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Gluten-Free Baby? Facts About Celiac Disease, Breastfeeding, and Gluten

By Nancy Lapid, About.com

Updated February 16, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Breastfeeding a Child With Celiac Disease

Some mothers continue to breastfeed well into toddlerhood, at which point some children have already been diagnosed with celiac disease. Because gluten eaten by the mother can be passed on in her breastmilk, a mother who is nursing a baby or a toddler with confirmed celiac disease needs to maintain a gluten-free diet.

If neither the baby nor the mother has confirmed celiac disease, the mother should continue to eat gluten, even if there is a history of celiac disease in the family, because there is a chance that exposure to gluten in breast milk will actually help the baby to develop a normal immune response to gluten.

Sources:

Agostoni C et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition 2008;46:99-110.

Prescott SL et al. The importance of early complementary feeding in the development of oral tolerance: Concerns and controversies. Pediatric Allergy and Immunology 2008 Feb 9 [Epub ahead of print]

Guandalini S. The influence of gluten: weaning recommendations for healthy children and children at risk for celiac disease. Nestle Nutrition Workshop Series Pediatric Program 2007;60:139-51.

Carlsson A et al. Prevalence of celiac disease: before and after a national change in feeding recommendations. Scandinavian Journal of Gastroenterology 2006;41:553-8.

Norris JM et al. Risk of celiac disease autoimmunity and timing of gluten introduction in the diet of infants at increased risk of disease. Journal of the American Medical Association 2005;293:2343-51.

Akobeng AK et al. Effect of breast feeding on risk of coeliac disease: a systematic review and meta-analysis of observational studies. Archives of Diseases of Childhood 2006;91:39-43.

Jackson KM, Nazar AM. Breastfeeding, the immune response, and long-term health. Journal of the American Osteopathic Association 2006;106:203-7.

Ivarsson A et al. Breast-feeding protects against celiac disease. American Journal of Clinical Nutrition 2002;75:914-21.

Chirdo FG et al. Presence of high levels of non-degraded gliadin in breast milk from healthy mothers. Scandinavian Journal of Gastroenterololgy 1998; 33: 1186-92.

Troncone R et al. Passage of gliadin into human breast milk. ACTA Paediatrica Scandinavica (Stockholm) 1987; 76: 453-6.

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