Gluten-Restricted Diets Seem Not to Lower Coronary Risk — Physician’s First Watch

Medical News |
May 3, 2017

Gluten-Restricted Diets Seem Not to Lower Coronary Risk

By Joe Elia

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM

In people without celiac disease, maintaining a low-gluten diet doesn't decrease cardiac risks, The BMJ reports.

Researchers examined outcomes in some 110,000 health professionals who completed food-frequency questionnaires every 4 years between 1986 and 2010. Those with celiac disease were excluded.

During 25 years of follow-up, those in the highest fifth of gluten intake showed risks for coronary disease actually lower than those in the lowest fifth; however, that difference vanished after multivariable adjustment.

The authors note that one recent national survey found nearly a third of U.S. adults were trying to minimize their gluten intake. Concerned that avoidance of gluten could lower consumption of whole grains, which have cardiovascular benefits, they conclude: "The promotion of gluten-free diets for the purpose of coronary heart disease prevention among asymptomatic people without celiac disease should not be recommended."

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