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. 2015 Jul-Aug;47(4):361-6.e1.
doi: 10.1016/j.jneb.2015.03.006.

The Cost of a Healthier Diet for Young Children With Type 1 Diabetes Mellitus

Susana R Patton  1 , Kathy Goggin  2 , Mark A Clements  3
Affiliations

The Cost of a Healthier Diet for Young Children With Type 1 Diabetes Mellitus

Susana R Patton et al. J Nutr Educ Behav. 2015 Jul-Aug.

Abstract

Objective: This study used a market-basket approach to examine the availability and cost of a standard food shopping list (R-TFP) vs a healthier food shopping list (H-TFP) in the grocery stores used by a sample of 23 families of young children with type 1 diabetes mellitus (T1DM).

Methods: The researchers used frequency counts to measure availability. The average cost of the R-TFP and H-TFP was compared using paired t test.

Results: Small or independent markets had the highest percentage of missing foods (14%), followed by chain supermarkets (3%) and big box stores (2%). There was a significant difference in average cost for the R-TFP vs the H-TFP ($324.71 and $380.07, respectively; P < .001).

Conclusions and implications: Families may encounter problems finding healthier foods and/or incur greater costs for healthier foods. Nutrition education programs for T1DM need to teach problem solving to help families overcome these barriers.

Keywords: behavior; child; diabetes; food costs; nutrition.

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Figures

Figure 1
Figure 1
Distribution of store surveyed relative to the main Diabetes clinic where families were recruited. Note: Blue marker, Main Diabetes Clinic; Red markers, Stores; 18 stores are shown; 3 stores were duplicates (i.e., two different families happened to shop at the same store).
See this image and copyright information in PMC

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