Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children

Ali Arabi; Zein A. Karrar; Fathia Hassan Mubarak; Jalal Ali Bilal

doi:10.24911/SJP.106-1586348889

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Sudan J Paed. 2020; 20(2): 144-151

doi: 10.24911/SJP.106-1586348889

Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children

Ali Arabi, Zein A. Karrar, Fathia Hassan Mubarak, Jalal Ali Bilal.

Abstract
Coeliac disease (CD) is a chronic enteropathy. Sorghum (Sorghum vulgaris) is a common staple in Sudan. The literature on the growth of children with CD following sorghum diet is scanty. The aim of this study was to identify the demographic and clinical characteristics of CD in children and to determine the anthropometric response to a diet based on sorghum. This prospective study included children with probable CD in Ibn Sina Hospital, Khartoum, Sudan, from January 2002 to February 2012. The demographic, anthropometric, clinical and laboratory data were recorded. The CD serology was done, and the diagnosis of CD was based on Marsh criteria. Children who consumed sorghum and their anthropometry were recorded at 3 and 6 months after diagnosis. Children enrolled were 218. The mean ± SD age was 8.2 ± 4.5, median was 7 years and female/male ratio was 1.12/1. CD was common among Nubians and Arabs. The majority (145, 66.5%) presented with gastrointestinal symptoms. Feeding on sorghum diet resulted in a significant increase in weight after 3 and 6 months (21.1 ± 9.8 and 25.1 ± 14.2 kg, respectively) of the initial visit (18.5 ± 9.4 kg), p < 0.001 and p = 0.001, respectively. The mean weight for height had significantly increased at the second compared to the initial visit (0.17 ± 0.05 vs. 0.15 ± 0.5), p < 0.001. There was no association between gaining weight and age, gender, or a family history of CD. In conclusion, Sudanese hildren with CD presented over 8 years of age. The common presentation was gastrointestinal symptoms. The initial weight and weight-forheight increment were significant on sorghum diet.

Key words: clinical, coeliac disease, sorghum, anthropometry, Sudan, children

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How to Cite this Article

Pubmed Style

Arabi A, Karrar ZA, Mubarak FH, Bilal JA. Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudan J Paed. 2020; 20(2): 144-151. doi:10.24911/SJP.106-1586348889

Web Style

Arabi A, Karrar ZA, Mubarak FH, Bilal JA. Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. https://sudanjp.com//?mno=97854 [Access: June 21, 2024]. doi:10.24911/SJP.106-1586348889

AMA (American Medical Association) Style

Arabi A, Karrar ZA, Mubarak FH, Bilal JA. Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudan J Paed. 2020; 20(2): 144-151. doi:10.24911/SJP.106-1586348889

Vancouver/ICMJE Style

Arabi A, Karrar ZA, Mubarak FH, Bilal JA. Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudan J Paed. (2020), [cited June 21, 2024]; 20(2): 144-151. doi:10.24911/SJP.106-1586348889

Harvard Style

Arabi, A., Karrar, . Z. A., Mubarak, . F. H. & Bilal, . J. A. (2020) Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudan J Paed, 20 (2), 144-151. doi:10.24911/SJP.106-1586348889

Turabian Style

Arabi, Ali, Zein A. Karrar, Fathia Hassan Mubarak, and Jalal Ali Bilal. 2020. Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudanese Journal of Paediatrics, 20 (2), 144-151. doi:10.24911/SJP.106-1586348889

Chicago Style

Arabi, Ali, Zein A. Karrar, Fathia Hassan Mubarak, and Jalal Ali Bilal. "Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children." Sudanese Journal of Paediatrics 20 (2020), 144-151. doi:10.24911/SJP.106-1586348889

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Arabi, A., Karrar, . Z. A., Mubarak, . F. H. & Bilal, . J. A. (2020) Clinical presentation of coeliac disease and the effect of sorghum-based diet on anthropometric measurements among Sudanese children. Sudanese Journal of Paediatrics, 20 (2), 144-151. doi:10.24911/SJP.106-1586348889

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