A Population Survey of Dietary Attitudes towards Gluten

It is unclear how the prevalence of people who believe the gluten-free diet (GFD) to be generally healthy (“Lifestylers”) is impacting the overall rates of self-reported gluten sensitivity (GS). We repeated a population survey from 2012 in order to examine how attitudes towards G...

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Main Authors: Iain D Croall, Nick Trott, Anupam Rej, Imran Aziz, David J O’Brien, Harvey A George, Mohammed Y Hossain, Lauren J S Marks, Jessica I Richardson, Rebecca Rigby, Marios Hadjivassiliou, Nigel Hoggard, David S Sanders
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/11/6/1276
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author Iain D Croall
Nick Trott
Anupam Rej
Imran Aziz
David J O’Brien
Harvey A George
Mohammed Y Hossain
Lauren J S Marks
Jessica I Richardson
Rebecca Rigby
Marios Hadjivassiliou
Nigel Hoggard
David S Sanders
author_facet Iain D Croall
Nick Trott
Anupam Rej
Imran Aziz
David J O’Brien
Harvey A George
Mohammed Y Hossain
Lauren J S Marks
Jessica I Richardson
Rebecca Rigby
Marios Hadjivassiliou
Nigel Hoggard
David S Sanders
author_sort Iain D Croall
collection DOAJ
description It is unclear how the prevalence of people who believe the gluten-free diet (GFD) to be generally healthy (&#8220;Lifestylers&#8221;) is impacting the overall rates of self-reported gluten sensitivity (GS). We repeated a population survey from 2012 in order to examine how attitudes towards GS have changed over time. Our survey (<i>N</i> = 1004) was administered in Sheffield (UK) in 2015, replicating the 2012 experiment. The questionnaire included a food frequency survey and assessed self-reported GS as well as associated variables (prevalence, current diet, pre-existing conditions, etc.). The overall rates of key variables and chi-squared analysis in comparison to the previous survey were as follows: self-reported GS was 32.8% (previously 12.9%, <i>p</i> &lt; 0.001), pre-existing coeliac disease (CD) was 1.2% (previously 0.8%, <i>p</i> = 0.370), following a GFD was 3.7% (previously 3.7%, <i>p</i> = 0.997). Self-reported GS was positively associated with some pre-existing conditions, including anxiety, depression, chronic fatigue, headaches, and other food allergies/intolerances (including irritable bowel syndrome (IBS); chi-squared analyses, all <i>p</i> &lt; 0.001). Over a 3-year period, the fraction of people who self-reported GS increased by over 250%. Despite this, arguably more meaningful indications of underlying physiological GS remained comparable. This research suggests that the public perception of gluten is causing a marked increase in the number of people who erroneously believe they are sensitive to it.
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spelling doaj.art-dc9daa541347412faad8a66868a8c0612022-12-22T03:04:27ZengMDPI AGNutrients2072-66432019-06-01116127610.3390/nu11061276nu11061276A Population Survey of Dietary Attitudes towards GlutenIain D Croall0Nick Trott1Anupam Rej2Imran Aziz3David J O’Brien4Harvey A George5Mohammed Y Hossain6Lauren J S Marks7Jessica I Richardson8Rebecca Rigby9Marios Hadjivassiliou10Nigel Hoggard11David S Sanders12University of Sheffield, Academic Unit of Radiology, Royal Hallamshire Hospital, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKDepartment of Neurology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S10 2JF, UKUniversity of Sheffield, Academic Unit of Radiology, Royal Hallamshire Hospital, Sheffield S10 2JF, UKAcademic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UKIt is unclear how the prevalence of people who believe the gluten-free diet (GFD) to be generally healthy (&#8220;Lifestylers&#8221;) is impacting the overall rates of self-reported gluten sensitivity (GS). We repeated a population survey from 2012 in order to examine how attitudes towards GS have changed over time. Our survey (<i>N</i> = 1004) was administered in Sheffield (UK) in 2015, replicating the 2012 experiment. The questionnaire included a food frequency survey and assessed self-reported GS as well as associated variables (prevalence, current diet, pre-existing conditions, etc.). The overall rates of key variables and chi-squared analysis in comparison to the previous survey were as follows: self-reported GS was 32.8% (previously 12.9%, <i>p</i> &lt; 0.001), pre-existing coeliac disease (CD) was 1.2% (previously 0.8%, <i>p</i> = 0.370), following a GFD was 3.7% (previously 3.7%, <i>p</i> = 0.997). Self-reported GS was positively associated with some pre-existing conditions, including anxiety, depression, chronic fatigue, headaches, and other food allergies/intolerances (including irritable bowel syndrome (IBS); chi-squared analyses, all <i>p</i> &lt; 0.001). Over a 3-year period, the fraction of people who self-reported GS increased by over 250%. Despite this, arguably more meaningful indications of underlying physiological GS remained comparable. This research suggests that the public perception of gluten is causing a marked increase in the number of people who erroneously believe they are sensitive to it.https://www.mdpi.com/2072-6643/11/6/1276gluten sensitivitypopulation surveypeople who avoid glutenlifestylerscoeliac disease
spellingShingle Iain D Croall
Nick Trott
Anupam Rej
Imran Aziz
David J O’Brien
Harvey A George
Mohammed Y Hossain
Lauren J S Marks
Jessica I Richardson
Rebecca Rigby
Marios Hadjivassiliou
Nigel Hoggard
David S Sanders
A Population Survey of Dietary Attitudes towards Gluten
Nutrients
gluten sensitivity
population survey
people who avoid gluten
lifestylers
coeliac disease
title A Population Survey of Dietary Attitudes towards Gluten
title_full A Population Survey of Dietary Attitudes towards Gluten
title_fullStr A Population Survey of Dietary Attitudes towards Gluten
title_full_unstemmed A Population Survey of Dietary Attitudes towards Gluten
title_short A Population Survey of Dietary Attitudes towards Gluten
title_sort population survey of dietary attitudes towards gluten
topic gluten sensitivity
population survey
people who avoid gluten
lifestylers
coeliac disease
url https://www.mdpi.com/2072-6643/11/6/1276
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