ArticleJournal of pediatric gastroenterology and nutrition2026
The prevalence and impact of gluten-free food insecurity in pediatric celiac disease.
Article in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Irregular follow-up is associated with poorer dietary adherence and iron deficiency in children with celiac disease.European journal of pediatrics · 2026Observational
- The prevalence and impact of gluten-free food insecurity in pediatric celiac disease.Journal of pediatric gastroenterology and nutrition · 2026Article
- Impact of Mediterranean diet-based nutritional intervention on gluten-free diet, nutritional status, and quality of life in a pediatric celiac population: a randomized controlled trial.Frontiers in nutrition · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesCeliac 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.
methodsThis 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 the electronic health record for respondents. Time to normalization of TTG IgA was assessed using Kaplan-Meier curves, log-rank tests, and Cox regression models. Independent associations between GF FI and GFD adherence were examined.
resultsA total of 1039 CeD patients from 994 unique households received surveys with a 34.8% response rate. More respondents reported GF FI (26%) than general FI (20%). GF food insecure respondents took significantly longer to achieve TTG IgA normalization (hazard ratio = 0.63, 95% confidence interval 0.44-0.9) than their food secure peers. Furthermore, GF FI was significantly associated with worse GFD adherence and gluten consumption due to transportation barriers, cost, and lack of GF food accessibility (all p < 0.05).
conclusionsGF FI should be considered in the routine care of pediatric CeD given its prevalence and impact on TTG IgA normalization and GFD adherence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.