title: Pure Oats as Part of the Canadian Gluten-Free Diet in Celiac Disease: The Need to Revisit the Issue.
abstract: The question about recommending pure, noncontaminated oats as part of the gluten-free diet of patients with celiac disease remains controversial. This might be due to gluten cross contamination and to the possible immunogenicity of some oat cultivars. In view of this controversy, a review of the scientific literature was conducted to highlight the latest findings published between 2008 and 2014 to examine the current knowledge on oats safety and celiac disease in Europe and North America. Results showed that regular oats consumed in Canada are largely contaminated. Overall, the consumption of pure oats has been generally considered to be safe for adults and children. However, it appears that some oat cultivars may trigger an immune response in sensitive individuals. Therefore, further long-term studies on the impact of consumption of oats identifying the cultivar(s) constitute an important step forward for drawing final recommendations. Furthermore, a closer and more accurate monitoring of the dietary intake of noncontaminated oats would be paramount to better determine what its actual contribution in the gluten-free diet of adults and children with celiac disease are in order to draw sound recommendations on the safety of pure oats as part of the gluten-free diet.
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6.
authors.forename: M Cristina P
authors.initials: MC
authors.lastname: de Souza
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6.
authors.forename: Marie-Eve
authors.initials: ME
authors.lastname: Deschênes
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Laurencelle
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6; Clinique de Gastroentérologie, Centre Hospitalier Lasalle, Lasalle, QC, Canada H8N 1X7.
authors.forename: Patrick
authors.initials: P
authors.lastname: Godet
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6; Service de Gastroentérologie, Hépatologie et Nutrition, CHU Sainte-Justine, Montréal, QC, Canada H3T 1C5.
authors.forename: Claude C
authors.initials: CC
authors.lastname: Roy
authors.affiliation: Fondation Québécoise de la Maladie Cœliaque (FQMC), Montréal, QC, Canada H2J 3E6; Service de Gastroentérologie, Hépatologie et Nutrition, CHU Sainte-Justine, Montréal, QC, Canada H3T 1C5.
authors.forename: Idriss
authors.initials: I
authors.lastname: Djilali-Saiah
mesh_terms: D018554:Avena / Q000009:adverse effects / Q000737:chemistry* / Q000276:immunology*; D002170:Canada; D002446:Celiac Disease / Q000178:diet therapy*; D055050:Diet, Gluten-Free; D005506:Food Contamination; D005983:Glutens / Q000032:analysis*; D006801:Humans
chemical_list: D005983:Glutens