Pediatric Nutrition in Practice

194 Troncone  Sarno

to the fact that unmotivated GFD is dangerous not
only because of the costs imposed upon the com-
munity but also because it may affect the health of
incorrectly classified patients [15].

Conclusions

• CD patients should be treated with GFD irre-
  spective of the presence of symptoms. There is
  still uncertainty as to whether to treat ‘poten-
  tial’ CD or not
  
  
  • It is important that an experienced dietician
    with specific expertise educates the family and
    the child about dietary restrictions
  
  
  • It seems wise to add oats only when the GFD
    is well established, so that possible adverse re-
    actions can be readily identified
  
  
  • The 20-ppm threshold is considered a safe op-
    tion for CD patients
  
  
  • To prevent CD, breastfeeding should be
    strongly encouraged; gluten should not be
    introduced before the 4th month of life, pref-
    erably while the baby is still breastfed
  
  
  
  

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13 Szajewska H, Chmielewska A, Pieścik-

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14 Hischenhuber C, Crevel R, Jarry B, Mäki

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15 Di Sabatino A, Giuffrida P, Corazza GR:

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Koletzko B, et al. (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2015, vol 113, pp 190–194

DOI: 10.1159/000367874