{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:59:23Z","timestamp":1776254363367,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":104,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Purpose<\/jats:title>\n To investigate the clinical applicability of comparing bioelectrical impedance analysis (BIA) measurements between female patients with celiac disease (CD) and healthy control subjects with Tanner stage 2\u20135 to identify the affected body component in CD patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross\u2010sectional study was conducted with 36 female patients aged between 8 and 17\u2009years who were followed up with a diagnosis of celiac disease and 72 female controls. The research was carried out between January 2024 and June 2025. In both groups, girls with Tanner stage 2\u20135 were included in the study.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirty\u2010six cases were diagnosed with CD and 72 were controls. The mean age of the case group was 12.7\u2009\u00b1\u20093.1 and the mean age of the control group was 12.0\u2009\u00b1\u20092.9 (\n p<\/jats:italic>\n \u2009=\u20090.228). The ratio of fat free mass to whole body was 78.0%\u2009\u00b1\u20093.4% in the case group and 80.0%\u2009\u00b1\u20094.2% in the control group (\n p<\/jats:italic>\n \u2009=\u20090.016). Muscle mass ratio was detected lower in the case group compared to the control group (73.9\u2009\u00b1\u20093.3 vs. 75.9\u2009\u00b1\u20094.0;\n p<\/jats:italic>\n \u2009=\u20090.014). Fat ratio was analyzed higher in the case group (21.6\u2009\u00b1\u20093.6 vs. 19.6\u2009\u00b1\u20094.3;\n p<\/jats:italic>\n \u2009=\u20090.023). In CD, patients with high tissue transglutaminase IgA (tTGIgA) and anti\u2010endomysial antibody (EMA) values were found to have higher fat ratio and lower muscle ratio, but the results were not significant.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Total body fat ratio is higher and muscle mass ratio is lower in CD patients despite gluten\u2010free diet.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ped.70400","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:08:38Z","timestamp":1776251318000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bioelectrical Impedance Analysis to Identify the Affected Body Component in Girls With Celiac Disease"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-2215","authenticated-orcid":false,"given":"Arzu","family":"G\u00fclseren","sequence":"first","affiliation":[{"name":"Kayseri City Education and Research Hospital Department of Pediatric Gastroenterology and Hepatology Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7506-4672","authenticated-orcid":false,"given":"Esra","family":"Eren","sequence":"additional","affiliation":[{"name":"Kayseri City Education and Research Hospital Department of Pediatric Gastroenterology and Hepatology Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9724-2369","authenticated-orcid":false,"given":"Serkan Bilge","family":"Koca","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Endocrinology Kayseri City Education and Research Hospital Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_2_11_2_1","article-title":"Anthropometric Parameters in Celiac Disease: A Review on the Different Evaluation Methods and Disease Effects","volume":"9","author":"Costa A.","year":"2019","journal-title":"Journal of Nutrition and Metabolism"},{"issue":"10","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"2951","DOI":"10.1111\/j.1572-0241.1999.01443.x","article-title":"Assessment of Body Composition by Bioelectrical Impedance in Adolescent Patients With Celiac Disease","volume":"94","author":"De Lorenzo A.","year":"1999","journal-title":"American Journal of Gastroenterology"},{"issue":"10","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.3390\/nu11102329","article-title":"Nutritional Status in Spanish Children and Adolescents With Celiac Disease on a Gluten Free Diet Compared to Non\u2010Celiac Disease Controls","volume":"11","author":"Ballestero Fern\u00e1ndez C.","year":"2019","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/jhn.12125","article-title":"Nutrient Intake in Adolescent Girls and Boys Diagnosed With Coeliac Disease at an Early Age Is Mostly Comparable to Their Non\u2010Coeliac Contemporaries","volume":"27","author":"Kautto E.","year":"2014","journal-title":"Journal