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Several studies have demonstrated that without proper dietary assessment, this diet leads to nutritional deficiencies and\/or imbalances. The present study aimed to improve the dietary habits of newly diagnosed children with CD through ongoing and face-to-face dietary counseling. Forty-three participants were followed during the first year after CD diagnosis. Dietary data were collected at diagnosis (Vt0), after 3 months on a GFD (Vt3), and after 1 year following a GFD (Vt12). Participants completed a 3-day 24-h food recall, a food frequency questionnaire, and the KIDMED index. After each data collection, participants received dietary assessment and nutritional education. Participants consumed more plant-origin foods after the intervention, with most of them reaching the daily recommendations. Fresh food intake increased and that of ultra-processed foods decreased. Compliance with the Mediterranean diet also improved. Personalized dietary assessment and ongoing follow-up improved the dietary patterns of children recently diagnosed with CD, highlighting the importance of dietitian involvement in the management of CD.<\/jats:p>","DOI":"10.3390\/nu16152418","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T13:10:28Z","timestamp":1721913028000},"page":"2418","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Importance of an Ongoing Nutritional Counselling Intervention on Eating Habits of Newly Diagnosed Children with Celiac Disease"],"prefix":"10.3390","volume":"16","author":[{"given":"Gesala","family":"Perez-Junkera","sequence":"first","affiliation":[{"name":"GLUTEN3S Research Group, Department of Nutrition and Food Science, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain"},{"name":"Bioaraba, Nutrici\u00f3n y Seguridad Alimentaria, 01006 Vitoria-Gasteiz, Spain"},{"name":"Children\u2019s National Hospital, 111 Michigan Avenue NW, Washington, DC 20010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8248-2506","authenticated-orcid":false,"given":"Edurne","family":"Sim\u00f3n","sequence":"additional","affiliation":[{"name":"GLUTEN3S Research Group, Department of Nutrition and Food Science, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain"},{"name":"Bioaraba, Nutrici\u00f3n y Seguridad Alimentaria, 01006 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariane Erika","family":"Calvo","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Hepatology and Nutrition, Pediatric Services, University Hospital of Araba, 01009 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuri\u00f1e","family":"Garc\u00eda Casales","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Hepatology and Nutrition, Pediatric Services, University Hospital of Araba, 01009 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3875-695X","authenticated-orcid":false,"given":"Pablo","family":"Oliver Goicolea","sequence":"additional","affiliation":[{"name":"Pediatric Services, Hospital of Mendaro-OSI Debabarrena, 20850 Mendaro, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ignacio","family":"Serrano-Vela","sequence":"additional","affiliation":[{"name":"Coeliac Disease and Gluten Sensitivity Association of Madrid, 28028 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2573-9798","authenticated-orcid":false,"given":"Idoia","family":"Larretxi","sequence":"additional","affiliation":[{"name":"GLUTEN3S Research Group, Department of Nutrition and Food Science, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain"},{"name":"Bioaraba, Nutrici\u00f3n y Seguridad Alimentaria, 01006 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2399-4979","authenticated-orcid":false,"given":"Arrate","family":"Lasa","sequence":"additional","affiliation":[{"name":"GLUTEN3S Research Group, Department of Nutrition and Food Science, University of the Basque Country, 01006 Vitoria-Gasteiz, Spain"},{"name":"Bioaraba, Nutrici\u00f3n y Seguridad Alimentaria, 01006 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Itzlinger, A., Branchi, F., Elli, L., and Schumann, M. (2018). Gluten-Free Diet in Celiac Disease-Forever and for All?. Nutrients, 10.","DOI":"10.3390\/nu10111796"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"6036","DOI":"10.3748\/wjg.v18.i42.6036","article-title":"Celiac disease: Prevalence, diagnosis, pathogenesis and treatment","volume":"18","author":"Gujral","year":"2012","journal-title":"World J. Gastroenterol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1097\/MPG.0000000000003015","article-title":"Clinical Presentation in Children With Coeliac Disease in Central Europe","volume":"72","author":"Riznik","year":"2021","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Caio, G., Volta, U., Sapone, A., Leffler, D.A., De