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Gluten-free living in China : The characteristics, food choices and difficulties in following a gluten-free diet - An online survey

Lu, Zhenxing ; Zhang, Haoyang LU orcid ; Luoto, Sanna and Ren, Xiang (2018) In Appetite 127. p.242-248
Abstract

BACKGROUND: Individuals adhering to a gluten-free diet (GFD) have been scarcely researched within a Chinese population. This present study was conducted to assess the characteristics, food choices, shopping preferences, and emotions and attitudes of individuals following a GFD.

METHODS: Individuals following a GFD were invited to complete an online questionnaire about their demography and geography characteristics, gluten-free food choices, shopping preferences, GFD management and subjective difficulty towards the diet. Distribution of the characteristics was described, and univariate and multivariate logistic regressions performed to explore the relationship between the above-mentioned variables and subjective difficulty in... (More)

BACKGROUND: Individuals adhering to a gluten-free diet (GFD) have been scarcely researched within a Chinese population. This present study was conducted to assess the characteristics, food choices, shopping preferences, and emotions and attitudes of individuals following a GFD.

METHODS: Individuals following a GFD were invited to complete an online questionnaire about their demography and geography characteristics, gluten-free food choices, shopping preferences, GFD management and subjective difficulty towards the diet. Distribution of the characteristics was described, and univariate and multivariate logistic regressions performed to explore the relationship between the above-mentioned variables and subjective difficulty in following a GFD.

RESULT: 209 individuals following a GFD completed the questionnaire, most of whom were young, single and well-educated females from developed provinces or municipalities in China. Multiple regression showed that age, education level, advice on starting a GFD, duration before discovering a gluten intolerance, food choices and ways of GFD management were significantly associated with the subjective difficulty in following a GFD.

CONCLUSION: Our findings offer a basic characteristics pattern of the population on a GFD in mainland China. Nearly one-third of GFD followers found the diet challenging to be followed. We suggest that sufficient celiac disease and gluten-induced disorder education be conducted among healthcare practitioners. Early diagnosis of gluten-induced disorders and defining an Asian-adapted GFD, as well as an increase in public awareness, may help adherence to a strict GFD in China.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adult, Attitude to Health, Celiac Disease/diet therapy, China, Diet, Gluten-Free/psychology, Educational Status, Female, Food Hypersensitivity/diet therapy, Food Preferences/psychology, Glutens/adverse effects, Humans, Internet, Male, Marital Status, Patient Compliance, Patient Education as Topic, Surveys and Questionnaires, Young Adult
in
Appetite
volume
127
pages
242 - 248
publisher
Elsevier
external identifiers
  • scopus:85047095012
  • pmid:29753760
ISSN
1095-8304
DOI
10.1016/j.appet.2018.05.007
language
English
LU publication?
no
additional info
Copyright © 2018 Elsevier Ltd. All rights reserved.
id
a56e23fe-3c70-4356-bc6d-e8197f681002
date added to LUP
2024-02-05 16:12:27
date last changed
2024-04-08 08:24:18
@article{a56e23fe-3c70-4356-bc6d-e8197f681002,
  abstract     = {{<p>BACKGROUND: Individuals adhering to a gluten-free diet (GFD) have been scarcely researched within a Chinese population. This present study was conducted to assess the characteristics, food choices, shopping preferences, and emotions and attitudes of individuals following a GFD.</p><p>METHODS: Individuals following a GFD were invited to complete an online questionnaire about their demography and geography characteristics, gluten-free food choices, shopping preferences, GFD management and subjective difficulty towards the diet. Distribution of the characteristics was described, and univariate and multivariate logistic regressions performed to explore the relationship between the above-mentioned variables and subjective difficulty in following a GFD.</p><p>RESULT: 209 individuals following a GFD completed the questionnaire, most of whom were young, single and well-educated females from developed provinces or municipalities in China. Multiple regression showed that age, education level, advice on starting a GFD, duration before discovering a gluten intolerance, food choices and ways of GFD management were significantly associated with the subjective difficulty in following a GFD.</p><p>CONCLUSION: Our findings offer a basic characteristics pattern of the population on a GFD in mainland China. Nearly one-third of GFD followers found the diet challenging to be followed. We suggest that sufficient celiac disease and gluten-induced disorder education be conducted among healthcare practitioners. Early diagnosis of gluten-induced disorders and defining an Asian-adapted GFD, as well as an increase in public awareness, may help adherence to a strict GFD in China.</p>}},
  author       = {{Lu, Zhenxing and Zhang, Haoyang and Luoto, Sanna and Ren, Xiang}},
  issn         = {{1095-8304}},
  keywords     = {{Adult; Attitude to Health; Celiac Disease/diet therapy; China; Diet, Gluten-Free/psychology; Educational Status; Female; Food Hypersensitivity/diet therapy; Food Preferences/psychology; Glutens/adverse effects; Humans; Internet; Male; Marital Status; Patient Compliance; Patient Education as Topic; Surveys and Questionnaires; Young Adult}},
  language     = {{eng}},
  month        = {{08}},
  pages        = {{242--248}},
  publisher    = {{Elsevier}},
  series       = {{Appetite}},
  title        = {{Gluten-free living in China : The characteristics, food choices and difficulties in following a gluten-free diet - An online survey}},
  url          = {{http://dx.doi.org/10.1016/j.appet.2018.05.007}},
  doi          = {{10.1016/j.appet.2018.05.007}},
  volume       = {{127}},
  year         = {{2018}},
}