{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:01:10Z","timestamp":1789682470523,"version":"4.0.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Indian J Gastroenterol"],"published-print":{"date-parts":[[2024,6]]},"DOI":"10.1007\/s12664-024-01519-z","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T01:01:31Z","timestamp":1715821291000},"page":"668-678","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Gluten-free foods are expensive and nutritionally imbalanced than their gluten-containing counterparts"],"prefix":"10.1007","volume":"43","author":[{"given":"Wajiha","family":"Mehtab","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samagra","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsh","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anam","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubham","family":"Prasad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Chauhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Bhola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Ahuja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Malhotra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2474-2194","authenticated-orcid":false,"given":"Govind K","family":"Makharia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"key":"1519_CR1","doi-asserted-by":"crossref","unstructured":"Ludvigsson JF, Leffler DA, Bai JC,\u00a0 et al. The Oslo definitions for coeliac disease and related terms. Gut. 2013;62:43\u201352.","DOI":"10.1136\/gutjnl-2011-301346"},{"key":"1519_CR2","doi-asserted-by":"crossref","unstructured":"Lebwohl B, Sanders DS, Green PHR. Coeliac disease. Lancet. 2018;391:70\u201381.","DOI":"10.1016\/S0140-6736(17)31796-8"},{"key":"1519_CR3","doi-asserted-by":"crossref","unstructured":"Pellegrini N, Agostoni C. Nutritional aspects of gluten-free products. J Sci Food Agric. 2015;95:2380\u20135.","DOI":"10.1002\/jsfa.7101"},{"key":"1519_CR4","unstructured":"One-in-three Australians avoid gluten, dairy or meat: CSIRO [Internet]. Topics. Available from: https:\/\/www.sbs.com.au\/topics\/voices\/health\/article\/2016\/09\/26\/one-three-1australians-avoid-gluten-dairy-or-meat-csiro. Accessed 25 July 2021"},{"key":"1519_CR5","doi-asserted-by":"crossref","unstructured":"Unalp-Arida A, Ruhl CE, Brantner TL, Everhart JE, Murray JA. Less hidden celiac disease but increased gluten avoidance without a diagnosis in the United States: findings from the National Health and Nutrition Examination Surveys from 2009 to 2014. Mayo Clin Proc. 2017;92:30\u20138.","DOI":"10.1016\/j.mayocp.2016.10.012"},{"key":"1519_CR6","unstructured":"Global gluten-free food market size 2020-2025: Statista [Internet]. Available from: https:\/\/www.statista.com\/statistics\/248467\/global-gluten-free-food-market-size\/. Accessed 25 July 2021"},{"key":"1519_CR7","doi-asserted-by":"crossref","unstructured":"Gorgitano MT, Sodano V. Gluten-free products: from dietary necessity to premium price extraction tool. Nutrients. 2019;11:1\u201312.","DOI":"10.3390\/nu11091997"},{"key":"1519_CR8","doi-asserted-by":"crossref","unstructured":"Lambert K, Ficken C. Cost and affordability of a nutritionally balanced gluten-free diet: Is following a gluten-free diet affordable? Nutr Diet. 2016;73:36\u201342.","DOI":"10.1111\/1747-0080.12171"},{"key":"1519_CR9","doi-asserted-by":"crossref","unstructured":"Missbach B, Schwingshackl L, Billmann A,\u00a0 et al. Gluten-free food database: the nutritional quality and cost of packaged gluten-free foods. PeerJ. 2015;3:e1337.","DOI":"10.7717\/peerj.1337"},{"key":"1519_CR10","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1108\/BFJ-05-2013-0131","volume":"116","author":"A Do Nascimento","year":"2014","unstructured":"Do Nascimento A, Fiates G, Anjos A, Teixeira E. Availability, cost and nutritional composition of gluten-free products. Br Food J. 2014;116:1842\u201352.","journal-title":"Br Food J."},{"key":"1519_CR11","doi-asserted-by":"crossref","unstructured":"Pinto-Sanchez MI, Verdu EF, Gordillo MC,\u00a0 et al. Tax-deductible provisions for gluten-free diet in Canada compared with systems for gluten-free diet coverage available in various countries. Can J Gastroenterol Hepatol. 