{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:57:08Z","timestamp":1793314628972,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,15]],"date-time":"2012-11-15T00:00:00Z","timestamp":1352937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Strict adherence to a gluten\u2010free diet is the only treatment for coeliac disease. The gluten\u2010free diet is complex, costly and impacts on all activities involving food, making it difficult to maintain for a lifetime. The purpose of this cross\u2010sectional study was to evaluate the difficulties experienced, the strategies used and the emotional impact of following a gluten\u2010free diet among Canadians with coeliac disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire was mailed to all members (<jats:italic>n<\/jats:italic>\u00a0=\u00a010\u00a0693) of both the Canadian Celiac Association and the Fondation qu\u00e9b\u00e9coise de la maladie c\u0153liaque in 2008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall response rate was 72%. Results are presented for the 5912 respondents (\u226518\u00a0years) reporting biopsy\u2010confirmed coeliac disease and\/or dermatitis herpetiformis. Two\u2010thirds never intentionally consumed gluten. Women reported significantly greater emotional responses to a gluten\u2010free diet but, with time, were more accepting of it than men. Difficulties and negative emotions were experienced less frequently by those on the diet for &gt;5\u00a0years, although food labelling and eating away from home remained very problematic. Frustration and isolation because of the diet were the most common negative emotions experienced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study quantifies the difficulties experienced, the strategies used and the emotional impact of following a gluten\u2010free diet. It highlights the need to improve the training and education of dietitians, other health providers and the food service industry workers about coeliac disease and a gluten\u2010free diet, with the aim of better helping individuals improve their adherence to a gluten\u2010free diet and their quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1365-277x.2012.01288.x","type":"journal-article","created":{"date-parts":[[2012,11,16]],"date-time":"2012-11-16T13:25:04Z","timestamp":1353072304000},"page":"10-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":155,"title":["Living with coeliac disease and a gluten\u2010free diet: a <scp>C<\/scp>anadian perspective"],"prefix":"10.1111","volume":"26","author":[{"given":"M.","family":"Zarkadas","sequence":"first","affiliation":[{"name":"Canadian Celiac Association Professional Advisory Board Mississauga ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Dubois","sequence":"additional","affiliation":[{"name":"Food Directorate Health Canada Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"MacIsaac","sequence":"additional","affiliation":[{"name":"Canadian Celiac Association Mississauga ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Cantin","sequence":"additional","affiliation":[{"name":"Food Directorate Health Canada Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Rashid","sequence":"additional","affiliation":[{"name":"Canadian Celiac Association Professional Advisory Board Mississauga ON Canada"},{"name":"Faculty of Medicine Dalhousie University Halifax NS Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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