Gluten-free Diet, a Friend or a Foe, an American Perspective

Plant Foods Hum Nutr. 2024 Dec 12;80(1):8. doi: 10.1007/s11130-024-01264-w.

Abstract

Gluten proteins in cereal grains are often considered unsafe for health. Indeed, the dissemination of misinformation through various sources has led to a widespread misconception that the consumption of gluten by healthy individuals results in adverse health consequences and contributes to obesity. In recent years, many health-conscious consumers have started reducing or avoiding gluten consumption without a medical recommendation. Consequently, the adoption of gluten-free diets has expanded significantly. This study compared 39 gluten-free products and their gluten-containing counterparts for energy, sugar, dietary fiber content, and price. We found that, on average, gluten-free products available to United States consumers contained significantly less protein and more sugar and calories. Furthermore, on average, gluten-free products are more expensive than gluten-containing products. Our finding may serve as a guide for dietitians, nutritionists, and legislators in introducing a gluten-free prescription list for individuals with celiac disease, wheat allergy, and non-celiac wheat sensitivity.

Keywords: Celiac Disease; Gluten; Gluten-free Diet; Non-celiac Wheat Sensitivity; Wheat Allergy.

MeSH terms

  • Celiac Disease* / diet therapy
  • Diet, Gluten-Free*
  • Dietary Fiber / analysis
  • Dietary Proteins / analysis
  • Dietary Sugars / analysis
  • Edible Grain / chemistry
  • Energy Intake
  • Glutens* / analysis
  • Humans
  • United States
  • Wheat Hypersensitivity / diet therapy

Substances

  • Dietary Fiber
  • Dietary Proteins
  • Dietary Sugars
  • Glutens