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  • Proceedings of the Nutrition Society, Volume 71, Issue 4
  • November 2012, pp. 534-537

The safety of oats in the dietary treatment of coeliac disease

  • Emile Richman (a1)
  • DOI: http://dx.doi.org/10.1017/S0029665112000791
  • Published online: 29 August 2012
Abstract

Coeliac disease is a permanent inflammatory disorder of the small bowel affecting approximately 1% of the population. The only effective treatment that exists is exclusion of gluten from the diet. The present paper aims to review the literature as to whether oats are safe to eat for people with coeliac disease. Much data exist on the restrictive nature that adhering to a gluten-free diet imposes on an individual. If oats could be eaten, this would help reduce the restrictive nature of the diet. This in turn could lead to an increase in the quality of life. Oats are of high-nutritional value, providing a rich source of fibre, vitamins and minerals. The fibre source contains soluble fibre which is believed to help reduce LDL-cholesterol. A systematic review of the literature was conducted. Earlier studies conducted are difficult to compare as they used different methodologies and it is not known whether samples of oats in the studies were contaminated with gluten from other cereals. Many studies reviewed do not state the strain of oat used. Recent research has suggested that it may only be in certain strains of oats which could produce a toxic response to people with coeliac disease. In conclusion, research suggests that the risk from consuming oats may be less harmful than first thought; however, may vary according to the strain of oat. Handling that risk in clinical practice remains controversial.

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Corresponding author
Corresponding author: fax+44 151 706 5980, email emile.richman@rlbuht.nhs.uk
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.Di Sabatino & GR Corrazza (2009) Coeliac disease. Lancet 373, 14801493.

3.A Fasano (2003) Celiac disease – how to handle a clinical chameleon. N Engl J Med 348, 25682570.

8.JW Paulley (1954) Observations on the aetiology of idiopathic steatorrhoea. Br Med J 2, 13181321.

23.K Garsed & BB Scott (2007) Can oats is taken in gluten free diet? A systematic review. Scand J Gastroenterol 42, 171178.

25.EK Janatuinen , PH Pikkarainen , TA Kemppainen (1995) A comparison of diets with and without oats in adults with celiac disease. N Engl J Med 333, 10331037.

26.EK Janatuinen , TA Kemppainen , PH Pikkarainen (2000) Lack of cellular and humoral immunological responses to oats in adults with coeliac disease. Gut 46, 327331.

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Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
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