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Cited by 81Celiac Disease Research and ManagementFood composition and propertiesChild Nutrition and Feeding Issues

Adherence to a Gluten Free Diet Is Associated with Receiving Gluten Free Foods on Prescription and Understanding Food Labelling

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Muhammad, Humayun, Reeves, Sue, Ishaq, Sauid, Mayberry, John, Jeanes, Yvonne·2017·Nutrients
DOI 10.3390/nu9070705PMC PMC5537820
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Abstract

Treatment of coeliac disease requires a strict gluten-free (GF) diet, however, a high proportion of patients do not adhere to a GF diet. The study explores the practical challenges of a GF diet and dietary adherence in Caucasian and South Asian adults with coeliac disease. Patients with biopsy- and serology-proven coeliac disease were recruited from a hospital database. Participants completed a postal survey (n = 375), including a validated questionnaire designed to measure GF dietary adherence. Half of Caucasians (53%) and South Asians (53%) were adhering to a GF diet. The quarter of patients (n = 97) not receiving GF foods on prescription had a lower GF dietary adherence score compared with those receiving GF foods on prescription (12.5 versus 16.0; p < 0.001). Not understanding food labelling and non-membership of Coeliac UK were also associated with lower GF dietary adherence scores. A higher proportion of South Asian patients, compared with Caucasians, reported difficulties understanding what they can eat (76% versus 5%; p < 0.001) and understanding of food labels (53% versus 4%; p < 0.001). We recommend retaining GF foods on prescription, membership of a coeliac society, and regular consultations with a dietitian to enable better understanding of food labels. Robust studies are urgently needed to evaluate the impact of reducing the amount of GF foods prescribed on adherence to a GF diet in all population groups.

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Cited by

Sorted by citations

Authors
Muhammad, H., Reeves, S., Ishaq, S., Mayberry, J., & Jeanes, Y.
Affiliations
  • University Hospitals of Leicester NHS Trust (GB)
  • University of Roehampton (GB)
  • Dudley Group NHS Foundation Trust (GB)
Corresponding author
Jeanes, Yvonne
ORCID
Venue
Nutrients
Publisher
MDPI AG
Published
2017-07-06
Volume
9
Issue
7
Pages
705
ISSN
2072-6643 (ISSN-L)
DOI
10.3390/nu9070705
PMC
PMC5537820
OpenAlex
W2733892384
Cited by
81
References
1
Citations by year
2026: 6 · 2025: 11 · 2024: 10 · 2023: 8 · 2022: 6 · 2021: 9 · 2020: 9 · 2019: 11 · 2018: 10 · 2017: 1
FWCI
8.89
Type
journal article
Language
en
Open access
Licence
Locations
  • Nutrients (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
celiac disease, gluten-free diet, dietary adherence, South Asian patients, Caucasian patients, dietitian consultation, ethnic differences
MeSH terms
Adult, Aged, Celiac Disease, Cross-Sectional Studies, Female, Food Analysis, Food Labeling, Glutens, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, White People, Asian People, Diet, Gluten-Free, Prescriptions

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