Giorgio, R., Catassi, C., and Fasano, A. (2019). Celiac disease: A comprehensive current review. BMC Med., 17.","DOI":"10.1186\/s12916-019-1380-z"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1053\/j.gastro.2020.06.098","article-title":"Epidemiology, Presentation, and Diagnosis of Celiac Disease","volume":"160","author":"Lebwohl","year":"2021","journal-title":"Gastroenterology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1136\/gutjnl-2011-301346","article-title":"The Oslo definitions for coeliac disease and related terms","volume":"62","author":"Ludvigsson","year":"2013","journal-title":"Gut"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1038\/s41572-018-0054-z","article-title":"Coeliac disease","volume":"5","author":"Lindfors","year":"2019","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.cgh.2017.06.037","article-title":"Global Prevalence of Celiac Disease: Systematic Review and Meta-analysis","volume":"16","author":"Singh","year":"2018","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Di Nardo, G., Villa, M.P., Conti, L., Ranucci, G., Pacchiarotti, C., Principessa, L., Raucci, U., and Parisi, P. (2019). Nutritional Deficiencies in Children with Celiac Disease Resulting from a Gluten-Free Diet: A Systematic Review. Nutrients, 11.","DOI":"10.3390\/nu11071588"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/apt.16337","article-title":"Systematic review and meta-analysis: The incidence and prevalence of paediatric coeliac disease across Europe","volume":"54","author":"Roberts","year":"2021","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3109\/07853890.2010.505931","article-title":"The prevalence of celiac disease in Europe: Results of a centralized, international mass screening project","volume":"42","author":"Mustalahti","year":"2010","journal-title":"Ann. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5409\/wjcp.v10.i4.53","article-title":"Celiac disease in children: A review of the literature","volume":"10","author":"Sahin","year":"2021","journal-title":"World J. Clin. Pediatr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S121","DOI":"10.1053\/j.gastro.2005.02.024","article-title":"Dietary guidelines and implementation for celiac disease","volume":"128","author":"Kupper","year":"2005","journal-title":"Gastroenterology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.giec.2012.07.012","article-title":"Management of celiac disease","volume":"22","author":"Nasr","year":"2012","journal-title":"Gastrointest. Endosc. Clin. N. Am."},{"key":"ref_15","unstructured":"(2009). Commission Regulation (EC) No. 41\/2009 of January 2009 concerning the composition and labelling of foodstuffs suitable for people intolerant to gluten. Off. J. Eur. Union, L16, 3\u20135."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jand.2014.10.001","article-title":"The Gluten-Free Labeling Rule: What Registered Dietitian Nutritionists Need to Know to Help Clients with Gluten-Related Disorders","volume":"115","author":"Thompson","year":"2015","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1053\/j.gastro.2017.04.009","article-title":"Safety of Adding Oats to a Gluten-Free Diet for Patients With Celiac Disease: Systematic Review and Meta-analysis of Clinical and Observational Studies","volume":"153","author":"Bercik","year":"2017","journal-title":"Gastroenterology"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Rai, S., Kaur, A., and Chopra, C.S. (2018). Gluten-Free Products for Celiac Susceptible People. Front. Nutr., 5.","DOI":"10.3389\/fnut.2018.00116"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"10444","DOI":"10.1080\/10408398.2022.2078785","article-title":"Versatile wheat gluten: Functional properties and application in the food-related industry","volume":"63","author":"Zhang","year":"2023","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_20","unstructured":"(2024, May 12). EU Law\u2014EUR-Lex. Available online: https:\/\/eur-lex.europa.eu\/homepage.html."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.gtc.2017.09.006","article-title":"Nutritional Consideration in Celiac Disease and Nonceliac Gluten Sensitivity","volume":"47","author":"Naik","year":"2018","journal-title":"Gastroenterol. Clin. N. Am."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1007\/s00394-018-1685-2","article-title":"Gluten-free-rendered products contribute to imbalanced diets in children and adolescents with celiac disease","volume":"58","author":"Larretxi","year":"2019","journal-title":"Eur. J. