Celiac and non-celiac consumers’ experiences when purchasing gluten-free products in Italy

Journal title ECONOMIA AGRO-ALIMENTARE
Author/s Vilma Xhakollari, Maurizio Canavari
Publishing Year 2019 Issue 2019/1
Language English Pages 20 P. 29-48 File size 139 KB
DOI 10.3280/ECAG2019-001003
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Recently gluten-free products are becoming very popular among consumers. Gluten-free market is expanding rapidly due to the increasing number of people affected by celiac disease but moreover non-celiac consumers are embracing the gluten-free diet. Given these advancements, it is necessary to understand the reasons and beliefs behind food choices made by non-celiac consumers and compare their choices to celiac patients. The current research is very limited, hence further research is needed to generalize and better understand the relation gluten-free-non celiac consumers and comparisons. Thus, this research aims to give an overview of the gluten-free sector by taking into account perceptions of consumers, retailers and institutional actors. In order to fulfill this objective semi structured interviews were undertaken with consumers and retailers in Bologna, Italy. Furthermore, one representative of Celiac Association was also interviewed for this qualitative study. The results showed that most of the concerns regarding gluten free products are related to their low sensorial performance, high prices and low nutritional values. Moreover, it was seen that sometimes non-celiac consumers lack knowledge about gluten free food and diet, believing some myths which are not scientifically proven. Finally, it is necessary that future research focuses also on understanding glute-free choices by non-celiac consumers and ways to direct them into healthier food choices. .

Keywords: Gluten-free diet, functional food, healthy food choice, purchase motivation, qualitative interviews

