Post by kickingfrog on Nov 11, 2017 17:45:02 GMT
Adherence to a Gluten Free Diet Is Associated with
Receiving Gluten Free Foods on Prescription and
Understanding Food Labelling
Humayun Muhammad et al
* Correspondence: y.jeanes@roehampton.ac.uk
Received: 28 May 2017; Accepted: 4 July 2017; Published: 6 July 2017
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. ...
pure.roehampton.ac.uk/portal/files/628239/nutrients_09_00705_v2.pdf
Receiving Gluten Free Foods on Prescription and
Understanding Food Labelling
Humayun Muhammad et al
* Correspondence: y.jeanes@roehampton.ac.uk
Received: 28 May 2017; Accepted: 4 July 2017; Published: 6 July 2017
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. ...
pure.roehampton.ac.uk/portal/files/628239/nutrients_09_00705_v2.pdf