Many coeliacs undiagnosed

By KATHERINE HOBY

Recent research has shown that as many as one in 83 New Zealanders suffers from coeliac disease.

Many people have never heard of the disease, and that is half the battle, sufferers, known as coeliacs, say.

Many of those who have it do not know it, or have it misdiagnosed.

Coeliac disease, sometimes called coeliac sprue, is a permanent intestinal intolerance to dietary gluten. The cells of the small intestine are damaged, causing a flattening of the tiny, hair-like projections (villi) which line its inside.

The villi break down and absorb nutrients. In coeliac disease the cells become flat and inflamed and the surface is seriously depleted.

This leads to deficiencies in vitamins, iron, folic acid and calcium due to poor absorption.

Coeliacs are sensitive to gluten (the protein portion of wheat, rye, barley, triticale and oats). Coeliac disease can only be treated by a lifelong gluten-free diet, usually involving a lifestyle change. Many staple foods including bread, pasta, cereals, and many processed foods need to be avoided.

Melbourne dietitian and coeliac Sue Shepherd is recognised as a world authority on the condition.

She says life is difficult for many coeliacs. Many think diagnosis will mean a life of bland food and meals for one at home.

She has launched a cookbook: A Wealth of Health - which showcases 100 healthy gluten-free recipes.

It is available in New Zealand for $37, plus $9 postage and handling, from: Shepherd Works, PO Box 91233, AMSC, Auckland.

* For more information on coeliac disease, contact the Coeliac Society of New Zealand on 09-479-8680 or on e-mail at the Coeliac Society.