<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322024000300003</article-id>
<article-id pub-id-type="doi">10.60147/7d3f2fed</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La dieta sin gluten cambia el perfil lipídico de los niños y adolescentes celíacos]]></article-title>
<article-title xml:lang="en"><![CDATA[Gluten-free diet changes the lipid profile of children and adolescents with coeliac condition]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Méndez]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronel Rodríguez]]></surname>
<given-names><![CDATA[Cristóbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Amante Laffón  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>26</volume>
<numero>103</numero>
<fpage>247</fpage>
<lpage>253</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322024000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322024000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322024000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ Introducción La dieta sin gluten es el único tratamiento de la enfermedad celíaca. Los productos sin gluten contienen un mayor porcentaje de carbohidratos y lípidos saturados, lo que puede producir problemas metabólicos a largo plazo. Dado que la arteriosclerosis es la principal causa de morbimortalidad en los países desarrollados, el objetivo de este trabajo es analizar el perfil lipídico de niños y adolescentes por debajo de los 18 años tras su diagnóstico como celíacos y su modificación después de iniciar el tratamiento.  Material y métodos Se llevó a cabo un estudio observacional retrospectivo de niños diagnosticados de enfermedad celíaca sin otra comorbilidad que seguían una dieta sin gluten estricta. Se recogieron y compararon los perfiles lipídicos al debut de la enfermedad, al año y a los 6 años del inicio de la dieta sin gluten.  Resultados En el estudio se incluyó a 24 pacientes pediátricos. Se objetivó un ascenso de los niveles de colesterol total y un descenso de los niveles de triglicéridos, ambos con significación estadística (p &lt;0,05).  Conclusiones Creemos importante analizar el perfil nutricional de los pacientes celíacos pediátricos al diagnóstico de la enfermedad, así como en el seguimiento de su dieta sin gluten, para poder detectar problemas metabólicos y/o nutricionales de manera precoz, atajando el desarrollo de consecuencias que pueden dar la cara ya desde el periodo infantil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Introduction The gluten-free diet is the only treatment for coeliac disease. Gluten-free products contain a higher percentage of carbohydrates and saturated lipids, which can lead to long-term metabolic problems. The aim of this study was to analyse the lipid profile of children and adolescents aged less than 18 years after receiving the diagnosis of coeliac disease and its changes after starting treatment.  Material and methods To this end, we carried out a retrospective observational study of children diagnosed with coeliac disease without other comorbidity and following a strict gluten-free diet. Lipid profiles were collected at disease onset and 1 year and 6 years after initiation of the gluten-free diet and subsequently compared.  Results The sample included 24 paediatric patients, and we observed an increase in total cholesterol levels and a decrease in triglyceride levels, both of which were statistically significant (p&lt;0.05).  Conclusions We believe it is important to analyse the nutritional profile of paediatric coeliac patients at the time of diagnosis and during the followup of the gluten-free diet to detect metabolic and/or nutritional problems at an early stage, with the purpose of preventing the development of complications that may manifest as early as childhood.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad celíaca]]></kwd>
<kwd lng="es"><![CDATA[Gluten]]></kwd>
<kwd lng="es"><![CDATA[Lípidos]]></kwd>
<kwd lng="en"><![CDATA[Celiac disease]]></kwd>
<kwd lng="en"><![CDATA[Gluten]]></kwd>
<kwd lng="en"><![CDATA[Lipid profile]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donat Aliaga]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Polanco Allué]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Carmen Ribes-Koninckx]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trastornos asociados al gluten]]></article-title>
<source><![CDATA[Protoc diagn ter pediatr]]></source>
<year>2023</year>
<volume>1</volume>
<page-range>139-48</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Babio]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Alcázar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castillejo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Recasens]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Cerezo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez-Pensado]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patients with celiac disease reported higher consumption of added sugar and total fat than healthy individuals]]></article-title>
<source><![CDATA[J Pediatr Gastroenterol Nutr]]></source>
<year>2017</year>
<volume>64(1)</volume>
<page-range>63-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Nutritional Quality of Gluten-Free Products for Children]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>018</year>
<volume>142(2)</volume>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De la Calle]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Ros]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Peñalver]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Nieto]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad celiaca: causas, patología y valoración nutricional de la dieta sin gluten. Revisión]]></article-title>
<source><![CDATA[Nutr Hosp]]></source>
<year>2020</year>
<volume>37</volume>
<page-range>1043-51</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reilly]]></surname>
<given-names><![CDATA[NR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The gluten-free diet: Recognizing fact, fiction, and fad]]></article-title>
<source><![CDATA[J Pediatr]]></source>
<year>2016</year>
<volume>175</volume>
<page-range>206-10</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peña Quintana]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vitoria Miñana]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Correcher Medina]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dislipemias]]></article-title>
<source><![CDATA[Protoc diagn ter pediatr]]></source>
<year>2023</year>
<volume>1</volume>
<page-range>543-52</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marciniak]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Szymczak-Tomczak]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mahadea]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Eder]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Dobrowolska]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Krela-Ka&#378;mierczak]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multidimensional disadvantages of a gluten-free diet in celiac disease: A narrative review]]></article-title>
<source><![CDATA[Nutrients]]></source>
<year>2021</year>
<volume>13</volume>
<page-range>643</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ciccone]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gabrieli]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cardinale]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Di Ruscio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vernia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Stefanelli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metabolic Alterations in Celiac Disease Occurring after Following a Gluten-Free Diet]]></article-title>
<source><![CDATA[Digestion]]></source>
<year>2019</year>
<volume>100</volume>
<page-range>262-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kabbani]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Kelly]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Betensky]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Hansen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pallav]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Villafuerte-Gálvez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patients with Celiac Disease Have a Lower Prevalence of Non-Insulin-Dependent Diabetes Mellitus and Metabolic Syndrome]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>2013</year>
<volume>144</volume>
<page-range>912-917e</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tortora]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Capone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[De Stefano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Imperatore]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gerbino]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Donetto]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Metabolic Syndrome in Patients with Coeliac Disease on a Gluten-Free Diet]]></article-title>
<source><![CDATA[Aliment Pharmacol Ther]]></source>
<year>2015</year>
<volume>41</volume>
<page-range>352-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Potter]]></surname>
<given-names><![CDATA[MDE]]></given-names>
</name>
<name>
<surname><![CDATA[Brienesse]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Boyle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Talley]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of the gluten-free diet on cardiovascular risk factors in patients with coeliac disease: A systematic review]]></article-title>
<source><![CDATA[J Gastroenterol Hepatol]]></source>
<year>2018</year>
<volume>33(4)</volume>
<page-range>781-91</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Norsa]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Shamir]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zevit]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Verduci]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Hartman]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ghisleni]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiovascular disease risk factor profiles in children with celiac disease on gluten-free diets]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2013</year>
<volume>19</volume>
<page-range>5658-64</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pes]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Tolu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bazzu]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dore]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cholesterol change in coeliac patients following gluten-free diet depends on baseline levels]]></article-title>
<source><![CDATA[Dig Liver Dis]]></source>
<year>2014</year>
<volume>46</volume>
<page-range>662-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
