Exploring Challenges Faced by Adults Living With Celiac Disease: A Food Literacy Perspective

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2025-04-21 DOI:10.1111/jhn.70057

Catherine C. Payette, Christine Desjardins, Edith Lalanne, Marie Marquis, Maude Perreault

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引用次数: 0

Abstract

Background

Coeliac disease (CD) is an autoimmune disorder treated with a gluten-free diet (GFD), requiring substantial changes in food choices and eating habits. This study explores the challenges faced by adults living with CD focusing on the theme of food literacy (FL), namely functional, relational, and system FL competencies.

Methodology

A secondary analysis of data obtained through an online questionnaire was conducted. Adults living with CD in Québec, Canada and subscribed to Coeliaque Québec's newsletter were invited to complete a questionnaire. Using the critical incident method, respondents described a negative experience in their journey living with CD. Content analysis was done in a deductive and inductive manner, based on the 2022 Slater Food Literacy framework adapted to CD.

Results

A total of 743 patients were included in the analysis. The qualitative analysis resulted in 11 codes under the three themes of FL. Patients reported challenges in finding reliable nutrition and medical information, managing a GFD in social settings, explaining CD and preventing gluten contamination, preparing balanced gluten-free (GF) meals, and making informed food choices. Patients reported on the negative impact of the GFD on their relationship with food, and how CD inhibits conviviality. Finally, patients addressed the need to advocate for GF food access in grocery stores and restaurants.

Conclusions

This study highlights the broad impacts of effectively managing CD and the GFD on patients’ functional, relational and system FL competencies. Future research should explore how social and economic factors further interact with FL competencies of adults living with CD.

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探索成人乳糜泻患者面临的挑战：从食品知识的角度

乳糜泻（CD）是一种用无谷蛋白饮食（GFD）治疗的自身免疫性疾病，需要在食物选择和饮食习惯上做出实质性的改变。本研究以食物素养（food literacy， FL）为主题，探讨了成年乳糜泻患者所面临的挑战，即功能性、关系性和系统性的食物素养能力。方法对通过在线问卷获得的数据进行二次分析。在加拿大的quacimbec，患有乳糜泻并订阅了Coeliaque quacimbec的通讯的成年人被邀请完成一份调查问卷。使用关键事件法，受访者描述了他们在患有乳糜泻的旅程中的负面经历。内容分析以演绎和归纳的方式进行，基于适用于乳糜泻的2022年斯莱特食品素养框架。结果共有743名患者被纳入分析。定性分析得出了FL三个主题下的11个编码。患者报告了在寻找可靠的营养和医疗信息、在社会环境中管理GFD、解释乳糜泻和防止麸质污染、准备平衡的无麸质（GF）膳食以及做出明智的食物选择方面的挑战。患者报告了GFD对他们与食物的关系的负面影响，以及乳糜泻如何抑制欢乐。最后，患者强调了在杂货店和餐馆提倡无谷蛋白食品的必要性。本研究强调了有效管理CD和GFD对患者功能、关系和系统FL能力的广泛影响。未来的研究应探讨社会和经济因素如何进一步与乳糜泻成人的FL能力相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.