{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:25:35Z","timestamp":1787934335319,"version":"build-2784847793"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2025,12,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Children with coeliac disease (CD) on a gluten-free diet (GFD) often have poor dietary quality (DQ). A Gluten-Free Food Guide (GFFG) was developed to address this. This pilot randomised controlled trial evaluated the impact of GFFG dietary counselling on DQ and ultra-processed food (UPF) intake in newly diagnosed CD children. Child\u2013parent pairs were randomised to the standard of care only (CON:\n                    <jats:italic>n<\/jats:italic>\n                    20) or the intervention (INT: standard of care + GFFG;\n                    <jats:italic>n<\/jats:italic>\n                    20). Primary outcomes included DQ (Healthy Eating Index-Canadian) and UPF intake (NOVA classification), assessed at baseline (BL), 3 and 6 months. In INT, dietary variety scores, a subcomponent of DQ, increased between BL and 3 months (BL: 6\u00b77 (3\u00b73\u20136\u00b77)\n                    <jats:italic>v<\/jats:italic>\n                    . 3 months: 10 (10\u201310);\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b701) and in higher variety scores than CON at 3 months (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0\u00b701). Total DQ and UPF intake remained unchanged. Increased dietary variety in INT was associated with increases in dairy products (BL: 7\u00b75 (\n                    <jats:sc>sd<\/jats:sc>\n                    3\u00b76) %\n                    <jats:italic>v<\/jats:italic>\n                    . 3 months: 12\u00b74 (\n                    <jats:sc>sd<\/jats:sc>\n                    6\u00b77) %;\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b701) and unsweetened milk (BL: 2\u00b75 (\n                    <jats:sc>sd<\/jats:sc>\n                    2\u00b72) %\n                    <jats:italic>v<\/jats:italic>\n                    . 3 months: 4\u00b77 (\n                    <jats:sc>sd<\/jats:sc>\n                    3\u00b70) %;\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b701) servings, consumed as a percentage of the total food group servings. These improvements were not observed at 6 months. A greater number of INT children met the GFFG protein recommendation at 3 months (BL: 0\/19\n                    <jats:italic>v<\/jats:italic>\n                    . 3 months: 5\/19;\n                    <jats:italic>P<\/jats:italic>\n                    = 0\u00b701), with no change in CON. A single GFFG session improved short-term dietary variety and unsweetened milk intake. Ongoing work addressing the GF food environment, dietitian access and policies to improve DQ are needed.\n                  <\/jats:p>","DOI":"10.1017\/s0007114525105618","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T10:02:49Z","timestamp":1762336969000},"page":"991-1002","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["A Gluten-Free Food Guide used in diet education to improve diet quality in children with newly diagnosed celiac disease: a pilot randomised control trial"],"prefix":"10.1017","volume":"134","author":[{"given":"Zhiqian","family":"Jiang","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominica","family":"Gidrewicz","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Chen","sequence":"additional","affiliation":[{"name":"Alberta Health Services-Child Health Nutrition Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Wu","sequence":"additional","affiliation":[{"name":"Alberta Health Services-Child Health Nutrition Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roseann","family":"Nasser","sequence":"additional","affiliation":[{"name":"Saskatchewan Health Authority"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlota Basualdo","family":"Hammond","sequence":"additional","affiliation":[{"name":"Alberta Health Services-Child Health Nutrition Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Marcon","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine M.","family":"Turner","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Alberta"},{"id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5558-8783","authenticated-orcid":false,"given":"Diana R.","family":"Mager","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Alberta"},{"id":[{"id":"https:\/\/ror.org\/0160cpw27","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,5]]},"container-title":["British Journal of Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007114525105618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:04:22Z","timestamp":1768986262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007114525105618\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":0,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,28]]}},"alternative-id":["S0007114525105618"],"URL":"https:\/\/doi.org\/10.1017\/s0007114525105618","relation":{},"ISSN":["0007-1145","1475-2662"],"issn-type":[{"value":"0007-1145","type":"print"},{"value":"1475-2662","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,5]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}