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dc.contributor.authorSheedy, Katherine-
dc.contributor.authorPatel, Nishaat-
dc.contributor.authorPorter, Judi-
dc.contributor.authorSilva, Hannah-
dc.identifier.citationNutrition & Dietetics 2022; 79(2): 238-246en
dc.description.abstractThis study aimed to investigate and compare the cost, affordability, and accessibility of three elimination diet approaches for the treatment of patients with eosinophilic esophagitis: the two-, four- and six-food elimination diets and with comparison to a standard diet. An evidence-based modelling process was undertaken for costing and accessibility, including the development of three hypothetical reference families; four food baskets were modified from an established benchmark for each diet. Baskets were costed across eastern Melbourne, Australia. Affordability was modelled using two incomes: the equivalised disposable household income and welfare payments for reference families. Affordability was defined as <30% of the median weekly household income and food stress defined as >25% of a median weekly household income. All elimination diets were significantly more expensive than a standard diet and may be unaffordable for those receiving welfare. Prices significantly increased as the number of food allergens eliminated increased. Most items for a two-food elimination diet were available at major supermarkets; however, items for nutritionally complete four- and six-food elimination diets required a visit to a second store. A step-up approach, commencing with a two-food elimination diet, instead of starting with a six-food elimination diet, may alleviate affordability barriers for most family types, which may enhance compliance. Clinicians should consider family type, financial situation, as well as accessibility of allergen-free foods in the patient's residential area when deciding on the most appropriate dietary or therapeutic treatment approach for eosinophilic oesophagitis.en
dc.subjectchronic disease managementen
dc.subjectclinical nutrition and dieteticsen
dc.subjectdietary intakeen
dc.subjecteosinophilic oesophagitisen
dc.subjectfood pricesen
dc.titleCost and accessibility of empiric food elimination diets for treatment of eosinophilic oesophagitis.en
dc.typeJournal Articleen
dc.identifier.journaltitleNutrition & Dietetics: The Journal of the Dietitians Association of Australiaen
dc.identifier.affiliationNutrition and Dieteticsen
dc.identifier.affiliationEastern Health Clinical School, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australiaen
dc.identifier.affiliationDepartment of Nutrition & Dietetics, Eastern Health, Box Hill, Victoria, Australiaen
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item.openairetypeJournal Article-
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