Cargando…

Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study

BACKGROUND: Coeliac disease (CD) is an immune-mediated enteropathy against dietary gluten. The treatment for CD is a strict life-long gluten-free (GF) diet, which has a profound effect on a person’s life. In recent years, there has been an increase in the availability of gluten-free products. This s...

Descripción completa

Detalles Bibliográficos
Autores principales: Garnweidner-Holme, Lisa, Sende, Karla, Hellmann, Monica, Henriksen, Christine, Lundin, Knut E. A., Myhrstad, Mari C. W., Telle-Hansen, Vibeke H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682064/
https://www.ncbi.nlm.nih.gov/pubmed/33292694
http://dx.doi.org/10.1186/s40795-020-00390-3
_version_ 1783612635053293568
author Garnweidner-Holme, Lisa
Sende, Karla
Hellmann, Monica
Henriksen, Christine
Lundin, Knut E. A.
Myhrstad, Mari C. W.
Telle-Hansen, Vibeke H.
author_facet Garnweidner-Holme, Lisa
Sende, Karla
Hellmann, Monica
Henriksen, Christine
Lundin, Knut E. A.
Myhrstad, Mari C. W.
Telle-Hansen, Vibeke H.
author_sort Garnweidner-Holme, Lisa
collection PubMed
description BACKGROUND: Coeliac disease (CD) is an immune-mediated enteropathy against dietary gluten. The treatment for CD is a strict life-long gluten-free (GF) diet, which has a profound effect on a person’s life. In recent years, there has been an increase in the availability of gluten-free products. This study investigates how people with CD experience and manage a GF diet. METHODS: Semi-structured, individual interviews were conducted in different areas of Norway. The analysis was guided by Interpretative Phenomenological Analysis. Participants with CD (n = 12) varied in terms of gender, age, family composition and time since diagnosed. RESULTS: The analysis revealed challenges for a GF diet at the individual, interpersonal, community and policy levels. At the individual level, the participants explained that it took time to gain knowledge about a GF diet, and they expressed uncertainty about the healthiness of a GF diet. At the interpersonal level, the feeling of being different and the fear of gluten contamination were barriers to the enjoyment of social meals. At the community level, the participants asked for a wider selection of tastier GF products to purchase and increased knowledge about CD among those who prepare and sell GF foods. At the policy level, the participants asked for political action to make GF products more affordable. CONCLUSIONS: This study indicates that people with CD should be given information about how to manage a GF diet right after being diagnosed with CD. The food industry should be encouraged to produce healthy and tasty GF products. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s40795-020-00390-3.
format Online
Article
Text
id pubmed-7682064
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-76820642020-11-23 Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study Garnweidner-Holme, Lisa Sende, Karla Hellmann, Monica Henriksen, Christine Lundin, Knut E. A. Myhrstad, Mari C. W. Telle-Hansen, Vibeke H. BMC Nutr Research Article BACKGROUND: Coeliac disease (CD) is an immune-mediated enteropathy against dietary gluten. The treatment for CD is a strict life-long gluten-free (GF) diet, which has a profound effect on a person’s life. In recent years, there has been an increase in the availability of gluten-free products. This study investigates how people with CD experience and manage a GF diet. METHODS: Semi-structured, individual interviews were conducted in different areas of Norway. The analysis was guided by Interpretative Phenomenological Analysis. Participants with CD (n = 12) varied in terms of gender, age, family composition and time since diagnosed. RESULTS: The analysis revealed challenges for a GF diet at the individual, interpersonal, community and policy levels. At the individual level, the participants explained that it took time to gain knowledge about a GF diet, and they expressed uncertainty about the healthiness of a GF diet. At the interpersonal level, the feeling of being different and the fear of gluten contamination were barriers to the enjoyment of social meals. At the community level, the participants asked for a wider selection of tastier GF products to purchase and increased knowledge about CD among those who prepare and sell GF foods. At the policy level, the participants asked for political action to make GF products more affordable. CONCLUSIONS: This study indicates that people with CD should be given information about how to manage a GF diet right after being diagnosed with CD. The food industry should be encouraged to produce healthy and tasty GF products. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s40795-020-00390-3. BioMed Central 2020-11-23 /pmc/articles/PMC7682064/ /pubmed/33292694 http://dx.doi.org/10.1186/s40795-020-00390-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Garnweidner-Holme, Lisa
Sende, Karla
Hellmann, Monica
Henriksen, Christine
Lundin, Knut E. A.
Myhrstad, Mari C. W.
Telle-Hansen, Vibeke H.
Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title_full Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title_fullStr Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title_full_unstemmed Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title_short Experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
title_sort experiences of managing a gluten-free diet on multiple levels of society: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682064/
https://www.ncbi.nlm.nih.gov/pubmed/33292694
http://dx.doi.org/10.1186/s40795-020-00390-3
work_keys_str_mv AT garnweidnerholmelisa experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT sendekarla experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT hellmannmonica experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT henriksenchristine experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT lundinknutea experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT myhrstadmaricw experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy
AT tellehansenvibekeh experiencesofmanagingaglutenfreedietonmultiplelevelsofsocietyaqualitativestudy