Celiac Disease, Iron Deficiency (Without Anemia)
Conditions
Brief summary
Anemia and sideropenia are a common effect of untreated celiac disease. In a portion of patients a certain degree of hypoferritinemia persist after the diagnosis, despite a good compliance and clinical response to gluten-free diet. These patients are usually premenopausal women in whom the cyclic menstrual bleeding and the oral iron intake are not balanced. The aim of the study is to compare the efficacy of a pharmacological therapy, frequently not tolerated, and a dietary approach through a iron-rich diet in this subset of patients.
Interventions
Daily supplementation with iron sulfate 105 mg 1 pill/day
Sponsors
Study design
Eligibility
Inclusion criteria
* Celiac patients on gluten free diet since 1 year * iron deficiency (ferritin \<15 ng/L or ferritin 15-20 + transferrin saturation \<15%)
Exclusion criteria
* allergy to iron supplementation * anemia * pregnancy or breastfeeding * menopause * organic or psychiatric diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ferritin levels (ng/mL) increase > 95% compared to basal levels | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Hemoglobin levels (g/dL), compared to basal levels | 12 weeks |
| Iron levels (mcd/dl), compared to basal levels | 12 weeks |
| Transferrin saturation (%, ratio of serum iron and total iron-binding capacity), compared to basal levels | 12 weeks |
Other
| Measure | Time frame |
|---|---|
| Degree of compliance to therapy assessed through telephone interviews (number of pills taken) | 12 weeks |
| Degree of compliance to diet assessed through compliance questionnaires (mg of irons ingested) | 12 weeks |
| Number of participants with treatment-related adverse events assessed through NRS (number rating scales) | 12 weeks |
Countries
Italy