Description
I’m working on a nutrition report and need a sample draft to help me learn.
I began to work on this research paper and could not finish it. On the outline I have multiple sources listed that I used or intended to use throughout the draft. The finished paper needs to be 10 pages minimum and apa 7th edition. All the guidelines are on the rubric attached.
there should be enough information in the outline I provided and the draft I began?
I added links to sources that I thought would be beneficial to add to the paper
HE 290 Health Research Methods
“My Way†Literature Review Scoring Rubric
Name: ___________________________________
Grade: _________/200
Introduction
Paragraph(s)
20
Research topic is clearly
stated, overall importance of
the topic is supported by at
least 1 source
10
Research topic is unclear,
and/or importance of topic is
not supported by 1 source
0
Research topic is not stated,
relevance is not described
from a cited source
Body Paragraphs
25
Organizes supporting
paragraphs by topic and
synthesizes information
across at least 8 sources
15
Organizes supporting
paragraphs by topic and
synthesizes information 8
sources
8
Organizes supporting
paragraphs by source and
does not synthesize info
across sources
Abstract
15
Tells the complete story in a
clear and concise manner.
Incorporates –into, methods,
findings and conclusion
0
Does not have an abstract
Conclusion Paragraph
20
Clear Summary of research
findings that builds an
argument for why the
current study is needed
10
All paragraphs are well
written (grammar, typos,
sentence structure, etc.) and
ideas flow together
8
Tells most of the story in a
clear and concise manner.
Incorporates some of the –
into, methods, findings and
conclusion
10
Summary of research findings
and/or connection to why the
current study is needed is
unclear
5
All paragraphs are well
written but ideas do not flow
together
10
Writing is uses a direct
technical writing style that
excludes “fluffâ€Â
40
All factual claims are cited
(excludes general
knowledge facts)
25
Grammar usage and writing
style comply with APA and
correct use of APA in-text
citations (< 5 errors)
5
Writing is mostly uses a
direct technical writing style,
but some “fluff†exists
25
1-2 factual claims are not
cited (excludes general
knowledge facts)
15
Between 6-10 APA grammar
and/or writing style errors
and/or APA in-text citation
errors
0
Writing is uses a prosaic
writing style that often
includes “fluffâ€Â
10
3-4 factual claims are not
cited (excludes general
knowledge facts)
8
Between 11-15 APA
grammar and/or writing
style errors and/or APA intext citation errors
10
6 or more peer-reviewed
journal articles/reports all
published from 2012present included, all are
well connected to overall
topic
10
Corrected references
attached
5
Follows APA format, title
clearly states what the paper
covers
10
Paper is 10 or more pages
8
6 or more peer-reviewed
journal articles/reports all
published from 2012-present
included, but not all are
connected to overall topic
4
3-5 peer-reviewed journal
articles/reports and s
published all published
from 2012-present
included, but not all are
connected to overall topic
0
References missing
Readability &
Flow of Ideas
Conciseness
Citing Factual Claims
APA Scientific Writing
Proficiency
Quality of Research
Articles
Attach Corrected
References
Title Page
Page length
5
References attached, but not
corrected
2
Only follows APA format OR
title clearly states what the
paper covers
5
Paper is 1-2 pages short of
minimum page length
0
Organizes supporting
paragraphs by source and
does not synthesize info
across sources, or body
paragraphs missing entirely
0
Summary of research
findings is not stated and no
connection is made to why
the current study is needed
0
All paragraphs are poorly
written and ideas do not
flow together
0
No title page
0
Paper is 3+ pages short of
minimum page length
0
5+ factual claims are not
cited (excludes general
knowledge facts)
0
More than 15 APA
grammar and/or writing
style errors and/or APA intext citation errors
0
0-2 peer-reviewed journal
articles/reports and 0
websites published all
published from 2012present included
1
The Effects of a Gluten-Free Diet on Individuals without Celiac Disease
Miranda Franco
Department of Science, Monmouth University
HE 290 02: Health Research Methods
Dr. Mercx
April 18, 2021
2
Gluten is a term for the prolamin storage proteins that are found in common cereal grains
including, but not limited to, wheat, barley and rye (Hill, 2019, p. 1). Two of these proteins are
gliadin, that allows bread to rise, and glutenins, which gives strength and elasticity to bread.
Because of these properties, gluten is often used as a food additive in processed foods. Thus
gluten is present in not only common grains, but also sauces and spices, such as soy sauce. The
common presence of gluten in foods makes avoiding it a difficult process for individuals. For
those with celiac disease and other non-celiac gluten sensitivities, following a gluten free diet is a
medical necessity. However, as the GFD has gained more popularity, it has become a trend for
people to follow to simply lose weight. While gluten can be harmful to specific individuals, the
absence of it in the diet of others can be harmful as well.
