The prevalence and impact of gluten-free food insecurity in pediatric celiac disease.

ABSTRACT:

Objectives

Celiac disease (CeD) requires lifelong adherence to a gluten-free (GF) diet (GFD), though GF foods are more expensive. This study aimed to: (1) evaluate concordance between GF and general food insecurity (FI) among households with a child with CeD, (2) assess demographic and social factors associated with GF FI, and (3) investigate the impact of GF FI on tissue transglutaminase immunoglobulin A (TTG IgA) decline and GFD adherence.

Methods

This single-center cohort study included CeD patients less than 18 years old. A de novo survey assessing GF FI, general FI, GFD adherence, social determinants of health, and sociodemographic information was distributed electronically to all CeD patients seen over a 6-year period. Additional clinical information was obtained from

SUBMITTER: Krueger A 

PROVIDER: S-EPMC12780476 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature