pancreatic insufficiency
•Intestinal lymphomas and other GI cancers
(malignancies)
•Gall bladder malfunction.
•Neurological manifestations, including ataxia, epileptic
seizures, migraine, neuropathy, dementia, myopathy and
multifocal leucoencephalopathy

58. Age of Diagnosis Chance of Developing Another
Autoimmune Condition
2-4 10.5%
4 – 12 16.7%
12 – 20 27%
Over 20 34%
The chance of developing another
autoimmune disorder in Celiac disease
patients:

59. The American Journal of Psychiatry, VOL. 169, No. 6
Should you eat GLUTEN?

67. References:
•http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-
eating/in-depth/gluten-free-diet/art-20048530
•https://farrp.unl.edu/resources/gi-fas/celiac-disease
•http://www.diagnosisdiet.com/food/grains-beans-nuts-and-seeds/
•http://celiac.org/celiac-disease/what-is-celiac-disease/
•http://naturalwonderer.com/hidden-maternal-gluten-intolerance-and-
long-term-effects-on-children/

68. Thank you for listening