The Gluten-Free Diet: Can Oats and Wheat Starch Be Part of It?
Objective and Conclusion: Uncertainty still exists about the use of oats and wheat starch as part of a gluten-free diet in patients with celiac disease (CD). This review should help to clarify the issues at hand. Whereas uncontaminated (from gluten/gliadin) oats and oats from cultivars not containing celiac-activating sequences of proline and glutamine can be used without risk of intestinal damage, wheat starch should not be used, unless it is free of gluten-that is, deglutinized-because even small amounts of gluten over time are able to induce small intestinal mucosal damage.
a Eastern Virginia Medical School , Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics EVMS, and Childrens' Hospital of the King's Daughters , Norfolk , Virginia, (ret).|b Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Brody School of Medicine , East Carolina University , Greenville , North Carolina (ret).
J Rainer
JR
Poley
D018554:Avena / Q000009:adverse effects / Q000737:chemistry*; D002446:Celiac Disease / Q000178:diet therapy*; D055050:Diet, Gluten-Free; D005506:Food Contamination; D005903:Gliadin / Q000737:chemistry; D005973:Glutamine; D005983:Glutens / Q000009:adverse effects / Q000737:chemistry; D006801:Humans; D055315:Prolamins; D011392:Proline; D013213:Starch; D014908:Triticum / Q000009:adverse effects / Q000737:chemistry*
D055315:Prolamins; D005973:Glutamine; D005983:Glutens; D013213:Starch; D005903:Gliadin; D011392:Proline