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2635","DOI":"10.3748\/wjg.v23.i15.2635","article-title":"Dietary compliance in celiac disease","volume":"23","author":"Freeman","year":"2017","journal-title":"World J. Gastroenterol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2095","DOI":"10.1007\/s10620-019-05528-3","article-title":"Diagnosis and Treatment Patterns in Celiac Disease","volume":"64","author":"Cichewicz","year":"2019","journal-title":"Dig. Dis. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Ballestero Fern\u00e1ndez, C., Varela-Moreiras, G., \u00dabeda, N., and Alonso-Aperte, E. (2019). Nutritional Status in Spanish Children and Adolescents with Celiac Disease on a Gluten Free Diet Compared to Non-Celiac Disease Controls. Nutrients, 11.","DOI":"10.3390\/nu11102329"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s11894-018-0606-0","article-title":"Paediatric Patients with Coeliac Disease on a Gluten-Free Diet: Nutritional Adequacy and Macro- and Micronutrient Imbalances","volume":"20","author":"Sue","year":"2018","journal-title":"Curr. Gastroenterol. Rep."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Su\u00e1rez-Gonz\u00e1lez, M., Bouso\u00f1o-Garc\u00eda, C., Jim\u00e9nez-Trevi\u00f1o, S., and D\u00edaz-Mart\u00edn, J.J. (2021). Gluten-Free Diet: Nutritional Strategies to Improve Eating Habits in Children with Celiac Disease: A Prospective, Single-arm Intervention Study. Nutrients, 13.","DOI":"10.3390\/nu13041108"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Lasa, A., Fernandez Gil, P., Bustamante, M., and Miranda, J. (2017). Nutritional and Sensorial Aspects of Gluten-Free Products. Nutritional and Analytical Approaches of Gluten-Free Diet in Celiac Disease, Sringer.","DOI":"10.1007\/978-3-319-53342-1_5"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Sim\u00f3n, E., Molero-Luis, M., Fueyo-D\u00edaz, R., Costas-Batlle, C., Crespo-Escobar, P., and Montoro-Huguet, M.A. (2023). The Gluten-Free Diet for Celiac Disease: Critical Insights to Better Understand Clinical Outcomes. Nutrients, 15.","DOI":"10.3390\/nu15184013"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1111\/jhn.13206","article-title":"A dietitian-led coeliac service helps to identify and reduce involuntary gluten ingestion with subsequent reduction in the frequency of repeat endoscopies","volume":"36","author":"Trott","year":"2023","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Perez-Junkera, G., V\u00e1zquez-Polo, M., Eizagirre, F.J., Benjumea, L., Tutau, C., Esteban, B., Miranda, J., Larretxi, I., Navarro, V., and Churruca, I. (2022). Application of a Platform for Gluten-Free Diet Evaluation and Dietary Advice: From Theory to Practice. Sensors, 22.","DOI":"10.3390\/s22030732"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/jhn.12018","article-title":"Nutritional inadequacies of the gluten-free diet in both recently-diagnosed and long-term patients with coeliac disease","volume":"26","author":"Shepherd","year":"2013","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jadohealth.2018.06.009","article-title":"Effectiveness and Behavioral Mechanisms of Social Media Interventions for Positive Nutrition Behaviors in Adolescents: A Systematic Review","volume":"63","author":"Hsu","year":"2018","journal-title":"J. Adolesc. Health"},{"key":"ref_34","unstructured":"Sobradillo, B., Aguirre, A., Aresti, U., Bilbao, A., Fern\u00e1ndez-Ramos, C., Liz\u00e1rraga, A., Lorenzo, H., Madariaga, L., Rica, I., and Ruiz, I. (2004). Curvas y Tablas de Crecimiento. Estudios Longitudinal y Transversal, Fundaci\u00f3n Faustino Orbegozo."},{"key":"ref_35","unstructured":"SEGHNP (Sociedad Espa\u00f1ola de Gastroenterolog\u00eda, Hepatolog\u00eda y Nutrici\u00f3n Pedi\u00e1trica) (2020, September 01). Aplicaci\u00f3n Nutricional. Available online: https:\/\/www.seghnp.org\/nutricional\/."},{"key":"ref_36","unstructured":"Russolillo, G., and Marques, I. (2008). Food Portion Sizes Album, Imagen Comunicaci\u00f3n Multimedia."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"FESNAD (2010). Dietary reference intakes (DRI) for Spanish population, 2010. Act Diet\u00e9tica, 14, 196\u2013197.","DOI":"10.1016\/S1138-0322(10)70039-0"},{"key":"ref_38","unstructured":"SENC (2011). Objetivos nutricionales para la poblaci\u00f3n espa\u00f1ola. Consenso de la Sociedad Espa\u00f1ola de Nutrici\u00f3n. Rev. Esp. Nutri. Comunitaria, 17, 178\u2013199."},{"key":"ref_39","unstructured":"Monteiro, C., Cannon, G., Lawrence, M., Louzada, M.L., and Machado, P. (2019). Ultra-Processed Foods, Diet Quality, and Health Using the NOVA Classification System, Food and Agriculture Organization of the United Nations (FAO)."