{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:25:35Z","timestamp":1792189535037,"version":"4.4.0"},"reference-count":29,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T00:00:00Z","timestamp":1499299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Treatment of coeliac disease requires a strict gluten-free (GF) diet, however, a high proportion of patients do not adhere to a GF diet. The study explores the practical challenges of a GF diet and dietary adherence in Caucasian and South Asian adults with coeliac disease. Patients with biopsy- and serology-proven coeliac disease were recruited from a hospital database. Participants completed a postal survey (n = 375), including a validated questionnaire designed to measure GF dietary adherence. Half of Caucasians (53%) and South Asians (53%) were adhering to a GF diet. The quarter of patients (n = 97) not receiving GF foods on prescription had a lower GF dietary adherence score compared with those receiving GF foods on prescription (12.5 versus 16.0; p &lt; 0.001). Not understanding food labelling and non-membership of Coeliac UK were also associated with lower GF dietary adherence scores. A higher proportion of South Asian patients, compared with Caucasians, reported difficulties understanding what they can eat (76% versus 5%; p &lt; 0.001) and understanding of food labels (53% versus 4%; p &lt; 0.001). We recommend retaining GF foods on prescription, membership of a coeliac society, and regular consultations with a dietitian to enable better understanding of food labels. Robust studies are urgently needed to evaluate the impact of reducing the amount of GF foods prescribed on adherence to a GF diet in all population groups.<\/jats:p>","DOI":"10.3390\/nu9070705","type":"journal-article","created":{"date-parts":[[2017,7,6]],"date-time":"2017-07-06T10:55:45Z","timestamp":1499338545000},"page":"705","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Adherence to a Gluten Free Diet Is Associated with Receiving Gluten Free Foods on Prescription and Understanding Food Labelling"],"prefix":"10.3390","volume":"9","author":[{"given":"Humayun","family":"Muhammad","sequence":"first","affiliation":[{"name":"Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK"},{"name":"Gastroenterology, University Hospitals of Leicester, Leicester LE1 5WW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Reeves","sequence":"additional","affiliation":[{"name":"Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sauid","family":"Ishaq","sequence":"additional","affiliation":[{"name":"Gastroenterology, Dudley Group NHS Foundation Trust, Dudley DY1 2HQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Mayberry","sequence":"additional","affiliation":[{"name":"Gastroenterology, University Hospitals of Leicester, Leicester LE1 5WW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Jeanes","sequence":"additional","affiliation":[{"name":"Health Sciences Research Centre, University of Roehampton, London SW15 4JD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/00042737-200012030-00013","article-title":"Incidence and presentation of coeliac disease in South Glamorgan","volume":"12","author":"Hawkes","year":"2000","journal-title":"Eur. 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