Understanding Gluten: What It Is and Why Some People Struggle With It

September 30, 2024

What is Gluten?

Gluten is a group of proteins found in grains such as wheat, barley, rye, and their derivatives. The two main proteins in gluten are gluten in and gliadin, which give dough its elasticity and the ability to rise and hold its shape. This makes gluten essential in the baking industry for creating the chewy texture in bread and other baked goods. It is commonly found in foods like bread, pasta, cereals, cakes, and even sauces and dressings where gluten-containing ingredients might be used as thickening agents.

Why Do Some PeopleStruggle to Eat Gluten?

Celiac disease; is an autoimmune disorder in which the ingestion of gluten leads to damage in the small intestine. For individuals with this condition, even small amounts of gluten can trigger a harmful immune response, damaging the villi (small finger-like projections) in the intestines that absorb nutrients. Symptoms of celiac disease can include diarrhoea, bloating, fatigue, anaemia, and in severe cases, malnutrition. It’s estimated that about 1% of the global population has celiac disease, but many remain undiagnosed.

Non-Celiac Gluten Sensitivity (NCGS);  for people with non-celiac gluten sensitivity, consuming gluten may lead to symptoms like bloating, fatigue, and abdominal pain, similar to those of celiac disease, but without the associated intestinal damage. NCGS is less well understood than celiac disease, and diagnosis is often based on the exclusion of other conditions. While the exact cause of NCGS is unclear, some researchers believe that it could be related to an immune response or other components found in gluten-containing foods, like FODMAPs (short-chain carbohydrates that can be poorly absorbed by the body).

Wheat allergy; is different from both celiac disease and NCGS. It’s an allergic reaction to proteins found in wheat, including but not limited to gluten. In those with a wheat allergy, the immune system identifies wheat as a threat and produces an allergic response, which can range from mild(hives, nasal congestion) to severe (anaphylaxis).

Is Going Gluten-Free Good for Everyone?

The rise in popularity of gluten-free diets has led many to wonder if eliminating gluten might be beneficial, even for those without celiac disease or gluten sensitivity. But is going gluten-free good for everyone? Let’s explore the evidence.

For people without gluten-related disorders; For those who do not have celiac disease, NCGS, or a wheat allergy, there is no scientific evidence to suggest that a gluten-free diet offers any health benefits. In fact, a gluten-free diet may sometimes be less healthy. Many gluten-containing foods, like whole grains, are a good source of fibre, vitamins, and minerals. By avoiding gluten, individuals may miss out on these nutrients unless they carefully replace them with gluten-free alternatives. Some gluten-free products are also highly processed and can contain added sugars or fats to compensate for the texture and taste lost when gluten is removed. This can lead to an increase in calorie intake or a less balanced diet.

Psychological and Social Impact: The decision to go gluten-free can also have psychological and social consequences. Gluten-free diets can be more expensive, and eating out can become more challenging due to the limited availability of gluten-free options. Social gatherings can feel isolating when dietary restrictions are involved, especially if others don’t understand or appreciate the reasoning behind the choice.

When going gluten-free makes sense for individuals with diagnosed celiac disease, NCGS, or a wheat allergy, a gluten-free diet is essential for health and well-being. Removing gluten can relieve symptoms, prevent long-term complications, and improve quality of life. Additionally, some people may feel better on a gluten-free diet even without a formal diagnosis of gluten-related disorders. This could be due to eliminating processed foods or additives found in some gluten-containing products or simply following a more health-conscious eating pattern.

Is Gluten-Free Right for You? The bottom line is that going gluten-free is necessary for some, but not for everyone. For those with gluten-related disorders, avoiding gluten is crucial for managing symptoms and promoting long-term health. However, for the general population, there’s no strong evidence that a gluten-free diet offers any particular benefits, and it may even come with some nutritional downsides. If you think you might have an issue with gluten, please get in contact with Deborah our Nutritional Therapist before making drastic dietary changes. They can help diagnose any underlying conditions and ensure you’re meeting all of your nutritional needs.

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