Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review

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 publis...

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Main Authors: Sébastien La Vieille, Olga M. Pulido, Michael Abbott, Terence B. Koerner, Samuel Godefroy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2016/1870305
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author Sébastien La Vieille
Olga M. Pulido
Michael Abbott
Terence B. Koerner
Samuel Godefroy
author_facet Sébastien La Vieille
Olga M. Pulido
Michael Abbott
Terence B. Koerner
Samuel Godefroy
author_sort Sébastien La Vieille
collection DOAJ
description 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.
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series Canadian Journal of Gastroenterology and Hepatology
spelling doaj-art-e9fa93131da64cd296c9bdb7e2ec6ca42025-08-20T03:20:40ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/18703051870305Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature ReviewSébastien La Vieille0Olga M. Pulido1Michael Abbott2Terence B. Koerner3Samuel Godefroy4Food Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, K1A 0K9, CanadaDepartment of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, ON, K1A 0L2, CanadaFood Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, K1A 0K9, CanadaFood Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, K1A 0K9, CanadaFood Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON, K1A 0K9, CanadaThis 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.http://dx.doi.org/10.1155/2016/1870305
spellingShingle Sébastien La Vieille
Olga M. Pulido
Michael Abbott
Terence B. Koerner
Samuel Godefroy
Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
Canadian Journal of Gastroenterology and Hepatology
title Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
title_full Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
title_fullStr Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
title_full_unstemmed Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
title_short Celiac Disease and Gluten-Free Oats: A Canadian Position Based on a Literature Review
title_sort celiac disease and gluten free oats a canadian position based on a literature review
url http://dx.doi.org/10.1155/2016/1870305
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