Folate content of gluten-free food purchases and dietary intake are low in children with coeliac disease
Year: 2020
Type: article
Study design: Observational Study
Abstract: Samantha Cyrkota, Sven Andersb, Chelsea Kampratha, Amanda Liua, Heather Mileskie, Jenna Dowhaniuke, Roseann Nasserd, Margaret Marconc, Herbert Brille, Justine M. Turneraf & Diana R. Mageraf*a Department of Agricultural Food and Nutritional Science, University of Alberta, Edmonton, Canada; b Department of Resource Economics and Environmental Sociology, University of Alberta, Edmonton, Canada; c Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, Canada; d Department of Nutrition and Food Services, Pasqua Hospital, Saskatchewan Health Authority, Regina, Canada; e Division of Gastroenterology and Nutrition, McMaster Children's Hospital, Hamilton, Canada; f Department of Pediatrics, University of Alberta, Edmonton, CanadaSupplemental data for this article can be accessed at https://doi.org/10.1080/09637486.2020.1734545.CONTACT Diana R. Mager [email protected] Department of Agricultural, Food and Nutritional Science/Pediatrics, 2-021D Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB T6G 2E1, CanadaAbstractThe lack of mandated folate enrichment of gluten-free (GF) grains in Canada has been suspected to contribute to suboptimal folate intake among children suffering from Celiac disease (CD). Children with CD on the gluten-free diet (GFD) face nutrient imbalances (higher fat/sugar, lower folate) from processed GF foods. The study objective examined folate intake in children with CD and folate content of household food purchases. Households collected food receipts for 30 days to assess folate content. Folate-rich foods were defined as ≥60 µg dietary folate equivalent (DFE)/100g. Two 24-hour recalls assessed children’s intake. Households (n = 73) purchased >17,000 food items. Median child age was 10.5 y (IQR: 8.4–14.1). GF folate-rich foods represented <15% of all household food purchases and 69% of children had low folate intakes. Folate-rich foods consumed included legumes/GF-breakfast cereals. These represented 5% of GF-food purchases/intake. Few were fortified with folate. Findings highlight the need for mandated GF folate food fortification policy.
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3009998205