Parental influence on eating behavior in children with celiac disease: a multicenter cross-sectional study

Background. This study examined parental feeding practices and parental perceptions of children’s consumption of “unhealthy” foods under a gluten-free diet (GFD) in celiac disease, as well as approaches to parent–child interaction in the context of reduced quality of life. Materials and Methods. The study was based on a questionnaire survey of parents of children and adolescents with confirmed celiac disease. To ensure reproducibility, the full set of questionnaire items was provided and subscales were constructed to assess parental feeding practices and child behavior, including unhealthy food consumption, emotional feeding, perceived necessity of dietary control, weight-related dietary restriction, encouragement of dietary variety, pressure to eat, child involvement in family meals, and home availability of sweets and snacks. Results. Parental feeding practices demonstrated a multidimensional structure represented by several independent domains. Unhealthy food consumption was common: 78% of parents reported at least partial overconsumption of sweets. Despite strict dietary restrictions, unhealthy snacking remained prevalent. Four distinct parental practice profiles were identified: emotionally controlling, moderately supportive, passive, and weight-restrictive. The perceived necessity of dietary control showed a robust inverse association with unhealthy food consumption, reducing its likelihood by approximately threefold. Conclusion. In children with celiac disease, dietary control represents an adaptive and protective strategy when embedded in everyday family life and implemented through involvement and respect for the child’s autonomy rather than through pressure or punitive measures.

Authors

Institutions

Publication Details

Journal
Russian Journal of Evidence-Based Gastroenterology
Published
2026-06-16
DOI
https://doi.org/10.17116/dokgastro20261502113
Primary Topic
Celiac Disease Research and Management
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Parental influence on eating behavior in children with celiac disease: a multicenter cross-sectional study

Н. Д. Одинаева, R.A. Zhetishev, E. A. Yablokova, Galina Fedotova et al.
Russian Journal of Evidence-Based Gastroenterology
Celiac Disease Research and Management
article

Parental influence on eating behavior in children with celiac disease: a multicenter cross-sectional study

Н. Д. Одинаева, R.A. Zhetishev, E. A. Yablokova, Galina Fedotova, E. V. Shrayner, А. А. Камалова, Е.А. Roslavtseva, Andrew V. Nalyotov, Д.В. Печкуров, Denis S. Fugol, A. N. Sultanova, М. О. Ревнова, Е. В. Лошкова, M.G. Dzgoeva, О. В. Ремизов, Leonid Klimov, А. И. Хавкин, И.А. Бавыкина, A. A. Zvyagin, С. В. Гречаный, В. Н. Панфилова, Е. А. Балакирева, A.V. Vetrova, Yu. А. Dmitrieva, Elena Ivanovna Kondratieva, L. E. Safronova, A. A. Tyazheva, K. D. Zavrazhnaya, I. E. Romanovskaya, O. A. Kagirova, T. T. Boraeva, A.A. Lee
article en

Abstract

Background. This study examined parental feeding practices and parental perceptions of children’s consumption of “unhealthy” foods under a gluten-free diet (GFD) in celiac disease, as well as approaches to parent–child interaction in the context of reduced quality of life. Materials and Methods. The study was based on a questionnaire survey of parents of children and adolescents with confirmed celiac disease. To ensure reproducibility, the full set of questionnaire items was provided and subscales were constructed to assess parental feeding practices and child behavior, including unhealthy food consumption, emotional feeding, perceived necessity of dietary control, weight-related dietary restriction, encouragement of dietary variety, pressure to eat, child involvement in family meals, and home availability of sweets and snacks. Results. Parental feeding practices demonstrated a multidimensional structure represented by several independent domains. Unhealthy food consumption was common: 78% of parents reported at least partial overconsumption of sweets. Despite strict dietary restrictions, unhealthy snacking remained prevalent. Four distinct parental practice profiles were identified: emotionally controlling, moderately supportive, passive, and weight-restrictive. The perceived necessity of dietary control showed a robust inverse association with unhealthy food consumption, reducing its likelihood by approximately threefold. Conclusion. In children with celiac disease, dietary control represents an adaptive and protective strategy when embedded in everyday family life and implemented through involvement and respect for the child’s autonomy rather than through pressure or punitive measures.

Russian Journal of Evidence-Based GastroenterologyVol. 15(2)
Altai State Medical University (RU), Belgorod National Research University (RU), Novosibirsk State Medical University (RU), Sechenov University (RU), Kazan State Medical University (RU), Siberian State Medical University (RU), Voronezh State Medical Academy named after N.N. Burdenko (RU), Krasnoyarsk State Medical University (RU), Ural State Medical University (RU), National Association of School Nurses (US), Kabardino-Balkarian State University (RU), Russian Medical Academy of Continuous Professional Education (RU), Ministry of Health of the Russian Federation (RU), North Ossetian State Medical Academy (RU), Research Centre for Medical Genetics (RU), Samara State Medical University (RU), City Clinical Hospital (RU), Regional Children's Clinical Hospital No. 1 (RU), Saint Petersburg State Pediatric Medical University (RU), Donetsk National Medical University (UA)
Zero hunger
Openalex Percentile: Top 5%
Celiac Disease Research and Management
DOISourceOpenAlex
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.