Evidence map›Paper›PMID 42640443›Full record

ArticleDigestive diseases and sciences2026

Prevalence and Predictors of Folate Deficiency in Patients with Celiac Disease.

Lotanna Ezenekwe, Gabriella Aponte Camacho, Peter H R Green, Benjamin Lebwohl

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Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Lotanna EzenekweColumbia University Vagelos College of Physicians and Surgeons, New York, USA.
Gabriella Aponte CamachoColumbia University Vagelos College of Physicians and Surgeons, New York, USA.
Peter H R GreenDepartment of Medicine, The Celiac Disease Center at Columbia University, 180 Fort Washington Avenue, New York, NY, 10032, USA.
Benjamin LebwohlDepartment of Medicine, The Celiac Disease Center at Columbia University, 180 Fort Washington Avenue, New York, NY, 10032, USA. bl114@columbia.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCeliac disease (CeD) causes small bowel villus atrophy and may contribute to folate deficiency through both malabsorption and folate-deficient gluten-free diets (GFD). We sought to determine the prevalence and predictors of folate deficiency among adults with CeD treated at a single tertiary referral center.

methodsIn this cross-sectional study, folate-deficient and non-deficient CeD patients were compared by age, sex, presentation type, villus atrophy severity at diagnosis and follow-up, prior malignancy, and concomitant autoimmune disease. All patients received routine counseling to follow a GFD, although adherence was not quantified.

resultsAmong 825 patients (73% female), 58 (7%) had folate deficiency. Mean age at folate measurement was 43 (SD=18) years. Mean interval from time of diagnosis to folate measurement in folate-deficient and non-deficient patients was 8 vs 9 years, respectively (p=0.357). Folate-deficient patients were younger at folate measurement and CeD diagnosis (37 vs 44 years and 28 vs 34 years; p=0.002 and p=0.018). Ulcerative colitis was more common (5.2% vs 0.3%, p=0.003), while hypothyroidism was less common (6.9% vs 19%, p=0.022) among folate-deficient patients.

conclusionFolate deficiency is common in treated CeD and was associated with younger age and concomitant ulcerative colitis. Persistent deficiency may be related to folate-deficient GFDs or persistent gluten-driven inflammation. Differences in mean age between folate-deficient and non-deficient groups may be related to differing supplement use behaviors. Further studies are needed to guide screening and supplementation strategies and determine utility of grain fortification.

Indexed as

CeliacEpidemiologyFolateGlutenNutrition

Identifiers

PMID42640443

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