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Alimentary Tract| Volume 50, ISSUE 12, P1305-1308, December 2018

Nutritional composition of gluten-free food versus regular food sold in the Italian market

      Abstract

      Background

      Some concerns have been raised about the nutritional composition of gluten-free (GF) food.

      Aim

      To compare the nutritional composition of GF food with regular foods.

      Methods

      This study examined in total 235 GF products and 349 regular products purchased in Italy, from seven categories: biscuits, rusks, snacks, bread, pasta, bread substitutes and wheat flour. The following nutritional facts, have been considered: energy, proteins, total and saturated fats, carbohydrates, simple sugars, fibers and salt. The mean nutrient composition for products of the two groups was compared by independent samples t-test.

      Results

      The protein content of GF food is lower in all the categories (P < 0.001). s. Total energy was lower for GF bread (P < 0.001) and higher for GF pasta (P = 0.05). GF biscuits and pasta had higher saturated fats content (P < 0.001 and P = 0.003). No difference was seen for total fat. Sugar content was lower for GF pasta (P < 0.001). Fiber content was lower in GF biscuits, bread substitutes (P < 0.001) and pasta (P = 0.02), higher in bread (P = 0.03). Salt content was higher in GF pasta (P < 0.001) and rusks (P = 0.04), lower in biscuits (P < 0.001).

      Conclusions

      There are some differences in the nutritional composition of GF food and regular food. These differences should be taken into account when planning a balanced GF diet.

      Keywords

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      References

        • Kaur A.
        • Shimoni O.
        • Wallach M.
        Celiac disease: from etiological factors to evolving diagnostic approaches.
        J Gastroenterol. 2017; 52: 1001-1012
        • Sapone A.
        • Bai J.C.
        • Ciacci C.
        • Dolinsek J.
        • Green P.H.
        • Hadjivassiliou M.
        • et al.
        Spectrum of gluten-related disorders: consensus on new nomenclature and classification.
        BMC Med. 2012; 10: 13
      1. Protocollo per la Diagnosi e il Follow up della celiachia.
        Gazzetta Ufficiale della Repubblica Italiana. 2015; ([in Italian])
        • Direzione Generale per l’Igiene e la Sicurezza degli Alimenti e la Salute, Ministero della Salute
        Relazione annuale al Parlamento sulla celiachia — Anno 2016.
        2017 (dicembre [in Italian])
        • 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: 490-499
        • Gibert A.
        • Espadaler M.
        • Angel Canela M.
        • Sánchez A.
        • Vaqué C.
        • Rafecas M.
        Consumption of gluten-free products: should the threshold value for trace amounts of gluten be at 20, 100 or 200 p. p. m.?.
        Eur J Gastroenterol Hepatol. 2006; 18: 1187-1195
      2. http://eur-lex.europa.eu/legal-content/IT/TXT/PDF/?uri=CELEX:32014R0828&from=IT

      3. www.celiachia.it> Neo Diagnosticato > Diritti dei celiaci [in Italian].