The consumption of foods containing gluten can have a variety of adverse effects on
different people. Upon eating gluten, individuals with a sensitivity of any degree may experience
both intestinal and extraintestinal symptoms. The most well-known health condition related to
gluten is celiac disease. Many people share a common perception that celiac disease is
synonymous with any gastrointestinal issue that arises from the consumption of gluten. However,
gluten consumption can affect celiac patients on a larger scale. Additionally, not all negative
responses to the consumption of gluten are the result of celiac disease.
Celiac disease is classified as a “chronic immune-mediated enteropathy driven by dietary
gluten,†(Katri et al., 2019, p. 1). The immune response related to the ingestion of gluten in
celiac individuals can manifest itself in more ways than one, which often leads to misdiagnosis
of celiac disease. The most common response is malabsorption of foods containing gluten but the
symptoms can extend beyond that to multiorgan responses. As for intestinal symptoms, celiac
3
patients can experience irregular bowel movements, gastralgia, emesis, and excessive flatulence
(Katri et al., 2019, p. 6).
ADD ADDTL INTESTINAL SYMPTOMS
As aforementioned, celiac disease manifests itself in other organs outside of the
gastrointestinal tract. A common extraintestinal manifestation of celiac disease is dermatitis
herpetiformis, which is a gluten-induced symptom. When triggered by gluten, this autoimmune
reaction causes “itchy papules and vesicles on the elbows, knees and buttocks,†(Popp and Mäki,
2019, p. 4).
In a similar fashion, neurological complications are immune mediated responses to gluten
entering the bloodstream of celiac individuals. (Popp and Mäki, 2019, p. 5). Many patients with
neurological conditions related to celiac disease do not also display the common gastrointestinal
conditions of celiac disease (Mearns et. al., 2019, p. 2). Two of the most common neurological
manifestations of celiac disease are gluten ataxia and peripheral neuropathy. The onset of both of
the mentioned conditions is typically insidious, thus a celiac patient may be unaware of his or her
diagnosis until reaching the approximate age of 55. A celiac patient may spend the majority of
his or her life consuming gluten, causing further detriment to his or her health unbeknownst to
them. Gluten ataxia refers to the damage of the critical central nervous system structure, the
cerebellum, by consumption of gluten. Symptoms include “difficulty with arm and leg control,
gait instability, poor coordination, loss of fine motor skills such as writing, problems with
talking, and visual issues†(Mearns et. al., 2019, p. 2). Celiac disease can not only affect the
central nervous system but also can have an affect on the peripheral nervous system as well.
Gluten-induced peripheral neuropathy, also known as gluten neuropathy, refers to the damage of
4
the nerves of the peripheral nervous system. The nerve damage causes numbness, tingling, and
pain in the extremities of celiac patients with gluten neuropathy (Mearns et. al., 2019, p. 2).
The sole cure for many manifestations of celiac disease is the adherence to a gluten free
diet. Without the ingestion of gluten, an immune response will not be triggered. Thus all the
symptoms that arise from the immune response will not occur. Over time, celiac patients can
heal most or all of the intestinal mucosa (Itzlinger, 2018, p. 2).
Miranda Franco
Professor Mercx
HE 290 02
Introduction: For those with celiac disease and other non-celiac gluten sensitivities, following a
gluten free diet is a medical necessity. However, as the GFD has gained more popularity, it has
become a trend for people to follow to simply lose weight. While gluten can be harmful to
specific individuals, the absence of it in the diet of others can be harmful as well.
Body:
1. How gluten affects those with celiac disease
a. Individuals that have either celiac disease or non-celiac gluten sensitivity are
instructed to follow a gluten free diet. (Bonder et. al, 2016)
b. Gluten free diets have become trendy amongst health-conscious individuals but
not all people need to follow this diet.
2. The benefits of non-celiac individuals following a GFD (gluten free diet)
a. Many state that researchers find that following a GFD can affect the
“enhancement of athletic performance and treatment of autism, rheumatoid
arthritis, and psychiatric disorders†(Lerner et. al, 2019).
3. Negative effects of following a GFD in non-celiac individuals
a. “There are potential negative consequences of hypervigilance to a strict glutenfree diet†(Wolf et. al 2018).
b. “The study concluded that more gluten consumption is associated with a lower
risk of heart disease, suggesting that those who do not suffer from celiac disease
or non-celiac gluten/wheat sensitivity should not avoid gluten†(Lebwohl et. al
2017).