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1079\/PHN2004556","article-title":"Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents","volume":"7","author":"Ribas","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"G\u0142ady\u015b, K., Dardzi\u0144ska, J., Guzek, M., Adrych, K., Kochan, Z., and Ma\u0142gorzewicz, S. (2021). Expanded Role of a Dietitian in Monitoring a Gluten-Free Diet in Patients with Celiac Disease: Implications for Clinical Practice. Nutrients, 13.","DOI":"10.3390\/nu13061859"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3109\/08830185.2011.602443","article-title":"New clues in celiac disease epidemiology, pathogenesis, clinical manifestations, and treatment","volume":"30","author":"Lionetti","year":"2011","journal-title":"Int. Rev. Immunol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s00394-016-1238-5","article-title":"Celiac disease: Understanding the gluten-free diet","volume":"56","author":"Vespa","year":"2017","journal-title":"Eur. J. Nutr."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Melini, V., and Melini, F. (2019). Gluten-Free Diet: Gaps and Needs for a Healthier Diet. Nutrients, 11.","DOI":"10.3390\/nu11010170"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"4553","DOI":"10.3390\/nu5114553","article-title":"Gluten-free diet in children: An approach to a nutritionally adequate and balanced diet","volume":"5","author":"Penagini","year":"2013","journal-title":"Nutrients"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Lionetti, E., Antonucci, N., Marinelli, M., Bartolomei, B., Franceschini, E., Gatti, S., Catassi, G.N., Verma, A.K., Monachesi, C., and Catassi, C. (2020). Nutritional Status, Dietary Intake, and Adherence to the Mediterranean Diet of Children with Celiac Disease on a Gluten-Free Diet: A Case-Control Prospective Study. Nutrients, 12.","DOI":"10.3390\/nu12010143"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1038\/s41430-023-01280-0","article-title":"Nutrient intakes in adult and pediatric coeliac disease patients on gluten-free diet: A systematic review and meta-analysis","volume":"77","author":"Gessaroli","year":"2023","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1053\/j.gastro.2005.02.007","article-title":"National Institutes of Health Consensus Development Conference Statement on Celiac Disease, June 28-30, 2004","volume":"128","author":"James","year":"2005","journal-title":"Gastroenterology"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1111\/nbu.12399","article-title":"Improving pulse crops as a source of protein, starch and micronutrients","volume":"44","author":"Robinson","year":"2019","journal-title":"Nutr. Bull."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1111\/jhn.12800","article-title":"Influence of nutrition education in paediatric coeliac disease: Impact of the role of the registered dietitian: A prospective, single-arm intervention study","volume":"33","year":"2020","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1017\/S0007114520002688","article-title":"Consumption of ultra-processed foods and health status: A systematic review and meta-analysis","volume":"125","author":"Pagliai","year":"2021","journal-title":"Br. J. Nutr."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"100771","DOI":"10.1016\/j.lanepe.2023.100771","article-title":"Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases: A multinational cohort study","volume":"35","author":"Cordova","year":"2023","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1016\/S2468-1253(22)00169-8","article-title":"Ultra-processed foods and human health: From epidemiological evidence to mechanistic insights","volume":"7","author":"Srour","year":"2022","journal-title":"Lancet Gastroenterol. Hepatol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1017\/S1368980017000234","article-title":"The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing","volume":"21","author":"Monteiro","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Tristan Asensi, M., Pagliai, G., Lotti, S., Corrao, A., Colombini, B., Giangrandi, I., Sofi, F., and Dinu, M. (2023). Adherence to the Mediterranean Diet and Ultra-Processed Foods Consumption in a Group of Italian Patients with Celiac Disease. Nutrients, 15.","DOI":"10.3390\/nu15040938"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"143","DOI":"10.5409\/wjcp.v6.i3.143","article-title":"Cardiometabolic risk factors in children with celiac disease on a gluten-free diet","volume":"6","author":"Anania","year":"2017","journal-title":"World J. Clin. Pediatr."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"5658","DOI":"10.3748\/wjg.v19.i34.5658","article-title":"Cardiovascular disease risk factor profiles in children with celiac disease on gluten-free diets","volume":"19","author":"Norsa","year":"2013","journal-title":"World J. Gastroenterol."