        • Bird L.G.
        • Pilkington C.L.
        • Saputra A.
        • Serventi L.
        Products of chickpea processing as texture improvers in gluten-free bread.
        Food Sci Technol Int. 2017; 23: 690-698
        • Feizollahi E.
        • Mirmoghtadaie L.
        • Mohammadifar M.A.
        • Jazaeri S.
        • Hadaegh H.
        • Nazari B.
        • et al.
        Sensory, digestion and texture quality of commercial gluten-free bread: impact of broken rice flour type.
        J Texture Stud. 2018; (Epub ahead of print)
        • Pellegrini N.
        • Agostoni C.
        Nutritional aspects of gluten-free products.
        J Sci Food Agric. 2015; 95: 2380-2385
        • Miranda J.
        • Lasa A.
        • Bustamante M.A.
        • Churruca I.
        • Simon E.
        Nutritional differences between a gluten-free diet and a diet containing equivalent products with gluten.
        Plant Foods Hum Nutr. 2014; 69: 182-187
        • Wu J.H.
        • 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: 448-454
        • 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
        • Bardella M.T.
        • Fredella C.
        • Prampolini L.
        • Molteni N.
        • Giunta A.M.
        • Bianchi P.A.
        Body composition and dietary intakes in adult celiac disease patients consuming a strict gluten-free diet.
        Am J Clin Nutr. 2000; 72: 937-939
        • Kinsey L.
        • Burden S.T.
        • Bannerman E.
        A dietary survey to determine if patients with coeliac disease are meeting current healthy eating guidelines and how their diet compares to that of the British general population.
        Eur J Clin Nutr. 2008; 62: 1333-1342
        • Wild D.
        • Robins G.G.
        • Burley V.J.
        • Howdle P.D.
        Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet.
        Aliment Pharmacol Ther. 2010; 32: 573-581
        • Dall’Asta C.
        • Scarlato A.P.
        • Galaverna G.
        • Brighenti F.
        • Pellegrini N.
        Dietary exposure to fumonisins and evaluation of nutrient intake in a group of adult celiac patients on a gluten-free diet.
        Mol Nutr Food Res. 2012; 56: 632-640
        • Hallert C.
        • Grant C.
        • Grehn S.
        • Grännö C.
        • Hultén S.
        • Midhagen G.
        • et al.
        Evidence of poor vitamin status in coeliac patients on a gluten-free diet for 10 years.
        Aliment Pharmacol Ther. 2002; 16: 1333-1339
        • Mazzeo T.
        • Cauzzi S.
        • Brighenti F.
        • Pellegrini N.
        The development of a composition database of gluten-free products.
        Public Health Nutr. 2015; 18: 1353-1357
        • Fry L.
        • Madden M.
        • Fallaize R.
        An investigation into the nutritional composition and cost of gluten-free versus regular food products in the UK.
        J Hum Nutr Diet. 2018; 31: 108-120
        • Scazzina F.
        • Dall’Asta M.
        • Pellegrini N.
        • Brighenti F.
        Glycaemic index of some commercial gluten-free food.
        Eur J Nutr. 2014; 54: 1021-1026
        • Segura M.E.
        • Rosell C.M.
        Chemical composition and starch digestibility of different gluten-free breads.
        Plant Foods Hum Nutr. 2011; 66: 224-230
      4. INRAN. Tables of food composition.

      5. Nielsen Italy report.
        2013
      6. Il Settore Alimentare in Italia tra Crisi e Processi Aggregativi-Report.
        2013
        www.arkios.it
        • Jabri B.
        • Kasarda D.D.
        • Green P.H.
        Innate and adaptive immunity: the yin and yang of celiac disease.
        Immunol Rev. 2005; 206: 219-231
        • Foschia M.
        • Horstmann S.W.
        • Arendt E.K.
        • Zannini E.
        Legumes as functional ingredients in gluten-free bakery and pasta products.
        Annu Rev Food Sci Technol. 2017; 8: 75-96
        • Sette S.
        • Le Donne C.
        • Piccinelli R.
        • Mistura L.
        • Ferrari M.
        • Leclercq C.
        • et al.
        The third National Food Consumption Survey, INRAN-SCAI 2005–06: major dietary sources of nutrients in Italy.
        Int J Food Sci Nutr. 2013; 64: 1014-1021
      7. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2011:304:0018:0063:it:PDF.

        • Vici G.
        • Belli L.
        • Biondi M.
        • Polzonetti V.
        Gluten free diet and nutrient deficiencies: a review.
        Clin Nutr. 2016; 35: 1236-1241
      8. INRAN Istituto Nazionale di Ricerca per gli Alimenti e la Nutrizione, Linee Guida per una Sana Alimentazione Italiana.

        • Zuccotti G.
        • Fabiano V.
        • Dilillo D.
        • Picca M.
        • Cravidi C.
        • Brambilla P.
        Intakes of nutrients in Italian children with celiac disease and the role of commercially available gluten-free products.
        J Hum Nutr Diet. 2013; 26: 436-444
        • Ohlund K.
        • Olsson C.
        • Hernell O.
        • Ohlund I.
        Dietary shortcomings in children on a gluten-free diet.
        J Hum Nutr Diet. 2010; 23: 294-300
        • Bascuñán K.A.
        • Vespa M.C.
        • Araya M.
        Celiac disease: understanding the gluten-free diet.
        Eur J Nutr. 2017; 56: 449-459