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Nutrients. 2017 Jul 6;9(7). pii: E705. doi: 10.3390/nu9070705.

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

Author information

1
Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK. muhammah@roehampton.ac.uk.
2
Gastroenterology, University Hospitals of Leicester, Leicester LE1 5WW, UK. muhammah@roehampton.ac.uk.
3
Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK. s.reeves@roehampton.ac.uk.
4
Gastroenterology, Dudley Group NHS Foundation Trust, Dudley DY1 2HQ, UK. Sauid.Ishaq@dgh.nhs.uk.
5
Gastroenterology, University Hospitals of Leicester, Leicester LE1 5WW, UK. John.mayberry@uhl-tr.nhs.uk.
6
Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK. y.jeanes@roehampton.ac.uk.

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.

KEYWORDS:

coeliac disease; dietary adherence; gluten free; prescription

PMID:
28684693
PMCID:
PMC5537820
DOI:
10.3390/nu9070705
[Indexed for MEDLINE]
Free PMC Article

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