Evidence map›Paper›PMID 26259710›Full record

ArticleThe American journal of gastroenterology2016

Gluten Introduction, Breastfeeding, and Celiac Disease: Back to the Drawing Board.

Benjamin Lebwohl, Joseph A Murray, Elena F Verdú, Sheila E Crowe, Melinda Dennis, Alessio Fasano, Peter H R Green, Stefano Guandalini, Chaitan Khosla

Abstract read
In one paragraph

Article in The American journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Expression of MicroRNAs in Adults with Celiac Disease: A Narrative Review.International journal of molecular sciences · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Celiac disease in children: A review of the literature.World journal of clinical pediatrics · 2021
    Review
  10. Review
  11. Extremely low prevalence of Celiac disease in Japan: Eternal silence or just the calm before the storm?JGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  12. The Two Faces of Wheat.Frontiers in nutrition · 2020
    Review
  13. Article
  14. Celiac disease: should we care about microbes?American journal of physiology. Gastrointestinal and liver physiology · 2019
    Review
  15. Article
  16. Article
  17. [In time: celiac disease - some current aspects of epidemiology and research].Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2016
    Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Benjamin LebwohlDepartment of Medicine, Celiac Disease Center, Columbia University Medical Center, New York, New York, USA.
Joseph A MurrayDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Elena F VerdúDivision of Gastroenterology, Department of Medicine, and Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Sheila E CroweDivision of Gastroenterology, University of California at San Diego, La Jolla, California, USA.
Melinda DennisCeliac Center, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Alessio FasanoDivision of Pediatric Gastroenterology and Nutrition, Center for Celiac Research, MassGeneral Hospital for Children, Boston, Massachusetts, USA.
Peter H R GreenDepartment of Medicine, Celiac Disease Center, Columbia University Medical Center, New York, New York, USA.
Stefano GuandaliniPediatric Gastroenterology, Hepatology and Nutrition, Celiac Disease Center, University of Chicago, Chicago, Illinois, USA.
Chaitan KhoslaSchool of Engineering, Department of Chemistry, Stanford University, Stanford, California, USA.

Funding

Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Role of Transglutaminase 2 in Celiac SprueR01DK063158 · NIDDK · STANFORD UNIVERSITY · PI CHAITAN KHOSLA · 2003 to 2026
$11.2M
NCATS NIH HHS UL1 TR000040NIDDK NIH HHS R01 DK063158
6 · The paper itself

Abstract

This commentary by the leadership of the North American Society for the Study of Celiac Disease (NASSCD) concerns recent research findings regarding infant feeding practices. Celiac disease has increased markedly in recent decades, and seroprevalence studies indicate that this is a true rise, rather than one due to increased awareness and testing. Prior studies have suggested that infant feeding practices and timing of initial gluten exposure are central to the development of celiac disease. Two recent multicenter randomized trials tested strategies of early or delayed gluten introduction in infants, and neither strategy appeared to influence celiac disease risk. These studies also found that breastfeeding did not protect against the development of celiac disease. While disappointing, these results should spur the study of wider environmental risk factors beyond infant feeding, such as intrauterine and perinatal exposures as well as environmental influences later in life, including drug exposure, microbial infections, and the microbiome. Given that celiac disease can develop at any age, it is imperative to study these proposed triggers so as to elucidate the loss of tolerance to gluten and to develop future intervention strategies.

Indexed as

Breast FeedingCeliac DiseaseGlutensHumansInfantRisk FactorsGlutens

Identifiers

PMID26259710
PMCPMC4720595

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.