Survey-Based Study on Food Insecurity During COVID-19 for Households With Children on a Prescribed Gluten-Free Diet

Du, Nan; Mehrotra, Isha; Weisbrod, Vanessa M.; Regis, Stephanie; Silvester, Jocelyn A.

doi:10.14309/ajg.0000000000001778

Cited by 14 publications

(11 citation statements)

References 5 publications

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“…Only a very limited amount of gluten ingestion was reported. This is in contrast with an anonymous survey conducted in the United States of America, where significantly more intentional gluten intake was reported by patients with CD, as well as an impactful drop in the availability of gluten free products [ 17 ].…”

Section: Discussioncontrasting

confidence: 58%

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

et al. 2023

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The COVID-19 pandemic perturbed the everyday life of children and those with chronic illnesses, along with the lives of their families. Patients with celiac disease (CD) follow a strict gluten-free diet (GFD), and gluten ingestion is associated with negative health outcomes. The aim of this study was to investigate the experiences of children with CD and their families concerning their GFD, symptoms and CD management during the first period of the COVID-19 pandemic. A cross-sectional questionnaire-based study was performed including 37 Dutch pediatric patients with CD, along with their parents. The majority reported good compliance to the GFD and stated that the diet was easier to follow during the pandemic, mainly due to eating more meals in the home. Some discovered a greater variety of GF products by utilizing online shopping, potentially increasing the financial burden of the GFD. Concerning general dietary habits, 21.6% reported a healthier eating pattern, in contrast to 37.8% and 10.8% who consumed more unhealthy snacks and fewer fruits and vegetables, respectively, than normal during the pandemic. The natural experiment of the COVID-19 pandemic provides valuable information regarding the management of pediatric CD. Education on healthy dietary patterns is important, especially for children with restrictive diets, and the findings of this study show that there is room for improvement in this respect, regardless of the current pandemic.

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Section: Discussioncontrasting

confidence: 58%

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

et al. 2023

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“…One study of families in the United States found an increase in intentional consumption of gluten-containing products due to decreased availability of gluten-free food. 32 A study in Turkey reported that individuals more recently diagnosed with celiac disease had greater difficulty adhering to a gluten-free diet. 6 In Chile, individuals reported that loss of jobs, food shortages, and increasing costs of gluten-free products all played a significant role in the difficulty in adhering to a gluten-free diet.…”

Section: Access To Gluten-free Food and Maintaining A Gluten-free Dietmentioning

confidence: 99%

COVID-19 and celiac disease: a review

Cohen

Lebwohl

2023

Therap Adv Gastroenterol

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The aim of this review is to broadly cover how the COVID-19 pandemic has affected individuals with celiac disease, including perceived risk, risk of contraction or severe infection, considerations regarding vaccination, access to gluten-free food during the pandemic, and possible long-term changes to the practice of celiac disease management spurred by the pandemic. While initially there was increased perceived risk about COVID-19 in the celiac disease population, studies have found that individuals with celiac disease are not at an increased risk of contracting or having a severe course compared to the general population. There is not yet evidence that COVID-19 infection will lead to an increase in celiac disease incidence, though more research on this topic with longer-term follow-up is necessary to make this determination. Limited access to in-person visits led to an increase in telemedicine, which was adopted swiftly by this patient population and may offer improved access in the long term. In summary, individuals with celiac disease do not appear to be at an increased risk of contracting COVID-19 or having a more severe disease course.

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“…Prior research on food security among people with CeD has shown an increase of food insecurity among CeD households in the United States during the COVID-19 pandemic(22, 23). A recent review of national survey data collected in the United States between 2008 and 2014, revealed the negative effects of food insecurity in individuals with CeD.…”

Section: Introductionmentioning

confidence: 99%

Food insecurity and other barriers to adherence to a gluten-free diet in individuals with celiac disease and non-celiac gluten sensitivity in the Netherlands: a mixed-methods study

Smeets,

Kiefte-de Jong,

van der Velde

2024

Preprint

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Objectives: To determine the prevalence of food insecurity among individuals with celiac disease (CeD) and non-celiac gluten sensitivity (NCGS) in the Netherlands and explore its association with diet quality and other barriers to adherence to a gluten-free diet. Design: Mixed-method design comprising a survey and semi-structured interviews. Setting: An online survey was distributed through social media accounts and the newsletter of the Dutch Association for Celiac Disease. Community-dwelling patients were surveyed and interviewed between June and November 2023. Participants and outcome measures: In total 548 adults with CeD and NCGS in the Netherlands who adhered to a gluten-free diet completed the survey including questions related to demographics, household food security, financial stress and dietary quality. Regression analyses were conducted to assess associations between food insecurity and diet quality, and between food insecurity and perceived difficulty of gluten-free eating and cooking. Additionally, semi-structured interviews with 8 food insecure adults with CeD were conducted. Results: The prevalence of food insecurity was 23.2%, with 10.4% reporting very low food security. Very low insecurity was associated with poorer diet quality (β=-5.5; 95%CI=-9.2,-1.9; p=0.003). Food insecurity was associated with heightened perceived barriers across multiple themes, including skills, social circumstances, resources and gluten-free products, with odds ratios ranging between 1.9-4.7 for crude models (very low food security vs food security). The qualitative analysis provided a deeper understanding of these challenges, including employed strategies to manage costs and insights into the mental burden associated with adhering to a gluten-free diet. Conclusion: These findings indicate that food insecurity is prevalent among Dutch people with CeD and NCGS, with potential impact on dietary quality and adherence to a gluten-free diet. It further provided insight into perceived barriers to adhering to a gluten-free diet among this target population. These challenges should be taken into account by clinicians and policy makers.

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Survey-Based Study on Food Insecurity During COVID-19 for Households With Children on a Prescribed Gluten-Free Diet

Cited by 14 publications

References 5 publications

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

COVID-19 and celiac disease: a review

Food insecurity and other barriers to adherence to a gluten-free diet in individuals with celiac disease and non-celiac gluten sensitivity in the Netherlands: a mixed-methods study

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