Nutrición Hospitalaria 03016 / http://dx.doi.org/10.20960/nh.03016

Trabajo Original

A comparison of the nutritional profile and price of gluten-free products and their gluten-containing counterparts available in the Spanish market

Nancy Babio, Núria Lladó Bellette, María Besora-Moreno, Gemma Castillejo, Núria Guillén, Francesc Martínez-Cerezo, Elisenda Vilchez, Esther Roger, Pablo Hernández-Alonso, Jordi Salas Salvadó

Prepublicado: 2020-07-20

Publicado: 2020-08-07

VOLUMEN 37, NÚM. 4, julio-agosto (2020), PAG. 814-822

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Compártelo:

Background: to date, gluten-free (GF) diet is the only treatment available for individuals with celiac disease. Both individual and collective food intake assessments are a challenge because a food composition database of GF products (GFPs) is lacking. Objectives: to describe the process of developing a food composition database of GFPs, and to compare the nutritional profile and price of some GFPs and non-GFPs. Methods: initially, a total of 216 brands of GFPs marketed in Spain were recorded. Nutritional information was collected from nutritional labels and product fact sheets that had been provided by food companies or collected first-hand by researchers. Then, the nutritional profile and price of the cereal and cereal byproducts foodstuff groups, including 19 types of products, were compared. Statistical analyses were performed using the SPSS statistical program (22.0 edition; SPSS, Chicago, IL, USA). Results: a total of 2,247 GFPs from 126 different foodstuff brands were included in the food composition database of GFPs (CELIAC-BASE). We classified these products into 14 foodstuff groups. The protein content of the GFPs studied was significantly lower, and the price was higher, than that of their non-GFP counterparts. Some, but not all, GFPs had a higher content of fat and sugar, and a lower content of dietary fiber as compared to their non-GFP counterparts. Some GFPs were up to 6 times more expensive than the corresponding non-GFPs. Conclusions: CELIAC-BASE is a pioneering tool for dietitians. Many GFPs have poor nutritional profiles and should be consumed only occasionally in a balanced GF diet.

Palabras Clave: Celiac disease. Nutritional assessment. Gluten-free diet.

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Skypala, Isabel J., Taylor, Cecile F., Pallister, Anthony, Scadding, Guy W. (2021) A Pilot Study to Evaluate the Dietary Intake of Adults Attending a Food Allergy Clinic, and Compare the Results Against the Final Diagnostic Outcome. Frontiers in Allergy

Jegede, Olutola, Enns, Avery, Kantounia, Marianna, Preun, Taryn, Vagianos, Kathy, Suh, Miyoung, Blewett, Heather (2021) Cost, Nutritional Content and Number of Gluten-Free Staple Foods Available in Winnipeg, Manitoba, Canada. Plant Foods for Human Nutrition

Khairuddin, Muhammad Arif Najmi, Lasekan, Ola (2021) Gluten-Free Cereal Products and Beverages: A Review of Their Health Benefits in the Last Five Years. Foods

Calderón de la Barca, Ana M., Luna-Alcocer, Valeria, Valenzuela-Miranda, José R., Mejía-León, Maria E. (2021) Gluten-Free Labeling Is Misused Frequently in Foods Marketed in Northwestern Mexico. Frontiers in Nutrition

Jamieson, Jennifer A., Gill, Kelsey, Fisher, Samantha, English, Marcia (2022) Development of a Canadian Food Composition Database of Gluten-Free Products. Foods

Fiori, Federica, Parpinel, Maria, Morreale, Federico, Pellegrini, Nicoletta (2022) The Update of the Italian Food Composition Database of Gluten-Free Products and Its Application in Food-Based Dietary Guidelines Menus. Nutrients

de Gennaro, Giuditta, Difonzo, Graziana, Summo, Carmine, Pasqualone, Antonella, Caponio, Francesco (2022) Olive Cake Powder as Functional Ingredient to Improve the Quality of Gluten-Free Breadsticks. Foods

Sapone A, Bai JC, Ciacci C, Dolinsek J, Green PHR, Hadjivassiliou M, et al. Spectrum of gluten-related disorders: consensus on new nomenclature and classification. BMC Med 2012;10:13.
DOI: 10.1186/1741-7015-10-13

Castillejo G, Fernández F, Esteve M, Mascort JJ, Ortola E, Villar-Balboa I, et al. Document de consens sobre la malaltia celíaca a Catalunya. Barcelona; 2016.

