Auteur Topic: Glutenvrij dieet verlicht slaap apneu klachten bij kinderen  (gelezen 552 keer)

tine

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Glutenvrij dieet verlicht slaap apneu klachten bij kinderen
« Gepost op: februari 10, 2018, 19:33:24 »
Volgens deze Israelische onderzoekers kunnen kinderen bij wie coeliakie is ontdekt beter slapen door glutenvrij te eten, omdat de bovenste luchtwegen weer opengaan. De slijmvliezen in de neus en keel waren mogelijk eerder opgezwollen of ge´nfecteerd als onderdeel van de immuunreactie tegen gluten.

BMC Pediatr. 2018 Feb 7;18(1):35. doi: 10.1186/s12887-018-1039-5.
Gluten-free diet may improve obstructive sleep apnea-related symptoms in children with celiac disease.
Yerushalmy-Feler A1,2, Tauman R3,2, Derowe A4,2, Averbuch E4,2, Ben-Tov A1,2, Weintraub Y1,2, Weiner D1,2, Amir A1,2, Moran-Lev H1,2, Cohen S5,6.

BACKGROUND:
Enlarged tonsils and adenoids are the major etiology of obstructive sleep apnea (OSA) in children. Lymphatic hyperplasia is common to both OSA and celiac disease. We aimed to investigate the effect of a gluten-free diet on OSA symptoms in children with celiac disease.

METHODS:
Children with celiac disease aged 2-18 years were prospectively recruited before the initiation of a gluten-free diet. Children with negative celiac serology who underwent gastrointestinal endoscopies for other indications served as controls. All participants completed a validated OSA-related symptoms questionnaire and the pediatric sleep questionnaire (PSQ) at baseline and 6 months later.

RESULTS:
Thirty-four children with celiac disease (mean age 6.6 ▒ 3.5 years) and 24 controls (mean age 7.3 ▒ 4.6 years, P = 0.5) were recruited. There were no significant differences in gender, body mass index or season at recruitment between the two groups. The rate of positive PSQ scores was higher (more OSA-related symptoms) in the control group compared to the celiac group, both at recruitment and at the 6-month follow-up (33.3% vs. 11.8%, P = 0.046, and 16.7% vs. 0, P = 0.014, respectively). PSQ scores improved significantly in both groups at the 6-month follow-up (P < 0.001 for both). Improvement was significantly higher in the celiac group compared to controls (0.1 ▒ 0.09 vs.0.06 ▒ 0.06, respectively, P = 0.04).

CONCLUSIONS:
Children with celiac disease had fewer OSA-related symptoms than controls, but the degree of improvement following the initiation of a gluten-free diet was significantly higher. These findings suggest that a gluten-free diet may improve OSA-related symptoms in children with celiac disease.

KEYWORDS:
Celiac disease; Gluten-free diet; Obstructive sleep apnea; Pediatrics

PMID: 29415685 DOI: 10.1186/s12887-018-1039-5
Mijn zoon (18) en ik eten allebei glutenvrij. Wij zijn extreem gevoelig voor sporen van gluten (via besmetting, tarwe-derivaten en hulpstoffen). Ik ben wetenschapsredacteur voor het Glutenvrij Magazine van de NCV.