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Current Challenges in Nutrition and Lifestyle for Celiac Disease Patients

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Immunology".

Deadline for manuscript submissions: closed (31 July 2023) | Viewed by 3088

Special Issue Editor


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Guest Editor
Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago, Chile
Interests: immune-mediated small intestine disorders; celiac disease; non-celiac wheat sensitivity; gluten-related disorders; gluten-free diet; gluten-free products; gluten-free market
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

To date, a gluten-free diet (GFD) is the only effective and safe treatment for conditions associated with gluten consumption (such as celiac disease, non-celiac wheat sensitivity, wheat allergy). This diet includes foods naturally lacking gluten and processed foods that avoid gluten as an ingredient and contamination during processing. Although restrictions refer mainly to breads and baking doughs, the high consumption of these makes them one of the main difficulties and complaints among those that follow the diet. Everybody on a GFD must learn to successfully manage these factors to maintain good health and a good quality of life.

After diagnosis, initiation of GFD represents a major and abrupt disruption in the person consumption habits and lifestyle and is more expensive than a regular diet. In addition, if the diet is not properly monitored, eliminating wheat, barley, and rye often makes gluten-free products pose nutritional risks. Gluten is a relevant ingredient in food technology, and to date, replacing it is a relevant challenge. Choosing substitutes often focuses on taste, texture, and palatability rather than nutritional quality, resulting in poor protein, fiber, iron, and vitamin content and the development of nutritional deficiencies.

The current global trend is to achieve a healthier diet, and this means that “free of” products are emerging as an attractive market that should meet both the nutritional needs and preferences of the groups following a GFD. This represents a huge challenge for the global market considering that cultural habits, lifestyle, social barriers, psychological needs, and so many other factors vary so much around the world.

In this Special Issue, we invite researchers to present their different approaches and perspectives to the nutritional, social, environmental, food-related technical areas of these interesting problems posed by a gluten-free diet, and the strategies developed by those that follow this diet to sustain a good quality of life.

Prof. Dr. Magdalena Araya
Guest Editor

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Keywords

  • celiac disease
  • nonceliac wheat sensitivity
  • wheat allergy
  • gluten-free diet
  • wheat
  • gluten-free foods
  • food nutrition
  • food technology
  • quality of life
  • cultural feeding habits
  • gluten substitutes
  • food

Published Papers (2 papers)

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Research

19 pages, 338 KiB  
Article
Uncovering the Concerns and Needs of Individuals with Celiac Disease: A Cross-Sectional Study
by Maialen Vázquez-Polo, Virginia Navarro, Idoia Larretxi, Gesala Perez-Junkera, Arrate Lasa, Silvia Matias, Edurne Simon and Itziar Churruca
Nutrients 2023, 15(17), 3681; https://doi.org/10.3390/nu15173681 - 22 Aug 2023
Cited by 4 | Viewed by 1261
Abstract
The treatment for celiac disease (CD) involves a strict gluten-free diet, which can be challenging and lead to questions for patients. Pinpointing these uncertainties can enable the creation of efficient educational resources. In this study, a questionnaire was specifically designed to gain insights [...] Read more.
The treatment for celiac disease (CD) involves a strict gluten-free diet, which can be challenging and lead to questions for patients. Pinpointing these uncertainties can enable the creation of efficient educational resources. In this study, a questionnaire was specifically designed to gain insights into the knowledge, concerns, and needs of individuals with CD and their supporters. The questionnaire was distributed through the Instagram social network and received adequate responses from 300 participants, 258 (86%) being female and 152 (50.7%) falling in the age range of 25–44 years. The concerns of individuals with celiac disease and celiac supporters were rated on a 1–4 scale, with a mean score of 3.5 indicating significant concern. A total of 255 (85%) of all participants expressed that their principal concern was the social limitations they faced, such as difficulties in eating out and sharing food with others. Every participant evaluated their overall disease knowledge, averaging at 2.92 out of 4, indicating a reasonable level of awareness. When asked if they believed that improving general knowledge about CD in the general population would enhance their quality of life, the vast majority responded affirmatively. This finding underscores the importance of not only educating individuals with CD but also reaching out to the wider population, especially those who have a direct impact on the daily lives of individuals with CD, such as family members, friends, and food service providers. Full article
12 pages, 343 KiB  
Article
Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ)
by Cláudia Chaves, António Raposo, Renata Puppin Zandonadi, Eduardo Yoshio Nakano, Fernando Ramos and Edite Teixeira-Lemos
Nutrients 2023, 15(9), 2051; https://doi.org/10.3390/nu15092051 - 24 Apr 2023
Cited by 2 | Viewed by 1449
Abstract
The aim of this study is to assess Portuguese celiac patients’ quality of life (QoL) perception. A cross-sectional study was performed with a non-probability convenience sample of Portuguese celiac patients using an online self-administered celiac disease quality of life questionnaire (CDQ), previously validated [...] Read more.
The aim of this study is to assess Portuguese celiac patients’ quality of life (QoL) perception. A cross-sectional study was performed with a non-probability convenience sample of Portuguese celiac patients using an online self-administered celiac disease quality of life questionnaire (CDQ), previously validated for the Portuguese population. The final sample comprised 234 celiac patients, which included the following: primarily women (69.2%); aged between 18 and 49 years old (56.4%); with a partner (60.6%); with a high educational level (58.9%—graduated or post-graduated); following a gluten-free diet (GFD) (55.1%); and not using antidepressants (93.1%). The Portuguese CDQ presented good reliability and responsiveness in this sample of Portuguese celiac patients. In general, the CDQ in Portugal was affected by age at diagnosis (p = 0.017), educational level (p = 0.005), and compliance with GFD (p = 0.034). The emotion domain was affected only by using antidepressants (p = 0.036). The social domain was affected by gender (females had lower rates, p = 0.016), age at diagnosis (p = 0.009), educational level (p = 0.000), and compliance with a GFD (p = 0.002). The worries domain did not differ according to socioeconomic data. The symptoms domain was affected by compliance with GFD (p = 0.000), age at diagnosis (p = 0.000), and educational level (p = 0.014). Data on celiac QoL is essential to support the formulation and implementation of strategies to minimize the issues suffered by celiac patients, lowering their physical, emotional, and social burden. Additionally, data on Portuguese celiac disease patients using the CDQ will allow future comparative research among celiac populations from different countries. Full article
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