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Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review.
Can J Gastroenterol Hepatol 2016; 2016:1870305CJ

Abstract

This paper provides an overview of the latest scientific data related to the safety of uncontaminated oats (<20 ppm of gluten) in the diet of individuals with celiac disease (CD). It updates the previous Health Canada position posted on the Health Canada website in 2007 and a related paper published in 2009. It considers a number of recent studies published between January 2008 and January 2015. While recognizing that a few people with celiac disease seem to be clinically intolerant to oats, this review concludes that oats uncontaminated by gluten-containing cereals (wheat, rye, and barley) can be safely ingested by most patients with celiac disease and that there is no conclusive evidence that the consumption of uncontaminated or specially produced oats containing no greater than 20 ppm gluten by patients with celiac disease should be limited to a specific daily amount. However, individuals with CD should observe a stabilization phase before introducing uncontaminated oats to the gluten-free diet (GFD). Oats uncontaminated with gluten should only be introduced after all symptoms of celiac disease have resolved and the individual has been on a GFD for a minimum of 6 months. Long-term regular medical follow-up of these patients is recommended but this is no different recommendation to celiac individuals on a GFD without oats.

Authors+Show Affiliations

Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, Canada K1A 0K9.Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, ON, Canada K1A 0L2.Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, Canada K1A 0K9.Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, Canada K1A 0K9.Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, Canada K1A 0K9; Département des Sciences des Aliments, Faculté des Sciences de l'Agriculture et de l'Alimentation, Université Laval, Québec, QC, Canada G1V 0A6.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27446825

Citation

La Vieille, Sébastien, et al. "Celiac Disease and Gluten-Free Oats: a Canadian Position Based On a Literature Review." Canadian Journal of Gastroenterology & Hepatology, vol. 2016, 2016, p. 1870305.
La Vieille S, Pulido OM, Abbott M, et al. Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review. Can J Gastroenterol Hepatol. 2016;2016:1870305.
La Vieille, S., Pulido, O. M., Abbott, M., Koerner, T. B., & Godefroy, S. (2016). Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review. Canadian Journal of Gastroenterology & Hepatology, 2016, p. 1870305. doi:10.1155/2016/1870305.
La Vieille S, et al. Celiac Disease and Gluten-Free Oats: a Canadian Position Based On a Literature Review. Can J Gastroenterol Hepatol. 2016;2016:1870305. PubMed PMID: 27446825.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review. AU - La Vieille,Sébastien, AU - Pulido,Olga M, AU - Abbott,Michael, AU - Koerner,Terence B, AU - Godefroy,Samuel, Y1 - 2016/02/24/ PY - 2015/05/12/received PY - 2015/08/22/accepted PY - 2016/7/23/entrez PY - 2016/7/23/pubmed PY - 2017/3/31/medline SP - 1870305 EP - 1870305 JF - Canadian journal of gastroenterology & hepatology JO - Can J Gastroenterol Hepatol VL - 2016 N2 - This paper provides an overview of the latest scientific data related to the safety of uncontaminated oats (<20 ppm of gluten) in the diet of individuals with celiac disease (CD). It updates the previous Health Canada position posted on the Health Canada website in 2007 and a related paper published in 2009. It considers a number of recent studies published between January 2008 and January 2015. While recognizing that a few people with celiac disease seem to be clinically intolerant to oats, this review concludes that oats uncontaminated by gluten-containing cereals (wheat, rye, and barley) can be safely ingested by most patients with celiac disease and that there is no conclusive evidence that the consumption of uncontaminated or specially produced oats containing no greater than 20 ppm gluten by patients with celiac disease should be limited to a specific daily amount. However, individuals with CD should observe a stabilization phase before introducing uncontaminated oats to the gluten-free diet (GFD). Oats uncontaminated with gluten should only be introduced after all symptoms of celiac disease have resolved and the individual has been on a GFD for a minimum of 6 months. Long-term regular medical follow-up of these patients is recommended but this is no different recommendation to celiac individuals on a GFD without oats. SN - 2291-2797 UR - https://www.unboundmedicine.com/medline/citation/27446825/Celiac_Disease_and_Gluten_Free_Oats:_A_Canadian_Position_Based_on_a_Literature_Review_ L2 - https://dx.doi.org/10.1155/2016/1870305 DB - PRIME DP - Unbound Medicine ER -