Advertisement

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

      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.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bantle J.P.
        • Wylie-Rosett J.
        • Albright A.L.
        • et al.
        Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association.
        Diabetes Care. 2008; 31: S61-S78
        • Silverstein J.
        • Klingensmith G.
        • Copeland K.
        • et al.
        Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association.
        Diabetes Care. 2005; 28: 186-212
        • Helgeson V.S.
        • Viccaro L.
        • Becker D.
        • Escobar O.
        • Siminerio L.
        Diet of adolescents with and without diabetes: trading candy for potato chips?.
        Diabetes Care. 2006; 29: 982-987
        • Mayer-Davis E.J.
        • Nichols M.
        • Liese A.D.
        • et al.
        Dietary intake among youth with diabetes: the SEARCH for Diabetes in Youth Study.
        J Am Diet Assoc. 2006; 106: 689-697
        • Patton S.R.
        • Dolan L.M.
        • Chen M.
        • Powers S.W.
        Dietary adherence and mealtime behaviors in young children with type 1 diabetes on intensive insulin therapy.
        J Acad Nutr Diet. 2013; 113: 258-262
        • Mehta S.N.
        • Haynie D.L.
        • Higgins L.A.
        • et al.
        Emphasis on carbohydrates may negatively influence dietary patterns in youth with type 1 diabetes.
        Diabetes Care. 2009; 32: 2174-2176
        • Jetter K.M.
        • Cassady D.L.
        The availability and cost of healthier food alternatives.
        Am J Prev Med. 2006; 30: 38-44
        • Drewnowski A.
        The cost of US foods as related to their nutritive value.
        Am J Clin Nutr. 2010; 92: 1181-1188
        • Green R.
        • Cornelsen L.
        • Dangour A.D.
        • et al.
        The effect of rising food prices on food consumption: systematic review with meta-regression.
        BMJ. 2013; 346: f3703
        • Rao M.
        • Afshin A.
        • Singh G.
        • Mozaffarian D.
        Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis.
        BMJ Open. 2013; 3: e004277
        • Nansel T.
        • Haynie D.
        • Lipsky L.
        • Mehta S.
        • Laffel L.
        Little variation in diet cost across wide ranges of overall dietary quality among youth with type 1 diabetes.
        J Acad Nutr Diet. 2015; 115: 433-439
        • Ziegler P.
        • Briefel R.
        • Ponza M.
        • Novak T.
        • Hendricks K.
        Nutrient intakes and food patterns of toddlers' lunches and snacks: influence of location.
        J Am Diet Assoc. 2006; 106: S124-S134
        • Tatlow-Golden M.
        • Hennessy E.
        • Dean M.
        • Hollywood L.
        “Big, strong and healthy”: young children’s identification of food and drink that contribute to healthy growth.
        Appetite. 2013; 71: 163-170
      1. US Department of Agriculture Center for Nutrition Policy and Promotion. Thrifty Food Plan. http://www.cnpp.usda.gov/sites/default/files/usda_food_plans_cost_of_food/TFP2006Report.pdf. Accessed April 7, 2015.

        • US Department of Health and Human Services, Department of Agriculture
        Dietary guidelines for Americans 2005.
        Government Printing Office, Washington, DC2005
        • Hollingshead A.B.
        Four Factor Index of Social Status.
        Yale University Press, New Haven, CT1975
        • DiSantis K.I.
        • Grier S.A.
        • Odoms-Young A.
        • et al.
        What “price” means when buying food: insights from a multisite qualitative study with Black Americans.
        Am J Public Health. 2013; 103: 516-522
        • Steenhuis I.H.
        • Waterlander W.E.
        • de Mul A.
        Consumer food choices: the role of price and pricing strategies.
        Public Health Nutr. 2011; 14: 2220-2226
        • Zenk S.N.
        • Powell L.M.
        • Rimkus L.
        • et al.
        Relative and absolute availability of healthier food and beverage alternatives across communities in the United States.
        Am J Public Health. 2014; 104: 2170-2178
      2. Statista Statistics Portal. Food & Nutrition: Grocery Shopping: U.S. consumers' weekly trips per household 2006-2012. http://www.statista.com/statistics/251728/weekly-number-of-us-grocery-shopping-trips-per-household/. Accessed August 22, 2014.

      3. US Department of Labor, Bureau of Labor Statistics. Consumer Expenditure Survey. http://www.bls.gov/cex/2013/csxann13.pdf. Accessed April 7, 2015.

        • Stark L.J.
        • Mulvihill M.M.
        • Powers S.W.
        • et al.
        Behavioral intervention to improve calorie intake of children with cystic fibrosis: treatment versus wait list control.
        J Pediatr Gastroenterol Nutr. 1996; 22: 240-253
        • Stark L.J.
        • Powers S.W.
        • Jelalian E.
        • Rape R.N.
        • Miller D.L.
        Modifying problematic mealtime interactions of children with cystic fibrosis and their parents via behavioral parent training.
        J Pediatr Psychol. 1994; 19: 751-768
        • Patton S.R.
        • Odar C.
        • Midyett L.K.
        • Clements M.A.
        Pilot study results for a novel behavior plus nutrition intervention for caregivers of young children with type 1 diabetes.
        J Nutr Educ Behav. 2014; 46: 429-433