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dc.contributor.authorShah, S.P.
dc.contributor.authorTowell, Ruth
dc.identifier.citationShah , S P & Towell , R 2011 , ' The availability and cost of a milk-free diet for cow's milk protein allergy ' , Journal of Human Nutrition and Dietetics , vol. 24 , no. 4 , pp. 403-404 .
dc.identifier.otherPURE: 421267
dc.identifier.otherPURE UUID: b9936684-3b80-4c83-9d76-d1181454bd71
dc.descriptionThe definitive version can be found at: Copyright Wiley-Blackwell [Full text of this article is not available in the UHRA]
dc.description.abstractBackground:  Cow's milk protein allergy (CMPA) is the most common food allergy, and adherence to a milk-free diet is essential, particularly in immunoglobulin E-mediated CMPA sufferers (Benhamou et al., 2009). No studies have looked into the practical aspects of a milk-free diet. The aim of this project was to evaluate how the availability and cost of a milk-free diet compares with that of one containing cow's milk protein. Methods:  A cross-sectional survey was conducted in the London Borough of Harrow and three major superstores in an urban setting (inclusion criteria of ≥25 000 sq ft) were randomly selected. Two shopping baskets were created; basket A with commonly consumed foods (bread, biscuits, milk, packaged fruit/vegetable salads, and ready meals which contained ≥12% protein from nondairy protein sources) based on the Eatwell plate (Food Standards Agency, 2007), and basket B with their cow's milk-free alternatives. The price and number of varieties were recorded and analysed for each food group per basket. Pearson's chi-squared and Wilcoxon-rank sum tests were conducted for availability and cost of each food type in both baskets. Results:  The availability of foods suitable for a CMPA diet (basket B) was lower than basket A: 74% bread, 15% biscuits, 26% milk and 25% ready meals compared to 26%, 85%, 74% and 75%, P-values of 0.001, 0.002, 0.001 and 0.005, respectively. The availability of fruit/vegetable salads was not statistically significant between the two baskets. Regarding cost, bread in basket A was found to be significantly more expensive than in basket B, whereas milk substitutes (all superstores) and ready meals (superstore 2 only) were significantly more expensive in basket B (Table 1). The cost of biscuits and fruit/vegetable salads between the two baskets was not significantly different.en
dc.relation.ispartofJournal of Human Nutrition and Dietetics
dc.titleThe availability and cost of a milk-free diet for cow's milk protein allergyen
dc.contributor.institutionDepartment of Allied Health Professions and Midwifery
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionNutrition and Dietetics
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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