of Human Nutrition and Dietetics"},{"issue":"1","key":"e_1_2_11_6_1","first-page":"33","article-title":"Nutritional Assessment of Gluten\u2010Free Diet. Is Gluten\u2010Free Diet Deficient in Some Nutrient?","volume":"83","author":"Salazar Quero J. C.","year":"2015","journal-title":"Anales de Pediatr\u00eda"},{"issue":"1","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3390\/nu6010207","article-title":"Celiac Disease and Overweight in Children: An Update","volume":"6","author":"Diamanti A.","year":"2014","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s11845-014-1124-1","article-title":"Methodologies to Assess Paediatric Adiposity","volume":"184","author":"Horan M.","year":"2015","journal-title":"Irish Journal of Medical Science"},{"key":"e_1_2_11_9_1","first-page":"150","article-title":"Importance of Neutrophil\u2010Lymphocyte Ratio in Predicting Compliance With Gluten\u2010Free Diet in Celiac Patients","volume":"19","author":"Karacaer C.","year":"2020","journal-title":"Turkish Journal of Academic Gastroenterology"},{"issue":"6","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1093\/ajcn\/65.6.1709","article-title":"Body Composition Assessed on the Basis of Arm Circumference and Triceps Skinfold Thickness: A New Index Validated in Children by Magnetic Resonance Imaging","volume":"65","author":"Rolland\u2010Cachera M. F.","year":"1997","journal-title":"American Journal of Clinical Nutrition"},{"issue":"3","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"635","DOI":"10.3945\/ajcn.2009.28385","article-title":"Reference Curves for Triceps and Subscapular Skinfold Thicknesses in US Children and Adolescents","volume":"91","author":"Addo O. Y.","year":"2010","journal-title":"American Journal of Clinical Nutrition"},{"issue":"235","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1136\/adc.44.235.291","article-title":"Variations in Pattern of Pubertal Changes in Girls","volume":"44","author":"Marshall W. A.","year":"1969","journal-title":"Archives of Disease in Childhood"},{"issue":"6","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1016\/j.clnu.2004.09.012","article-title":"Bioelectrical Impedance Analysis\u2010Part II: Utilization in Clinical Practice","volume":"23","author":"Kyle U. G.","year":"2004","journal-title":"Clinical Nutrition"},{"issue":"11","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1111\/obr.12061","article-title":"Bioelectrical Impedance Analysis to Estimate Body Composition in Children and Adolescents: A Systematic Review and Evidence Appraisal of Validity, Responsiveness, Reliability and Measurement Error","volume":"14","author":"Talma H.","year":"2013","journal-title":"Obesity Reviews"},{"issue":"12","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"2686","DOI":"10.3390\/nu15122686","article-title":"Assessment of Nutritional Status by Bioelectrical Impedance in Adult Patients With Celiac Disease: A Prospective Single\u2010Center Study","volume":"15","author":"Maniero D.","year":"2023","journal-title":"Nutrients"},{"issue":"1","key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/ajcn\/72.1.71","article-title":"Body Composition in Children With Celiac Disease and the Effects of a Gluten\u2010Free Diet: A Prospective Case\u2010Control Study","volume":"72","author":"Barera G.","year":"2000","journal-title":"American Journal of Clinical Nutrition"},{"issue":"11","key":"e_1_2_11_17_1","first-page":"725","article-title":"Nutritional Status, Nutrient Imbalances, Food\u2010Related Behaviors and Dietary Supplements Use Among Patients With Celiac Disease on a Gluten Free Diet in Lebanon: A National Cross\u2010Sectional Study","volume":"1","author":"Hoteit M.","year":"2022","journal-title":"F1000Res"},{"issue":"12","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","DOI":"10.14309\/ctg.0000000000000639","article-title":"Serological Investigation of Persistent Villous Atrophy in Celiac Disease","volume":"14","author":"Gong C.","year":"2023","journal-title":"Clinical and Translational Gastroenterology"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70400","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:08:42Z","timestamp":1776251322000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ped.70400"],"URL":"https:\/\/doi.org\/10.1111\/ped.70400","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70400"}}