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Calcaterra, V., Cena, H., Rossi, V., Santero, S., Bianchi, A., and Zuccotti, G. (2023). Ultra-Processed Food, Reward System and Childhood Obesity. Children, 10.","DOI":"10.3390\/children10050804"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1111\/jhn.13137","article-title":"Diet quality, ultra-processed food consumption, and quality of life in a cross-sectional cohort of adults and teens with celiac disease","volume":"36","author":"Cadenhead","year":"2023","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez, M.P., Ballestero-Fern\u00e1ndez, C., Fajardo, V., Ach\u00f3n, M., Garc\u00eda-Gonz\u00e1lez, \u00c1., Alonso-Aperte, E., and \u00dabeda, N. (2022). Gluten-Free Product Contribution to Energy and Macronutrient Intakes in Spanish Children and Adolescents with Celiac Disease. Foods, 11.","DOI":"10.3390\/foods11233790"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/jhn.12026","article-title":"Intakes of nutrients in Italian children with celiac disease and the role of commercially available gluten-free products","volume":"26","author":"Zuccotti","year":"2013","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1093\/ajcn\/72.4.937","article-title":"Body composition and dietary intakes in adult celiac disease patients consuming a strict gluten-free diet","volume":"72","author":"Bardella","year":"2000","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/j.1365-277X.2010.01060.x","article-title":"Dietary shortcomings in children on a gluten-free diet","volume":"23","author":"Ohlund","year":"2010","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1016\/j.clnu.2016.05.002","article-title":"Gluten free diet and nutrient deficiencies: A review","volume":"35","author":"Vici","year":"2016","journal-title":"Clin. Nutr."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Mart\u00edn-Masot, R., Jim\u00e9nez-Mu\u00f1oz, M., Herrador-L\u00f3pez, M., Flor-Alemany, M., Navas-L\u00f3pez, V.M., and Nestares, T. (2023). The Importance of an Early Evaluation after Establishing a Gluten-Free Diet in Children with Celiac Disease. Nutrients, 15.","DOI":"10.3390\/nu15071761"},{"key":"ref_66","first-page":"519","article-title":"The Gluten-Free Diet: A Nutritional Risk Factor for Adolescents with Celiac Disease?","volume":"27","author":"Mariani","year":"1998","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/MPG.0000000000000785","article-title":"Gluten-Free Diet and Lipid Profile in Children With Celiac Disease: Comparison With General Population Standards","volume":"61","author":"Forchielli","year":"2015","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1111\/j.1365-2036.2010.04386.x","article-title":"Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet","volume":"32","author":"Wild","year":"2010","journal-title":"Aliment. Pharmacol. Ther."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1159\/000369504","article-title":"Celiac disease and the gluten-free diet: Consequences and recommendations for improvement","volume":"33","author":"Theethira","year":"2015","journal-title":"Dig. Dis."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/MPG.0000000000001251","article-title":"Patients With Celiac Disease Reported Higher Consumption of Added Sugar and Total Fat Than Healthy Individuals","volume":"64","author":"Babio","year":"2017","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Larretxi, I., Txurruka, I., Navarro, V., Lasa, A., Bustamante, M.\u00c1., Fern\u00e1ndez-Gil, M.D.P., Sim\u00f3n, E., and Miranda, J. (2019). Micronutrient Analysis of Gluten-Free Products: Their Low Content Is Not Involved in Gluten-Free Diet Imbalance in a Cohort of Celiac Children and Adolescent. Foods, 8.","DOI":"10.3390\/foods8080321"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.clnesp.2019.02.004","article-title":"Diet patterns in an ethnically diverse pediatric population with celiac disease and chronic gastrointestinal complaints","volume":"30","author":"Mager","year":"2019","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"918S","DOI":"10.3945\/ajcn.115.110429","article-title":"Consequences of iodine deficiency and excess in pregnant women: An overview of current knowns and unknowns","volume":"104","author":"Pearce","year":"2016","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Delvecchio, M., Bizzoco, F., Lapolla, R., Gentile, A., Carrozza, C., Barone, M., Simonetti, S., Giordano, P., Dargenio, V.N., and Cristofori, F. (2021). Iodine Absorption in Celiac Children: A Longitudinal Pilot Study. Nutrients, 13.","DOI":"10.3390\/nu13030808"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.foodres.2017.04.010","article-title":"How to improve the gluten-free diet: The state of the art from a food science perspective","volume":"110","author":"Gobbetti","year":"2018","journal-title":"Food Res. 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