Food Environment and Youth Intake May Influence Uptake of Gluten-Free Food Guide Recommendations in Celiac Disease
Publication: Canadian Journal of Dietetic Practice and Research
3 May 2022
Abstract
A gluten-free (GF) food guide for children and youth (4–18 years) living with celiac disease (CD) has been developed and extensively evaluated by stakeholders, including registered dietitians. A case study analysis was conducted on data from 16 households of youth with CD to examine how factors related to parental food literacy, the home food environment, and food purchasing patterns may influence food guide uptake by Canadian youth with CD and their families. Households were of higher socioeconomic status, parents had good food literacy, and the home food availability of fruits, vegetables and GF grains was diverse. However, households also had a diverse supply of convenience foods and snack options. Youth reported consuming a larger proportion of these foods (>35% dietary intake) and had suboptimal diet quality. Dietary intake of fruits and vegetables were below GF plate model recommendations by over 30%. Despite limited economical barriers, good parental food literacy, and diverse food availability, meeting fruit and vegetable recommendations based on the pediatric GF food guide remains a major challenge. Findings inform that effective strategies and healthy public policies to support the uptake of GF food guide recommendations are needed to improve the health outcomes of youth with CD.
Résumé
Un guide alimentaire sans gluten (SG) pour les enfants et les jeunes (4 à 18 ans) vivant avec la maladie cœliaque (MC) a été créé puis évalué en profondeur par des intervenants, dont des diététistes. Une analyse d’études de cas a été réalisée sur des données issues de 16 ménages de jeunes atteints de MC afin d’examiner comment des facteurs liés à la littératie alimentaire des parents, à l’environnement alimentaire à la maison et aux habitudes d’achat alimentaires peuvent influencer l’adoption du guide alimentaire par les jeunes Canadiens ayant la MC et leur famille. Les ménages avaient un statut socioéconomique élevé, les parents avaient une bonne littératie alimentaire et il y avait une bonne diversité de fruits, de légumes et de produits céréaliers SG à la maison. Cependant, les ménages avaient aussi une variété d’aliments prêts-à-servir et de collations. Les jeunes ont rapporté consommer une plus grande proportion de ces aliments (> 35 % de l’apport alimentaire), et la qualité de leur alimentation était sous-optimale. La consommation de fruits et légumes était de plus de 30 % inférieure aux recommandations de l’assiette modèle SG. Malgré des obstacles économiques limités, la bonne littératie alimentaire des parents et la disponibilité d’une variété d’aliments, respecter les recommandations du guide alimentaire SG pédiatrique quant aux fruits et légumes demeure une difficulté majeure. Les conclusions indiquent que des stratégies efficaces et des politiques publiques saines favorisant l’adoption des recommandations du guide alimentaire SG sont nécessaires pour améliorer la santé des jeunes vivant avec la MC.
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Financial support: This case study was generously supported by the WCHRI Graduate Studentship by the support of the Stollery Children’s Hospital Foundation through the Women and Children’s Health Research Institute (2020, S.C), the Sir Frederick Banting and Dr. Charles Best Canada Graduate Studentship – Master’s (CIHR CGSM) (2020, S.C), the Alberta Graduate Studentship (2020, S.C) and the Alberta Diabetes Institute Graduate Studentship by donation from the G. Woodrow Wirtanen Studentship (2019, S.C).
Conflicts of interest: The authors declare that they have no competing interests.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 83 • Number 4 • December 2022
Pages: 186 - 192
Editor: Naomi Cahill
History
Received: 6 July 2021
Accepted: 16 February 2022
Version of record online: 3 May 2022
Copyright
© 2022.
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SamanthaCyrkotRD, DominicaGidrewiczMD, SvenAndersPhD, MargaretMarconMD, Justine M.TurnerPhD MD, and Diana R.MagerPhD MSc RD. 2022. Food Environment and Youth Intake May Influence Uptake of Gluten-Free Food Guide Recommendations in Celiac Disease. Canadian Journal of Dietetic Practice and Research.
83(4): 186-192. https://doi.org/10.3148/cjdpr-2022-011
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