Annapolis Valley Register

Non-gluten world not cheap

There's a high cost for anyone who must follow dietary restrictio­n

- SYLVAIN CHARLEBOIS sylvain.charlebois@dal.ca @scharleb Sylvain Charlebois is professor in food distributi­on and policy, and senior director of the AgriFood Analytics Lab at Dalhousie University.

Most Canadians don’t know that May is Celiac Awareness Month.

Almost 400,000 Canadians have been clinically diagnosed with celiac disease. That’s about the size of a city like London, Ont.

For those with celiac disease, eating gluten-free food is far from a lifestyle choice. They must eat gluten-free food. Cross-contaminat­ed food is also off limits, which is why Health Canada has made it mandatory to label products that contain gluten. This represents a huge win for those Canadians affected. Anything containing gluten, the proteins found in wheat, rye or barley, is labelled.

But gluten-free products are incredibly expensive.

The cost of gluten-free food products remains a significan­t challenge for individual­s with celiac disease and for gluteninto­lerant consumers. In fact, research suggests that glutenfree products can be up to 150 to 500 per cent more expensive than their gluten-containing counterpar­ts.

For example, gluten-free bread is 240 per cent more expensive, according to Celiac Canada, and gluten-free pasta is 160 per cent more expensive.

This difference in price can result in a significan­t financial burden for an individual. The extra cost for choosing glutenfree compared to regular foods can easily exceed $1,000 per year. This can be challengin­g for those with limited financial resources, especially these days, with already higher food prices.

A recent survey from Celiac Canada suggests that some people with celiac disease had to begin accessing food banks after their diagnosis, due to the cost of gluten-free food; many had to go to a food bank at least once a month.

For someone with the disease, not having access to affordable gluten-free products is like not having access to affordable medicine they need to survive.

In the same survey, a significan­t proportion of respondent­s said the cost of gluten-free food has increased, compared to that of pre-pandemic levels, leading to financial challenges. This underscore­s the significan­t burden that the cost of gluten-free food places on individual­s and families living with celiac disease.

It is also important to note that celiac disease is a highly underdiagn­osed condition. It is estimated that up to 85 per cent of individual­s with celiac disease remain undiagnose­d. This is a disturbing trend, given the potential long-term health consequenc­es of untreated celiac disease, which can include poor absorption of nutrients, osteoporos­is and an increased risk of certain types of cancer. Having celiac disease can be costly in more ways than one.

Some groups are advocating for the “grocery rebate” to be enhanced for people with the disease. At first glance, it seems like a measure that could help. But it may not be an ideal solution to subsidize those who need to buy these products. Such an approach could potentiall­y make these products even more expensive.

Rather, giving incentive to companies to focus on glutenfree products would increase competitio­n and put pressure on companies to reduce their prices. That’s exactly what’s happening with the plant-based section at the grocery store for dairy and meat alternativ­es. More options and supply will eventually bring prices down.

The taste of some of these products leaves a lot to be desired, as well. Some improvemen­ts have been noticeable in recent years, but it is still a work in progress. We have seen some enhancemen­t over the last decade or so, but more needs to be done.

Economical­ly, though, it’s hard to get food companies excited about a limited market of about 400,000 people. More awareness around the disease is critical in order to decrease the number of undiagnose­d sufferers. In recent years, we have seen celebritie­s like Kourtney Kardashian and Jessica Alba claiming that they are either allergic or intolerant to gluten. Many of these stars have made gluten-free products a part of a new lifestyle. Some celebritie­s have the disease, but most don’t.

If more celebritie­s speak out, it can create more awareness of the need for gluten-free products, as long as we can clearly distinguis­h between a dietary choice and having the actual disease. Recognizin­g both markets can only build a better case for food companies to consider the gluten-free market.

More affordable, better tasting non-gluten products is what many Canadians deserve. While some need these products, others just want them, and there’s nothing wrong with that. Recognizin­g needs and wants can certainly lead to more food innovation.

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