Jel codes: Q13, D12

  1. Angus, A., & Westbrook, G. (2018). Top 10 Global Consumer Trends for 2018 Emerging Forces Shaping Consumer Behaviour. Euromonitor International.
  2. Arendt, E.K., & Dal Bello, F. (2008). Gluten Free Cereal Products and Beverages. Food Science and Technology. DOI: 10.1017/CBO9781107415324.004
  3. Arendt, E.K., O’Brien, C.M., Gormley, T.R., & Gallagher, E. (2002). Development of Guten-Free Cereal Products. Research Repository, 65-72. -- Retrieved from http://hdl.handle.net/10197/6892.
  4. Associazione Italiana Celiachia (2017). Comunicazione. -- Retrieved July 2, 2018, from www.celiachia.it/COMUNicaZIONE/Comunicazione.aspx?SS=110&M=1524.
  5. De Magistris, T., Xhakollari, V., & De Los Rios, A. (2015). The Role of Taste and Label Information on Purchase Decision : Assessment of a Gluten - Free Wafer by Non-Celiac Consumers. Current Nutrition & Food Science, 11(4). DOI: 10.2174/1573401311666150619173002
  6. De Magistris, T., Belarbi, H., & Hellali, W. (2017). Examining Non‐Celiac Consumers of Gluten‐Free Products: An Empirical Evidence in Spain. In: Celiac disease and non celiac gluten sensitivity (pp. 101-114). DOI: 10.5772/67626
  7. De Magistris, T., Xhakollari, V., & Munoz, N. (2015). The effect of sensory properties on non-celiac consumers’ willingness to pay for a gluten-free snack. Economia agro-alimentare, (1), 107-118. DOI: 10.3280/ECAG2015-001006
  8. De Stefano, S., & Silano, M. (2016). Relazione annuale al Parlamento sulla celiachia - Anno 2016 La presente Relazione e stata realizzata dalla Direzione Generale per l’Igiene e la Sicurezza degli Alimenti e la Nutrizione. DOI: 10.1017/S0029665109001414
  9. do Nascimento, A.B., Medeiros Rataichesck Fiates, G., dos Anjos, A., & Teixeira, E. (2014). Availability, cost and nutritional composition of gluten-free products. British Food Journal, 116(12), 1842-1852.
  10. Euromonitor. (2016). Gluten-free globally – important considerations and strategic choices. -- Retrieved from http://finnishfoodinnovations.fi/wp-content/uploads/2017/05/Free-from-Market-prospects_INTRO_230517_Hedin_Euromonitor.pdf.
  11. Ferster, M., Obuchowicz, A., Jarecka, B., Pietrzak, J., & Karczewska, K. (2015). Difficulties related to compliance with gluten-free diet by patients with coeliac disease living in Upper Silesia. Pediatria i Medycyna Rodzinna, 11(4), 410-418.
  12. Green, P.H.R. (2005, April). The many faces of celiac disease: Clinical presentation of celiac disease in the adult population. Gastroenterology.
  13. Green, P.H.R., & Cellier, C. (2007). Celiac Disease. The New England Journal of Medicine, 357(10), 1731-1743.
  14. Green, P.H.R., Stavropoulos, S.N., Panagi, S.G., Goldstein, S.L., McMahon, D.J., Absan, H., & Neugut, A.I. (2001). Characteristics of adult celiac disease in the USA: results of a national survey. Am J Gastroenterol, 96(1), 126-131.
  15. Grunert, K.G., Bech-Larsen, T., & Bredahl, L. (2000). Three issues in consumer quality perception and acceptance of dairy products. International Dairy Journal, 10(8), 575-584. DOI: 10.1016/S0958-6946(00)00085-6
  16. Haines, M.L., Anderson, R.P., & Gibson, P.R. (2008, November 1). Systematic review: The evidence base for long-term management of coeliac disease. Alimentary Pharmacology and Therapeutics. Blackwell Publishing Ltd.
  17. Leffler, D.A., & Schuppan, D. (2010). Update on serologic testing in celiac disease. Am J Gastroenterol, 105(12), 2520-2524.
  18. Lis, D.M., Stellingwerff, T., Shing, C.M., Ahuja, K.D.K., & Fell, J.W. (2015). Exploring the popularity, experiences, and beliefs surrounding gluten-free diets in nonceliac athletes. International Journal of Sport Nutrition and Exercise Metabolism, 25(1), 37-45.
  19. Marsh, M.N. (1992). Gluten, major histocompatibility complex, and the small intestine. Gastroenterology, 102(1), 330-354.
  20. Missbach, B., Schwingshackl, L., Billmann, A., Mystek, A., Hickelsberger, M., Bauer, G., & Konig, J. (2015). Gluten-free food database: the nutritional quality and cost of packaged gluten-free foods. PeerJ, 3, e1337.
  21. Olsson, C., Hornell, A., Ivarsson, A., & Sydner, Y. M. (2008). The everyday life of adolescent coeliacs: Issues of importance for compliance with the gluten-free diet. Journal of Human Nutrition and Dietetics, 21(4), 359-367.
  22. 277X.2008.00867.x. Pellegrini, N., & Agostoni, C. (2015). Nutritional aspects of gluten-free products. Journal of the Science of Food and Agriculture, 95(12), 2380-2385.
  23. Scherf, K.A., Koehler, P., & Wieser, H. (2016). Gluten and wheat sensitivities – An overview. Journal of Cereal Science, 67, 2-11.
  24. Servizio Sanitario Regionale Emilia Romagna. (2018). Celiachia. – Retrieved August 10, 2018, from www.ausl.re.it/come-fare/celiachia.
  25. Singh, J., & Whelan, K. (2011). Limited availability and higher cost of glutenfree foods. Journal of Human Nutrition and Dietetics, 24(5), 479-486.
  26. Skerritt, J.H., & Hill, A.S. (1991). Enzyme immunoassay for determination of gluten in foods: collaborative study. Journal of the Association of Official Analytical Chemists, 74(2), 257-264. -- Retrieved from www.ncbi.nlm.nih.gov/pubmed/2050607.
  27. Terazono, E. (2017). Healthy appetites drive jump in sales of gluten-free foods. -- Retrieved from www.ft.com/content/4ec0f2f2-2c0a-11e7-9ec8-168383da43b7.
  28. Urala, N., & Lahteenmaki, L. (2003). Reasons behind consumers’ functional food choices. Nutrition & Food Science, 33(4), 148-158. DOI: 10.1108/00346650310488499
  29. Wild, D., Robins, G.G., Burley, V.J., & Howdle, P.D. (2010). Evidence of high sugar intake, and low fibre and mineral intake, in the gluten-free diet. Alimentary Pharmacology and Therapeutics, 32(4), 573-581.
  30. Wu, J.H.Y., Neal, B., Trevena, H., Crino, M., Stuart-Smith, W., Faulkner-Hogg, K., & Dunford, E. (2015). Are gluten-free foods healthier than non-gluten-free foods? An evaluation of supermarket products in Australia. British Journal of Nutrition, 114(03), 448-454. DOI: 10.1017/S0007114515002056
  31. Xhakollari, V., Canavari, M., & Osman, M. (2019). Factors affecting consumers’adherence to gluten-free diet, a systematic review. Trends in Food Science & Technology, 85(March), 23-33. 10.1016/j.tifs.2018.12.005.
  32. Dickey, W. (2009). Symposium 1: Joint BAPEN and British Society of Gastroenterology Symposium on Coeliac disease: Basics and controversies Coeliac disease in the twenty-first century. Proceedings of the Nutrition Society, 68(3), 234-241.

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Vilma Xhakollari, Maurizio Canavari, Celiac and non-celiac consumers’ experiences when purchasing gluten-free products in Italy in "ECONOMIA AGRO-ALIMENTARE" 1/2019, pp 29-48, DOI: 10.3280/ECAG2019-001003