New Study: Gluten-Free Food Guide โImproves children’s Diets, โBut Long-Term Success Requires Ongoing Support
A pilot randomized controlled trial published in the British Journalโค of Nutrition reveals a single counseling session โbased around a gluten-free food guide (GFFG) significantly improved the diet quality of โฃchildren newly diagnosed with celiac โdisease – butโ these benefits waned after six months.Researchers found short-term improvements in total diet quality, dietaryโฃ variety, unsweetened milk โintake, and intakes of fiber and vitamin A in the intervention group compared to aโ control group.
The study, led byโฃ Jiang, Z.,โฃ et al.(2025), โfollowed children afterโฃ diagnosis and found the intervention group maintained better adherence to a Mediterranean diet at six months, while the control group’s scores declined. However, total diet quality and intake of ultra-processed foods did not differ significantly between groups over time. A key challenge remained: more than half of the children’s total energy intake continued to come from ultra-processed foods, andโ most still failed to meetโ recommended fruit and vegetable targets.
Children under 10 demonstrated better diet โquality,variety,and gluten-free adherence (97% vs 73%). While parentalโ nutrition literacy โwas strong, it remained unchanged throughout the study. Researchers attribute the decline in sustained benefits โto ongoing reliance on processed gluten-free foods, cost โbarriers, and a lack of continued support.
The study highlights the need for ongoing, dietitian-led education and support to achieve lasting dietary improvements in children โขwith celiac disease.Future interventions should incorporate multiple โขsessions, address food affordabilityโ and access, and consider family motivation andโ environmental factors, theโ authors conclude.The pilot study included a small,โ homogeneous sample and relied on self-reported data, representing limitations for broader submission.
Source: Jiang, Z.,gidrewicz,D., Chen, M., Wu, J., nasser, R., โHammond, C.B., Marcon, M., Turner, J.M., Mager, D.R. (2025). A Gluten-Free Food Guide Used in Diet Education to improve Diet Quality in Children with Newly Diagnosed Celiac Disease: A Pilot Randomized Controlโ Trial. British Journal of Nutrition: 1-33. โDOI: โฃ10.1017/S0007114525105618. https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/gluten-free-food-guide-used-in-diet-education-to-improve-diet-quality-in-children-with-newly-diagnosed-celiac-disease-a-pilot-randomized-control-trial/5F5BD3F5629568BB445CEC989384E260