2015;29:104\u201310.","DOI":"10.1155\/2015\/508156"},{"key":"1519_CR12","doi-asserted-by":"crossref","unstructured":"Est\u00e9vez V, Ayala J, Vespa C, Araya M. The gluten-free basic food basket: a problem of availability, cost and nutritional composition. Eur J Clin Nutr. 2016;70:1215\u20137.","DOI":"10.1038\/ejcn.2016.139"},{"key":"1519_CR13","doi-asserted-by":"crossref","unstructured":"Panagiotou S, Kontogianni MD. The economic burden of gluten-free products and gluten-free diet: a cost estimation analysis in Greece. J Hum Nutr Diet. 2017;30:746\u201352.","DOI":"10.1111\/jhn.12477"},{"key":"1519_CR14","doi-asserted-by":"crossref","unstructured":"Lee AR, Ng DL, Zivin J, Green PHR. Economic burden of a gluten-free diet. J Hum Nutr Diet. 2007;20:423\u201330.","DOI":"10.1111\/j.1365-277X.2007.00763.x"},{"key":"1519_CR15","doi-asserted-by":"crossref","unstructured":"Miranda J, Lasa A, Bustamante MA, 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\u20137.","DOI":"10.1007\/s11130-014-0410-4"},{"key":"1519_CR16","doi-asserted-by":"crossref","unstructured":"Agarwal A, Singh A, Mehtab W, et al. Patients with celiac disease are at high risk of developing metabolic syndrome and fatty liver. Intest Res. 2021;19:106\u201314.","DOI":"10.5217\/ir.2019.00136"},{"key":"1519_CR17","doi-asserted-by":"crossref","unstructured":"Singh P, Arora A, Strand TA,\u00a0 et al. Global prevalence of celiac disease: systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2018;16:823\u201336.","DOI":"10.1016\/j.cgh.2017.06.037"},{"key":"1519_CR18","doi-asserted-by":"crossref","unstructured":"Monteiro CA, Levy RB, Claro RM, de Castro IRR, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica. 2010;26:2039\u201349.","DOI":"10.1590\/S0102-311X2010001100005"},{"key":"1519_CR19","doi-asserted-by":"crossref","unstructured":"Wu JH, Neal B, Trevena H,\u00a0 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\u201354.","DOI":"10.1017\/S0007114515002056"},{"key":"1519_CR20","doi-asserted-by":"crossref","unstructured":"Dhaka V, Gulia N, Ahlawat KS, Khatkar BS. Trans fats\u2014sources, health risks and alternative approach-a review. J Food Sci Technol. 2011;48:534\u201341.","DOI":"10.1007\/s13197-010-0225-8"},{"key":"1519_CR21","doi-asserted-by":"crossref","unstructured":"Fry L, Madden AM, 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\u201320.","DOI":"10.1111\/jhn.12502"},{"key":"1519_CR22","doi-asserted-by":"publisher","first-page":"b4567","DOI":"10.1136\/bmj.b4567","volume":"339","author":"P Strazzullo","year":"2009","unstructured":"Strazzullo P, D\u2019Elia L, Kandala NB, Cappuccio FP. Salt intake, stroke, and cardiovascular disease: meta-analysis of prospective studies. BMJ. 2009;339:b4567.","journal-title":"BMJ."},{"key":"1519_CR23","doi-asserted-by":"crossref","unstructured":"Franco-Arellano B, Vergeer L, Tjong GB, L\u2019Abb\u00e9 M. Gluten-free claims are displayed mostly on processed and ultra-processed foods in Canada. Curr Dev Nutr. 2020;4 Suppl 2:751.","DOI":"10.1093\/cdn\/nzaa052_020"},{"key":"1519_CR24","doi-asserted-by":"crossref","unstructured":"Chen X, Zhang Z, Yang H,\u00a0 et al. Consumption of ultra-processed foods and health outcomes: a systematic review of epidemiological studies. Nutr J. 2020;19:1\u201310.","DOI":"10.1186\/s12937-020-00604-1"},{"key":"1519_CR25","doi-asserted-by":"crossref","unstructured":"Barber TM, Kabisch S, Pfeiffer AFH, Weickert MO. The health benefits of dietary fibre. Nutrients. 2020;12:3209.","DOI":"10.3390\/nu12103209"}],"container-title":["Indian Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12664-024-01519-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12664-024-01519-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12664-024-01519-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T09:32:48Z","timestamp":1719999168000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12664-024-01519-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,16]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["1519"],"URL":"https:\/\/doi.org\/10.1007\/s12664-024-01519-z","relation":{},"ISSN":["0254-8860","0975-0711"],"issn-type":[{"value":"0254-8860","type":"print"},{"value":"0975-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,16]]},"assertion":[{"value":"17 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"WM, SA, HA, AA, AAg, SP, AC, AB, NS, VA, AM and GKM declare\/s no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The study was approved by the Institutional Ethical Committee (Ref. No. IEC-192\/07.4.2017, RP-14\/2017).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable (no human beings involved).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors gave\u00a0consent to the publication of the present paper. All authors approve that the manuscript represents honest work.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors approved the final manuscript.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Approval of final manuscript"}},{"value":"The authors are solely responsible for the data and the contents of the paper. In no way, the Honorary Editor-in-Chief, Editorial Board Members, the Indian Society of Gastroenterology or the printer\/publishers are responsible for the results\/findings and content of this article.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}]}}