Please use this identifier to cite or link to this item:
Title: Cost and accessibility of empiric food elimination diets for treatment of eosinophilic oesophagitis.
Austin Authors: Sheedy, Katherine;Patel, Nishaat;Porter, Judi;Silva, Hannah
Affiliation: Nutrition and Dietetics
Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia
Department of Nutrition & Dietetics, Eastern Health, Box Hill, Victoria, Australia
Issue Date: Apr-2022
Date: 2021-12-19
Publication information: Nutrition & Dietetics 2022; 79(2): 238-246
Abstract: This 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.
DOI: 10.1111/1747-0080.12717
ORCID: 0000-0002-4592-7809
Journal: Nutrition & Dietetics: The Journal of the Dietitians Association of Australia
PubMed URL: 34927796
PubMed URL:
Type: Journal Article
Subjects: allergy
chronic disease management
clinical nutrition and dietetics
dietary intake
eosinophilic oesophagitis
food prices
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Dec 2, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.