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Here are two articles related to teens and celiac diet decisions....

Gail



Bone in celiac disease.

Bianchi ML, Bardella MT.
Bone Metabolism Unit, Istituto Auxologico Italiano IRCCS, via Ludovico 
Ariosto 13, 20155, Milan, Italy, [log in to unmask]

Chronic inflammation and malabsorption in celiac disease (CD) can cause bone 
metabolism alterations and bone mineral loss in children and adults. Bone 
status before and after gluten-free diet, epidemiology of fractures, and 
possible treatment options for CD-related osteoporosis are presented. 
Controversial aspects of this complication of CD are discussed. The 
relationship between bone derangements and celiac disease (CD) was 
recognized almost 50 years ago, but many questions are still open. We are 
now aware that osteoporosis is a relatively frequent atypical presentation 
of CD, especially in adults, and that undiagnosed CD can be the cause of 
osteoporosis and related fractures. Chronic inflammatory intestinal 
diseases, including CD, can affect bone and mineral metabolism because of 
alterations in both systemic and local regulatory factors. The pathogenetic 
processes are still controversial, but two main mechanisms seem to be 
involved: intestinal malabsorption and the presence of chronic inflammation. 
This review analyzes the published data on bone involvement in children, 
adolescents, and adults either before or after a gluten-free diet. Special 
attention is paid to the epidemiology of fractures in celiac patients, 
considering that fractures are a major complication of osteoporosis and an 
important problem in the management of a chronic disease like CD. The 
usefulness of screening osteoporotic patients systematically for CD is still 
an open question, but some rules can be given. Finally, the current 
treatment options for children and adults are discussed. Recommendations for 
future clinical research are proposed.

PMID: 18418638 [PubMed - as supplied by publisher]


Related Articles
  a.. Bone and celiac disease. [Calcif Tissue Int. 2002]
  b.. Monitoring nonresponsive patients who have celiac disease. 
[Gastrointest Endosc Clin N Am. 2006]
  c.. Bone mineral density and importance of a gluten-free diet in patients 
with celiac disease in childhood. [Pediatrics. 2001]
  d.. [Reproduction, endocrine disorders and celiac disease: risk factors of 
osteoporosis] [Minerva Med. 2006]
  e.. Skeletal and muscular status in juveniles with GFD treated clinical 
and newly diagnosed atypical celiac disease--preliminary data. [J Clin 
Densitom. 2007]
  f.. » See all Related Articles...
*****************************************
Menarcheal age in celiac disease may not be delayed and may be irrespective 
of age at diagnosis and dietary management.
Sferlazzas C, Arrigo T, Salzano G, Pellegrino S, La Fauci G, Rulli I, 
Magazzù G, De Luca F.
Division of Pediatric Gastroenterology and Cystic Fibrosis, Department of 
Pediatrics, University of Messina, Messina, Italy.

The aim of the present study was to evaluate the role played by age at 
diagnosis of celiac disease (CD), dietary management and menarcheal familiar 
antecedents in conditioning menarcheal age (MA) in CD. This study covers a 
population of 94 menarcheal adolescents with untreated CD, whose MA was 
compared with that of 3 control populations: the 1st consisting of 117 
early-treated and compliant CD girls, the 2nd represented by their 
non-celiac mothers, and the 3rd consisting of 280 healthy adolescents. 
Average MA of the girls with post-menarcheal diagnosis of CD was 
superimposable to that of the patients with pre-menarcheal diagnosis and was 
no different from the one of their mothers or that of healthy controls. The 
prevalence of delayed menarche was similar in the patients with either 
pre-menarcheal or post-menarcheal diagnosis of CD. A direct correlation 
between patients' MA and that of their mothers was detected in both groups 
of CD patients. We conclude that: a) untreated CD may not be associated with 
menarcheal retardation; b) MA in CD is significantly affected by maternal MA 
and may be irrespective of age at diagnosis and dietary management.

PMID: 18560261 [PubMed - in process]

----- Original Message ----- 
From: "D S" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, June 22, 2008 7:38 PM
Subject: What to do with teen thinking she's grown out of it..


> ---------------------- Information from the mail 
> header -----------------------
> Sender:       Celiac/Coeliac Wheat/Gluten-Free Children List
>              <[log in to unmask]>
> Poster:       D S <[log in to unmask]>
> Subject:      What to do with teen thinking she's grown out of it..
> -------------------------------------------------------------------------------
>
> <<Disclaimer:  Verify this information before applying it to your 
> situation.>>
>
>
> I have two daughters with Celiac.  My oldest was diagnosed when she was 8. 
> =
> She is 15 now.  Lately, she has been ignoring=20
> the gluten free diet and eating things she should not.  She doesn't have 
> th=
> e same reaction as a teen she did when she was
> younger and thinks that now she's grown out of it.  I know that teens 
> somet=
> imes do this because of adolescence and I also know that=20
> the reactions will come back as she gets older and she is still doing the 
> d=
> amage.  I'm very worried.  Please help.
> =20
> Dawn
> _________________________________________________________________
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