{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:02:49Z","timestamp":1781074969300,"version":"3.54.1"},"reference-count":37,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T00:00:00Z","timestamp":1779494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Danish Celiac Society"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Celiac disease (CeD) requires lifelong adherence to a gluten-free diet (GFD). However, there is evidence that a GFD may lead to an unhealthy cardiometabolic risk profile and potentially increase the risk of cardiovascular disease in some patients. Incorporating plant-based foods (primarily derived from plants) into a GFD may offer a solution to improve cardiometabolic health. Thus, this study aimed to identify the attitudes toward and barriers to adopting a more plant-dominant diet among Danish patients with CeD. Methods: A cross-sectional survey was distributed to 2861 members of the Danish Celiac Society. Data from 959 patients with confirmed CeD were included. Results: Most participants (58.5%) reported adapting their diet after diagnosis by combining gluten-free products with plant-based foods, while 31.2% relied solely on gluten-free replacements. Dietary adaptation was primarily shaped by the limited availability of gluten-free plant-based foods (64%), taste\/texture (55%), and cost (51%). More than half of the patients (56.8%) considered \u2018eating more plant-based foods\u2019, with \u2018health\u2019 being the primary motivator (70%), followed by \u2018climate\u2019 (50%) and \u2018taste\u2019 (36%). However, several barriers to a more plant-dominant diet were identified. Most notably, \u2018taste and texture\u2019 (71%), \u2018limited availability of gluten-free plant-based foods\u2019 (68%), \u2018nutritional concerns\u2019 (56%), and \u2018cost\u2019 (54%) were reported as barriers. Conclusions: Most Danish patients with CeD were generally positive about increasing their intake of plant-based foods; however, barriers to such dietary changes remain. Ongoing follow-up, practical guidance from dietitians, and accessible evidence-based resources may help patients maintain a nutritionally balanced, plant-dominant GFD that supports long-term health.<\/jats:p>","DOI":"10.3390\/nu18111673","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:30:33Z","timestamp":1779669033000},"page":"1673","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Attitudes and Barriers Toward Consumption of More Plant-Based Foods Among Danish Patients with Celiac Disease"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8512-9734","authenticated-orcid":false,"given":"Christina","family":"Nielsen","sequence":"first","affiliation":[{"name":"Center for Clinical Research and Prevention, Copenhagen University Hospital\u2014Bispebjerg and Frederiksberg, 2000 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0994-0184","authenticated-orcid":false,"given":"Allan","family":"Linneberg","sequence":"additional","affiliation":[{"name":"Center for Clinical Research and Prevention, Copenhagen University Hospital\u2014Bispebjerg and Frederiksberg, 2000 Copenhagen, Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1722-8269","authenticated-orcid":false,"given":"Line","family":"K\u00e5rhus","sequence":"additional","affiliation":[{"name":"Center for Clinical Research and Prevention, Copenhagen University Hospital\u2014Bispebjerg and Frederiksberg, 2000 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0206-8581","authenticated-orcid":false,"given":"Signe","family":"Schovsbo","sequence":"additional","affiliation":[{"name":"Center for Clinical Research and Prevention, Copenhagen University Hospital\u2014Bispebjerg and Frederiksberg, 2000 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6009-5617","authenticated-orcid":false,"given":"Nikita","family":"Hansen","sequence":"additional","affiliation":[{"name":"Center for Clinical Research and Prevention, Copenhagen University Hospital\u2014Bispebjerg and Frederiksberg, 2000 Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1016\/S0140-6736(22)00794-2","article-title":"Coeliac Disease","volume":"399","author":"Catassi","year":"2022","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1056\/NEJMcp2415548","article-title":"Celiac Disease","volume":"394","author":"Murray","year":"2026","journal-title":"N. 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