Conclusion: Not all individuals should adapt a gluten free diet if they are not celiac. There are
benefits to following a gluten free diet, however the negatives to those who are not celiac are far
greater.
References:
Bonder, M. J., Tigchelaar, E. F., Cai, X., Trynka, G., Maria, C. C. H., Zhong, H., . . . Zhernakova,
A. (2016). The influence of a short-term gluten-free diet on the human gut microbiome. Genome
Medicine, 8doi:http://dx.doi.org.ezproxy.monmouth.edu/10.1186/s13073-016-0295-y
Jericho, H. , Sansotta, N. & Guandalini, S. (2017). Extraintestinal Manifestations of Celiac
Disease. Journal of Pediatric Gastroenterology and Nutrition, 65(1), 75–79. Doi:
10.1097/MPG.0000000000001420.
Kim, H., Demyen, M. F., Mathew, J., Kothari, N., Feurdean, M., & Ahlawat, S. K. (2017).
Obesity, metabolic syndrome, and cardiovascular risk in gluten-free followers without celiac
disease in the united states: Results from the national health and nutrition examination survey
2009-2014. Digestive Diseases and Sciences, 62(9), 2440-2448.
doi:http://dx.doi.org.ezproxy.monmouth.edu/10.1007/s10620-017-4583-1
Lerner, B. A., Green, P. H. R., & Lebwohl, B. (2019). Going against the grains: Gluten-free diets
in patients without celiac Diseaseâ€â€Worthwhile or not?Digestive Diseases and Sciences, 64(7),
1740-1747. doi:http://dx.doi.org.ezproxy.monmouth.edu/10.1007/s10620-019-05663-x
Margaret Boyd, G., Bigwood, C., & Prosad Paul, S. (2017). When gluten free is harmful. British
Journal of Nursing, 26(15), 844. https://doiorg.ezproxy.monmouth.edu/10.12968/bjon.2017.26.15.844
Study finds a gluten-free diet in adults without celiac disease may increase risk of cardiovascular
disease. (2017, May 04). Retrieved February 22, 2021, from https://celiac.org/about-thefoundation/featured-news/2017/05/study-finds-gluten-free-diet-adults-without-celiac-diseasemay-increase-risk-cardiovascular-disease/
Wall st. cheat sheet: Why you shouldn't follow a gluten-free diet (2016). . Chatham: Newstex.
Retrieved from https://ezproxy.monmouth.edu/login?url=https://www-proquestcom.ezproxy.monmouth.edu/blogs,-podcasts,-websites/wall-st-cheat-sheet-why-you-shouldntfollow/docview/1797620094/se-2?accountid=12532
Wolf, R. L., Lebwohl, B., Lee, A. R., Zybert, P., Reilly, N. R., Cadenhead, J., . . . Green, P. H. R.
(2018). Hypervigilance to a gluten-free diet and decreased quality of life in teenagers and adults
with celiac disease. Digestive Diseases and Sciences, 63(6), 1438-1448.
doi:http://dx.doi.org.ezproxy.monmouth.edu/10.1007/s10620-018-4936-4
https://www.sciencemag.org/news/2018/05/what-s-really-behind-gluten-sensitivity
-
. People with celiac disease are genetically predisposed to launch a self-destructive
immune response when a component of gluten called gliadin penetrates their intestinal
lining and sets off inflammatory cells in the tissue below. People with a wheat allergy
respond to wheat proteins by churning out a class of antibodies called immunoglobulin
E that can set off vomiting, itching, and shortness of breath
https://celiac.org/gluten-free-living/what-is-gluten/
https://www.healthline.com/nutrition/what-is-gluten#labeling
https://search.proquest.com/docview/2466267883/fulltextPDF/D5D05F8625B047C0PQ/1?accou
ntid=12532
https://search.proquest.com/docview/2166123327?pq-origsite=summon
https://www.mdpi.com/2072-6643/11/2/320/htm
Katri, L., Carolina, C., Kalle, K., Lundin Knut, E. A., Makharia, G. K., Luisa, M. M., Murray, J. A., Verdu,
E. F., & Katri, K. (2019). Coeliac disease (Primer). Nature Reviews: Disease Primers,
5(1)http://dx.doi.org/10.1038/s41572-018-0054-z
DOI:10.1016/j.nut.2020.110944
https://doi.org/10.3390/nu11020380
https://journals.lww.com/ajg/Fulltext/2018/10001/Extraintestinal_Manifestation_of_Celiac_Disease_.2569.aspx
She was recommended to follow a strict gluten free diet. At her 3 month follow up, MRI head
showed improvement in T2 hyperintensities and IgA tissue transglutaminase was
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