Penagini F, Dilillo D, Meneghin F, Mameli C, Fabiano V, Zuccotti GV. Gluten-free diet in children: an approach to a nutritionally adequate and balanced diet. Nutrients 2013;5:4553-65.
DOI: 10.3390/nu5114553

Golley S, Corsini N, Topping D, Morell M, Mohr P. Motivations for avoiding wheat consumption in Australia: results from a population survey. Public Health Nutr 2015;18:490-9.
DOI: 10.1017/S1368980014000652

Catassi C, Gatti S, Fasano A. The New Epidemiology of Celiac Disease. J Pediatr Gastroenterol Nutr 2014;59:S7-S9.
DOI: 10.1097/01.mpg.0000450393.23156.59

Staudacher HM, Gibson PR. How healthy is a gluten-free diet? Br J Nutr 2015;114:1539-41.
DOI: 10.1017/S000711451500330X

Shepherd SJ, Gibson PR. Nutritional inadequacies of the gluten-free diet in both recently-diagnosed and long-term patients with coeliac disease. J Hum Nutr Diet 2013;26:349-58.
DOI: 10.1111/jhn.12018

Ferrara P, Cicala M, Tiberi E, Spadaccio C, Marcella L, Gatto A, et al. High fat consumption in children with celiac disease. Acta Gastroenterol Belg 2009;72:296-300.

Newberry C. The Gluten-Free Diet: Use in Digestive Disease Management. Curr Treat Options Gastroenterol 2019.
DOI: 10.1007/s11938-019-00255-0

Mazzeo T, Cauzzi S, Brighenti F, Pellegrini N. The development of a composition database of gluten-free products. Public Health Nutr 2015;18:1353-7.
DOI: 10.1017/S1368980014001682

Wu JHY, Neal B, Trevena H, Crino M, Stuart-Smith W, Faulkner-Hogg K, et al. Are gluten-free foods healthier than non-gluten-free foods? An evaluation of supermarket products in Australia. Br J Nutr 2015;114:448-54.
DOI: 10.1017/S0007114515002056

Miranda J, Lasa A, Bustamante MA, Churruca I, Simón E. Nutritional Differences Between a Gluten-free Diet and a Diet Containing Equivalent Products with Gluten. Plant Foods Hum Nutr 2014;69:182-7.
DOI: 10.1007/s11130-014-0410-4

Missbach B, Schwingshackl L, Billmann A, Mystek A, Hickelsberger M, Bauer G, et al. Gluten-free food database: the nutritional quality and cost of packaged gluten-free foods. PeerJ 2015;3:e1337.
DOI: 10.7717/peerj.1337

Coeliac UK. Gluten Free Food Checker App. [Accessed March 2, 2020] Available at https://www.coeliac.org.uk/information-and-support/your-gluten-free-hub/food-and-drink-information/gluten-free-food-checker-app/.

Associació Celíacs de Catalunya. Productes amb i sense gluten. [Accessed February 15, 2018] Available at https://www.celiacscatalunya.org/ca/productes_amb_i_sense_gluten.

Panagiotou S, Kontogianni MD. The economic burden of gluten-free products and gluten-free diet: a cost estimation analysis in Greece. J Hum Nutr Diet 2017;30:746-52.
DOI: 10.1111/jhn.12477

Panagiotou S, Kontogianni M. A cost comparison between gluten – free and conventional foods. Clin Nutr ESPEN 2016;13:e56.
DOI: 10.1016/j.clnesp.2016.03.008

Lee AR, Lebwohl B, Ciaccio E, Wolf R. Persistent Economic Burden of the Gluten Free Diet. Gastroenterology 2017;152:S265-6.
DOI: 10.1016/S0016-5085(17)31188-5

Pourhoseingholi MA, Rostami-Nejad M, Barzegar F, Rostami K, Volta U, Sadeghi A, et al. Economic burden made celiac disease an expensive and challenging condition for Iranian patients. Gastroenterol Hepatol from Bed to Bench 2017;10:258-62.

Burden M, Mooney PD, Blanshard RJ, White WL, Cambray-Deakin DR, Sanders DS. Cost and availability of gluten-free food in the UK: in store and online. Postgrad Med J 2015;91:622-6.
DOI: 10.1136/postgradmedj-2015-133395

Elliott C. The nutritional quality of gluten-Free products for children. Pediatrics 2018;142.
DOI: 10.1542/peds.2018-0525

Melini V, Melini F. Gluten-free diet: Gaps and needs for a healthier diet. Nutrients 2019;11:E170.
DOI: 10.3390/nu11010170

Kulai T, Rashid M. Assessment of nutritional adequacy of packaged gluten-free food products. Can J Diet Pract Res 2014;75:186-90.
DOI: 10.3148/cjdpr-2014-022

Allen B, Orfila C. The availability and nutritional adequacy of gluten-free bread and pasta. Nutrients 2018;10:1370.
DOI: 10.3390/nu10101370

Babio N, Alcázar M, Castillejo G, Recasens M, Martínez-Cerezo F, Gutiérrez-Pensado V, et al. Patients With Celiac Disease Reported Higher Consumption of Added Sugar and Total Fat Than Healthy Individuals. J Pediatr Gastroenterol Nutr 2017;64:63-9.
DOI: 10.1097/MPG.0000000000001251

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