{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T22:06:54Z","timestamp":1776895614273,"version":"3.51.2"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T00:00:00Z","timestamp":1639872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>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\u2010, four\u2010 and six\u2010food elimination diets and with comparison to a standard diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An evidence\u2010based 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 &lt;30% of the median weekly household income and food stress defined as &gt;25% of a median weekly household income.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2010food elimination diet were available at major supermarkets; however, items for nutritionally complete four\u2010 and six\u2010food elimination diets required a visit to a second store.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A step\u2010up approach, commencing with a two\u2010food elimination diet, instead of starting with a six\u2010food 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\u2010free foods in the patient's residential area when deciding on the most appropriate dietary or therapeutic treatment approach for eosinophilic oesophagitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12717","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T03:14:49Z","timestamp":1639970089000},"page":"238-246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Cost and accessibility of empiric food elimination diets for treatment of eosinophilic oesophagitis"],"prefix":"10.1111","volume":"79","author":[{"given":"Katherine","family":"Sheedy","sequence":"first","affiliation":[{"name":"Department of Nutrition &amp; Dietetics Eastern Health  Box Hill Victoria Australia"},{"name":"Department of Nutrition &amp; Dietetics Austin Health  Heidelberg Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishaat","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Nutrition &amp; Dietetics Eastern Health  Box Hill Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judi","family":"Porter","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences Deakin University  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4592-7809","authenticated-orcid":false,"given":"Hannah","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Nutrition &amp; Dietetics Eastern Health  Box Hill Victoria Australia"},{"name":"Eastern Health Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.07.009"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640616689525"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0052-5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.036"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2017.06.067"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2017.08.038"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2018.04.013"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13576"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2014.07.023"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.71"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-018-5045-0"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12171"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11020399"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12502"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12477"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9739-1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2007.00087.x"},{"key":"e_1_2_7_19_1","unstructured":"Australian Bureau of Statistics.Census of Population and Housing General Community Profile Canberra ACT: Commonwealth of Australia; 2016 [updated 2020 October 30.https:\/\/quickstats.censusdata.abs.gov.au\/census_services\/getproduct\/census\/2016\/communityprofile\/036?opendocument accessed 22 February 2020]."},{"key":"e_1_2_7_20_1","unstructured":"Australian Bureau of Statistics.National health survey: first results. 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