The gluten-free (GF) products market represents one of the most prosperous markets in the field of food and beverages in the immediate future. Historically, counselling for celiac disease has focused on the absence of gluten in foods, however the nutritional quality of GF foodstuffs is an important aspect to consider. The aim of the present work was to compare the nutritional composition of the 206 GF rendered products most consumed in Spain, against the composition of 289 equivalent foods with gluten, and to make a comparison between the diet including GF products and the same diet with equivalent products with gluten in a 58 adult celiac population. The results of the present collaborative study pointed out differences in calorie, macronutrient, fiber, sodium, salt and cholesterol content between GF rendered and gluten-containing foodstuffs. Thus, calorie and nutrient intake in a GF diet is different when compared to its equivalent diet with gluten. Following a diet based on GF products could suppose a nutritional imbalance for celiac patients as well as for non-celiacs who follow a diet that includes many GF rendered foodstuffs.
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Husby S, European Society for Pediatric Gastroenterology Hp, and Nutrition (2012) European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr 54:136–160
Diamanti A, Capriati T, Basso MS, Panetta F, Di Ciommo Laurora VM, Bellucci F, Cristofori F, Francavilla R (2014) Celiac disease and overweight in children: an update. Nutrients 6:207–220
Rosén A, Sandström O, Carlsson A, Högberg L, Olén O, Stenlund H, Ivarsson A (2014) Usefulness of symptoms to screen for celiac disease. Pediatrics 133:211–218
Marketsandmarkets.com (accessed October 2013) Gluten-free products market by type, sales channel and geography: global trends and forecasts to 2018. http://www.marketsandmarkets.com/Market-Reports/gluten-free-products-market-738.html
Segura ME, Rosell CM (2011) Chemical composition and starch digestibility of different gluten-free breads. Plant Foods Hum Nutr 66:224–230
Kinsey L, Burden ST, Bannerman E (2008) A dietary survey to determine if patients with coeliac disease are meeting current healthy eating guidelines and how their diet compares to that of the British general population. Eur J Clin Nutr 62:1333–1342
Saturni L, Ferretti G, Bacchetti T (2010) The gluten-free diet: safety and nutritional quality. Nutrients 2:16–34
Bardella MT, Fredella C, Prampolini L, Molteni N, Giunta AM, Bianchi PA (2000) Body composition and dietary intakes in adult celiac disease patients consuming a strict gluten-free diet. Am J Clin Nutr 72:937–939
Thompson T, Dennis M, Higgins LA, Lee AR, Sharrett MK (2005) Gluten-free diet survey: are Americans with coeliac disease consuming recommended amounts of fibre, iron, calcium and grain foods? J Hum Nutr Diet 18:163–169
Thompson T (2000) Folate, iron, and dietary fiber contents of the gluten-free diet. J Am Diet Assoc 100:1389–1396
Barton SH, Kelly DG, Murray JA (2007) Nutritional deficiencies in celiac disease. Gastroenterol Clin North Am 36:93–108, vi
Hager A-S, Axel C, Arendt EK (2011) Status of carbohydrates and dietary fiber in gluten-free diets. Cereal Foods World 56:5
Baydoun A, Maakaron JE, Halawi H, Abou Rahal J, Taher AT (2012) Hematological manifestations of celiac disease. Scand J Gastroenterol 47:1401–1411
Tikkakoski S, Savilahti E, Kolho KL (2007) Undiagnosed coeliac disease and nutritional deficiencies in adults screened in primary health care. Scand J Gastroenterol 42:60–65
Hopman EG, le Cessie S, von Blomberg BM, Mearin ML (2006) Nutritional management of the gluten-free diet in young people with celiac disease in The Netherlands. J Pediatr Gastroenterol Nutr 43:102–108
Topper A (accessed October 2013) Gluten-free foods report. http://store.mintel.com/gluten-free-foods-us-september-2013
Gibert A, Kruizinga AG, Neuhold S, Houben GF, Canela MA, Fasano A, Catassi C (2013) Might gluten traces in wheat substitutes pose a risk in patients with celiac disease? A population-based probabilistic approach to risk estimation. Am J Clin Nutr 97:109–116
Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160
Mezaize S, Chevallier S, Le Bail A, de Lamballerie M (2009) Optimization of gluten-free formulations for French-style breads. J Food Sci 74:E140–E146
de la Barca AM, Rojas-Martínez ME, Islas-Rubio AR, Cabrera-Chávez F (2010) Gluten-free breads and cookies of raw and popped amaranth flours with attractive technological and nutritional qualities. Plant Foods Hum Nutr 65:241–246
Mäkinen OE, Zannini E, Arendt EK (2013) Germination of oat and quinoa and evaluation of the malts as gluten free baking ingredients. Plant Foods Hum Nutr 68:90–95
Jasthi B, Stevenson J, Harnack L (2014) Comparison of nutrient composition of gluten-containing and gluten-free sliced breads and spaghetti noodles. 38th National nutrient databank conference, Portland (USA)
El-Chammas K, Danner E (2011) Gluten-free diet in nonceliac disease. Nutr Clin Pract 26:294–299
(ADA) ADA (2009) Celiac disease (CD). Evidence based nutrition practice guideline. Chicago (IL)
Martin J, Geisel T, Maresch C, Krieger K, Stein J (2013) Inadequate nutrient intake in patients with celiac disease: results from a german dietary survey. Digestion 87:240–246
Shepherd SJ, Gibson PR (2013) Nutritional inadequacies of the gluten-free diet in both recently-diagnosed and long-term patients with coeliac disease. J Hum Nutr Diet 26:349–358
Rea F, Polito C, Marotta A, Di Toro A, Iovene A, Collini R, Rea L, Sessa G (1996) Restoration of body composition in celiac children after one year of gluten-free diet. J Pediatr Gastroenterol Nutr 23:408–412
Cook B, Oxner R, Chapman B, Whitehead M, Burt M (2004) A thirty-year (1970–1999) study of coeliac disease in the Canterbury region of New Zealand. N Z Med J 117:U772
Engelhardt K, Ahn BC, Cho SI, Joung H (2007) Predictors of interest in nutrition topics and willingness to participate in local nutrition programmes. J Public Health 29:9–12
This research was supported by the grant from the University of the Basque Country (UPV/EHU) (University-Society US12/10).
Conflict of Interest
The authors declare that they have no conflict of interest.
Studies with human subjects
This study was approved by the Ethical Committee in University of Basque Country (CEISH/76/2011). All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.
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Miranda, J., Lasa, A., Bustamante, M.A. et al. Nutritional Differences Between a Gluten-free Diet and a Diet Containing Equivalent Products with Gluten. Plant Foods Hum Nutr 69, 182–187 (2014). https://doi.org/10.1007/s11130-014-0410-4
- Celiac disease
- Gluten-free diet