Abstract
Background/Objectives
Gluten-free diet is the lifelong therapy for patients with coeliac disease. A wide range of gluten-free products (GFP) is available, which mimics the characteristics of their gluten-containing counterparts (GCC). The aim of this study was to compare the macronutrient and dietary fibre composition of GFP and GCC currently available in Spain.
Subjects/Methods
A cross-sectional study analysing the nutritional differences between 621 GFP and 600 GCC based on labelling information was conducted. Food items were categorized in one of 14 food groups. The first six ingredients were noted for each food item. A linear regression model was used to explain differences in nutritional composition between GFP and GCC and three independent models were created for bread, pasta and biscuits.
Results
Results showed that GCC had higher protein content than GFP, especially in flour, bread, pasta and pizza. Bread had higher total and saturated fat contents in the GFP in which palm oil was the main fat used. Flours and starchy ingredients used in GFP formulation were mainly rice and corn flours and corn starch, and palm oil was the most commonly used fat.
Conclusions
In conclusion, GFP cannot currently be considered as equivalent substitutes for their GCC. The reformulation of the GFP with more healthy ingredients and ingredients is encouraged, using a healthy oil, pseudocereals and whole flour.
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References
Burger JPW, de Brouwer B, IntHout J, Wahab PJ, Tummers M, Drenth JPH. Systematic review with meta-analysis: dietary adherence influences normalization of health-related quality of life in coeliac disease. Clin Nutr. 2017;36:399–406.
Miranda J, Lasa A, Bustamante MA. Nutritional differences between a gluten-free diet and a diet containing equivalent products with gluten. Plant Foods Hum Nutr. 2014;69:182–7.
Catassi C, Fasano A. Coeliac disease. Curr Opin Gastroenterol. 2008;24:687–91.
McGough N, Cummings JH. Coeliac disease: a diverse clinical syndrome caused by intolerance of wheat, barley and rye. Proc Nutr Soc. 2005;64:434–50.
Lamacchia C, Camarca A, Picascia S, Di Luccia A, Gianfrani C. Cereal-based gluten-free food: how to reconcile nutritional and technological properties of wheat proteins with safety for celiac disease patients. Nutrients. 2014;6:575–90.
Chand N, Mihas A. Celiac disease: current concepts in diagnosis and treatment. J Clin Gastroenterol. 2006;40:3–14.
Dapcich V, Salvador Castell G, Ribas Barba L, Pérez Rodrigo C, Aranceta Bartrina J, Serra Majem L. Sociedad Española de Nutrición Comunitaria. Guía de la alimentación saludable. Guía de un grupo experto de la SENC. Madrid: SENC; 2004.
Kupper C. Dietary guidelines and implementation for celiac disease. Gastroenterol. 2005;128:121–7.
Kautto E, Rydén PJ, Ivarsson A, Olsson C, Norström F, Högberg L. et al. What happens to food choices when a gluten-free diet is required? A prospective longitudinal population-based study among Swedish adolescent with coeliac disease and their peers. J Nutr Sci. 2014;3:1–10.
Matos ME, Rosell CM. Chemical composition and starch digestibility of different gluten-free breads. Plant Foods Hum Nutr. 2011;66:224–30.
Schoenlechner R, Wendner M, Siebenhandl-Ehn S, Berghofer E. Pseudocereals as alternative sources for high folate content in staple foods. J Cereal Sci. 2010;52:475–9.
Forchielli ML, Fernicola P, Diani L, Scrivo B, Salfi NC, Pessina AC. et al. Gluten-free diet and lipid profile in children with celiac disease: comparison with general population standards. J Pediatr Gastroenterol Nutr. 2015;61:224–9.
Crespo Escobar P, Calvo Lerma J, Hervás Marín D, Donat Aliaga E, Masip Simó E, Polo Miquel B. et al. Development and validation of two food frequency questionnaires to assess gluten intake in children up to 36 months of age. Nutr Hosp. 2015;32:2080–90.
Dalmau J, Moráis A, Martínez V, Peña-Quintana L, Varea V, Martínez MJ. et al. Evaluation of diet and nutrient intake in children under three years old. ALSALMA pilot study. Pediatr (Barc). 2014;81:22–31.
Edem DO. Palm oil: biochemical, physiological, nutritional, hematological, and toxicological aspects: a review. Plant Foods Hum Nutr. 2002;57:319–41.
Pascual G, Avgustinova A, Mejetta S, Martín M, Castellanos A, Antollini C. et al. Targeting metastasis-initiating cells through the fatty acid receptor CD36. Nature. 2017;541:41–45.
Saturni L, Ferretti G, Bacchetti C. The gluten-free diet: safety and nutritional quality. Nutrients. 2010;2:16–34.
Niewinski MM. Advances in celiac disease and gluten-free diet. J Am Diet Assoc. 2008;108:661–72.
FAO/OMS/UNU. Human energy requirements. Technical Paper Series, No 1. Rome, 2004.
Thompson T, Dennis M, Higgins LA, Lee AR, Sharrett MK. Gluten‐free diet survey: are Americans with coeliac disease consuming recommended amounts of fibre, iron, calcium and grain foods? J Hum Nutr Diet. 2005;18:163–9.
Reilly NR. The gluten-free diet: recognizing fact, fiction, and fad. J Pediatr. 2016;175:206–10.
Alvarez-Jubete L, Arendt EK, Gallagher E. Nutritive value of pseudocereals and their increasing use as functional gluten-free ingredients. Trends Food Sci Technol. 2010;21:106–13.
Gularte MA, de la Hera E, Gómez M, Rosell CM. Effect of different fibers on batter and gluten-free layer cake properties. LWT-Food Sci Technol. 2012;48:209.
Schober TJ, O’Brien CM, McCarthy D, Darnadde A, Arendt EK. Influence of gluten-free flour mixes and fat powders on the quality of gluten-free biscuits. Eur Food Res Technol. 2003;216:369–76.
Gallagher E, Gormely TR, Arendt EK. Recent advances in the formulation of gluten-free cereal-based products. Trends Food Sci Technol. 2004;15:143–52.
Hallert C, Grännö C, Hulten S, Midhagen G, Ström M, Svensson H. et al. Living with coeliac disease: controlled study of the burden of illness. Scand J Gastroenterol. 2002;37:39–42.
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Calvo-Lerma, J., Crespo-Escobar, P., Martínez-Barona, S. et al. Differences in the macronutrient and dietary fibre profile of gluten-free products as compared to their gluten-containing counterparts. Eur J Clin Nutr 73, 930–936 (2019). https://doi.org/10.1038/s41430-018-0385-6
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DOI: https://doi.org/10.1038/s41430-018-0385-6
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