This study demonstrated that gluten-free foods have poor availability and are more expensive than their gluten-containing counterparts. The impact of these findings on dietary compliance and the quality of life needs to be addressed.

Individuals with coeliac disease in the U.S.A. have a diminished quality of life, especially in the social aspects of life.

The inclusion of alternative grain-based products increased the nutrient profile of the gluten-free dietary pattern significantly.