Israeli researchers ask 'Can celiac cause eating disoders'

Eating disorders can “lead to a failure to meet nutritional and metabolic needs, which cause severe impairment to psychosocial functioning,” he said.

By
February 5, 2019 17:56
2 minute read.
Israeli researchers ask 'Can celiac cause eating disoders'

Ali Leopold, 24, (L) and Andrew Herrold, 25, eat faux donuts at Fonuts bakery, which offers unfried, gluten-free and vegan donuts, in Los Angeles, California September 19, 2011. An estimated 18 million people in the United States are sensitive to gluten, a hard-to-digest protein found in wheat, rye . (photo credit: LUCY NICHOLSON / REUTERS)

 
X

Dear Reader,
As you can imagine, more people are reading The Jerusalem Post than ever before. Nevertheless, traditional business models are no longer sustainable and high-quality publications, like ours, are being forced to look for new ways to keep going. Unlike many other news organizations, we have not put up a paywall. We want to keep our journalism open and accessible and be able to keep providing you with news and analysis from the frontlines of Israel, the Middle East and the Jewish World.

As one of our loyal readers, we ask you to be our partner.

For $5 a month you will receive access to the following:

  • A user experience almost completely free of ads
  • Access to our Premium Section
  • Content from the award-winning Jerusalem Report and our monthly magazine to learn Hebrew - Ivrit
  • A brand new ePaper featuring the daily newspaper as it appears in print in Israel

Help us grow and continue telling Israel’s story to the world.

Thank you,

Ronit Hasin-Hochman, CEO, Jerusalem Post Group
Yaakov Katz, Editor-in-Chief

UPGRADE YOUR JPOST EXPERIENCE FOR 5$ PER MONTH Show me later

Research by a team at Tel Aviv University found a link between celiac disease (CD) and higher incidence of disordered eating behavior during adolescence and young adulthood.

The research team, led by Dr. Itay Tokatly-Latzer of TAU’s Sackler Faculty of Medicine and the Department of Pediatrics at Chaim Sheba Medical Center, released a report on Monday showing that 19% of female teens and 7% of male teens with CD exhibited eating disorders, compared to 8% and 4% of adolescents who did not have CD.

Disordered eating behaviors affect about 10% of adolescents in Israel and other Western countries, and refer to a wide range of abnormal eating behaviors, including binge eating, dieting, skipping meals regularly, self-induced vomiting and obsessive calorie counting.

CD is a chronic condition characterized by inflammation and atrophy of the small intestine. According to Tokatly-Latzer, a higher percentage of Jews suffer from the disease than in the general population.

“We don’t know by what number, but we do know that celiac is more prevalent in the Jewish community and linked to Ashkenazi inheritance,” he explained. “In Israel, about 1% to 1.5% of the population has celiac.”

Tokatly-Latzer said surveys were disseminated via email to 136 adolescents aged 12-18 with CD, which assessed their rate of disordered eating behavior as well as their adherence to a gluten-free diet. It took one year to complete the surveys, which included two self-rating questionnaires: the Eating Attitudes Test-26, and the gluten-free diet questionnaire.

The doctor said he expected those participants who reported a strict adherence to a gluten-free diet (32%) to have more disordered eating behaviors. While that tendency was revealed, “it was not significant,” he said.

Rather, the link seems to stem “from the fact that any restriction of food in general leads to further preoccupation with food,” Tokatly-Latzer said.


Also, those with celiac – and he surmises other chronic diseases as well – often use food restriction as a means of control. “When you don’t have control of many aspects in your life because of a chronic disease, you feel food is the only place you can have control,” the researcher said. “What a lot of patients told us are things like, ‘If I want to fast for 12 or 16 hours, no one can tell me not to.’ They need control.”

Tokatly-Latzer said the research is important because disordered eating tends to develop into full-blown eating disorders for about 25% of patients, “which have tremendous mortality and morbidity associated with them.”

Eating disorders can “lead to a failure to meet nutritional and metabolic needs, which cause severe impairment to psychosocial functioning,” he said.

Some 30% of anorexic girls will never recover, which can have major consequences on their health, according to Tokatly-Latzer. Furthermore, those who do recover, never recover completely, he said.

“Early identification and intervention may improve therapeutic outcomes,” the doctor said, recommending that primary care physicians proactively ask about the eating habits of patients with celiac.

Next, his team is considering doing a prospective study, examining young adults for a number of years from the time they are diagnosed with celiac.

The results of the study were published in the journal Eating and Weight Disorders.

Join Jerusalem Post Premium Plus now for just $5 and upgrade your experience with an ads-free website and exclusive content. Click here>>

Related Content

French Lavender in Israel.
February 17, 2019
Alternatively Speaking: Vitamin C and essential oils

By NATALIE BEN EZRA