IRINA A. BAVYKINA1, LIDIYA A. MIROSHNICHENKO2, ALEXANDR A. ZVYAGIN1, VICTOR L. BURKOVSKY3
1Voronezh State Medical University, Voronezh, Russia - 2OOO “Russkaya Oliva”, Voronezh, Russia - 3Voronezh State Technical University, Voronezh, Russia
Introduction: The article is devoted to the problem of gluten intolerance. In recent years, amaranth products have been considered an alternative source of gluten-free products due to low content of prolamins.
Objective: To evaluate physical growth in children following gluten-free diet after introduction of new amaranth products into their diet, and to study the influence of amaranth products on the adherence to gluten-free diet. Materials and methods. The study included 37 children, aged 1-17, with gluten intolerance, who followed gluten-free diet six months and more. Their physical development was assessed according to WHO criteria, and their parents reported adherence to gluten-free diet using a specially designed questionnaire. The patients were examined before and after amaranth product introduction into their diets.
Results: The research demonstrated that 73% of patients (n=27) strictly followed gluten-free diet. 18.9% of children violat- ed the diet rarely, 8.1% frequently violated the diet for a long time. Pathologically low height was diagnosed in 21.5% of chil- dren; 5.4% were tall, 59.5% of children were of medium height, 8.1% of children were shorter than medium, 5.4% were higher than medium. Lower body mass was diagnosed in 37.8% of patients, excess body mass was observed in 8.1%; 54.1% of patients had regular (normal?) body mass value. 100% of families included in the study became interested in the option to expand the diet of a child with gluten-free products made from amaranth. Regular amaranth product consumption resulted in the increased num- ber of children following strict gluten-free diet (up to 83.8%) and improved physical growth parameters.
Conclusion: Amaranth products consumption facilitated adherence to gluten-free diet, improved nutrition quality, reduced psycho-emotional overstrain in children due to the opportunity to vary their diet by new gluten-free amaranth products.
gluten intolerance, gluten-free diet, amaranth products, physical growth, children