{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:29:53Z","timestamp":1791498593030,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,2]],"date-time":"2018-10-02T00:00:00Z","timestamp":1538438400000},"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":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Coeliac disease is an autoimmune disorder triggered by the ingestion of gluten. In recent years, there has been considerable increase in the availability of gluten\u2010free products in North America. The present study investigated how the recent proliferation of the gluten\u2010free industry has affected individuals living with coeliac disease, with a primary focus on their social lives and relationships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Interpretive phenomenology was utilised for study design and analysis. Semi\u2010structured interviews were conducted with 17 adults diagnosed with coeliac disease in Calgary, Alberta. Interviews were audio recorded and then transcribed for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>People living with coeliac disease experience the growth of the gluten\u2010free industry as a \u2018double\u2010edged sword\u2019. Although they are grateful for more palatable gluten\u2010free options, they are increasingly faced with misunderstandings about the severity of coeliac disease as a result of many noncoeliac disease individuals subscribing to the gluten\u2010free diet. This \u2018double\u2010edged sword\u2019 made certain types of social situations more easily manageable (e.g. more gluten\u2010free options available at restaurants), whereas others produced distress (e.g. increased risk of inadvertently consuming gluten). Participants also felt they may be perceived or even perceived themselves differently (e.g. felt high maintenance). To help mitigate these social ramifications of following the gluten\u2010free diet, participants utilised various strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The sole medical recommendation of a gluten\u2010free diet fails to acknowledge the ongoing difficulties those with coeliac disease can endure in the current gluten\u2010free landscape. Recommendations beyond the gluten\u2010free diet are advisable to alleviate many of the indirect burdens revealed in the present study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12597","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T05:03:19Z","timestamp":1538542999000},"page":"72-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Experiences of coeliac disease in a changing gluten\u2010free landscape"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1332-3610","authenticated-orcid":false,"given":"J. 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